Goal Management TherapyInvestigating the Use of Goal Management Therapy in Improving Cognitive Functioning in Public Safety Personnel With PTSD

Arms

Interventions

Primary outcome measure

• Change in Score on the Delis-Kaplan Executive Function System (D-KEFS) Tower Test [ Time Frame: Phase 1 (inpatient): Baseline and post-intervention at 3 weeks ]
• Change in Score on the Wechsler Adult Intelligence Scale-IV (WAIS-IV) Coding subtest [ Time Frame: Phase 1 (inpatient): Baseline and post-intervention at 3 weeks ]
• Change in Score on Conners Continuous Performance Task Third Edition (CPT-3) [ Time Frame: Phase 1 (inpatient): Baseline and post-intervention at 3 weeks ]
• Change in Score on the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) [ Time Frame: Phase 1 (inpatient): Baseline, post-intervention at 3 weeks, and post-intervention at 3 months ]
• Change from Baseline in Score on the Cognitive Failures Questionnaire (CFQ) at 3 weeks post-intervention and 3 months post-intervention [ Time Frame: Phase 1 (inpatient): Baseline, post-intervention at 3 weeks, and post-intervention at 3 months. This measure will also be administered during week 1, week 3, week 6, and week 9 of the intervention. ]
• Change in Score on the Return to Work Obstacles and Self-Efficacy Scale - Common Mental Disorders (ROSES-CMD) [ Time Frame: Phase 1 (inpatient): Baseline and post-intervention at 3 weeks ]
• Change from Baseline in Score on the VOT Hooper Visual Organization Test at 3 weeks post-intervention [ Time Frame: Phase 1 (inpatient): Baseline and post-intervention at 3 weeks ]
• Change in Score on the Rey-Osterrieth Complex Figure Test (RCFT) [ Time Frame: Phase 1 (inpatient): Baseline and post-intervention at 3 weeks ]
• Change in Score on the Depression Anxiety Stress Scale (DASS-21) [ Time Frame: Phase 1 (Inpatient): Week 1, Week 3, and Week 6 of intervention, and post-intervention at 3 weeks ]
• Change in Score on the Stroop Colour and Word Test (SCWT) [ Time Frame: Phase 1 (inpatient): Baseline and post-intervention at 3 weeks ]
• Advanced Clinical Solutions Test of Premorbid Functioning (TOPF) [ Time Frame: Phase 1 (inpatient): Baseline only ]
• Change from baseline in scores on the PTSD Checklist for DSM-5 (PCL-5) at post-intervention [ Time Frame: Phase 2 (outpatient): Baseline, week 3 of intervention, week 6 of intervention, post-intervention at 9 weeks, 3 months post-intervention, and 6 months post-intervention ]
• Change from baseline in scores on the Depression and Anxiety Stress Scale (DASS-21) at post-intervention [ Time Frame: Phase 2 (outpatient): Baseline, week 3 of intervention, week 6 of intervention, post-intervention at 9 weeks, 3 months post-intervention, and 6 months post-intervention ]
• Change from baseline in scores on the Sustained Attention Response Task (SART) [ Time Frame: Phase 2 (outpatient): Baseline, post-intervention at 9 weeks, 3 months post-intervention, 6 months post-intervention ]
• Change from baseline in scores on the Cognitive Failures Questionnaire (CFQ) at post-intervention [ Time Frame: Phase 2 (outpatient): Baseline, week 3 of intervention, week 6 of intervention, post-intervention at 9 weeks, 3 months post-intervention, and 6 months post-intervention ]
• Change from baseline in symptom severity as assessed by the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) at post-intervention [ Time Frame: Phase 3 (fMRI): Baseline and post-intervention at 9 weeks ]
• Functional neurological change from baseline at post-intervention [ Time Frame: Phase 3 (fMRI): Baseline and post-intervention at 9 weeks ]
• Functional neurological change from baseline at post-intervention [ Time Frame: Phase 3 (fMRI): Baseline and post-intervention at 9 weeks ]
• Change from baseline in score on the Sustained Attention Response Task (SART) adapted for functional Magnetic Resonance Imaging (fMRI) at post-intervention [ Time Frame: Phase 3 (fMRI): Baseline and post-intervention at 9 weeks ]