An interventional study of Adapted STAIR-NT in PTSD - Post Traumatic Stress Disorder and TBI-Traumatic Brain Injury, sponsored by Florida State University. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-25.
Sponsored by Florida State University · Not applicable, Interventional, and Treatment
This study is a randomized controlled pilot examining the implementation of an adapted intervention, Skills Training in Affective and Interpersonal Regulation-Narrative Therapy (STAIR-NT), among a first responder population with a history of TBI and PTSD.
The primary objective of the study is to implement and evaluate the effectiveness of an evidence-based intervention, STAIR-NT, which will be adapted with Goal Management Training (GMT). A small-scale randomized control pilot will be conducted using the adapted intervention to examine implementation (i.e., feasibility, acceptability) and improvements in short-term PTSD, as well as secondary mental health outcomes (e.g., anxiety, and depression symptoms, substance misuse) among a first responder population with a history of TBI and PTSD.
Exclusion Criteria:
Participants in this arm will receive the adapted version of Skills Training in Affective and Interpersonal Regulation-Narrative Therapy (STAIR-NT).
Behavioral: Adapted STAIR-NT
Participants in this arm will receive treatment as usual.
An adapted version of STAIR-NT that utilizes components from GMT in order to treat PTSD and TBI.
Also known as: Skills Training in Affective and Interpersonal Regulation with Narrative Therapy
Change in Post-Traumatic Stress Disorder Symptoms
The 20-item PTSD Checklist for DSM-5 (PCL-5) will be used to assess PTSD symptoms. All items are scored on a 5-point Likert scale ranging between 0 (not at all) and 4 (extremely).
Time frame: Baseline, 4-6 weeks, 3 months, 6 months
Change in Anxiety Symptoms
The Generalized Anxiety Disorder Screener-7 (GAD-7) will be used to assess anxiety symptoms. The included items ask participants to indicate how frequently they experienced seven symptoms over the past two weeks, with provided response categories ranging between 0 (not at all) to 3 (nearly every day).
Time frame: Baseline, 4-6 weeks, 3 months, 6 months
Change in Depression Symptoms
The Patient Health Questionnarie-9 (PHQ-9) is an abbreviated version of the full PHQ focused on major depressive disorder and will be used to assess depression symptoms. Participants are asked to indicate how often they experienced nine different feelings over the past two weeks with possible response categories ranging between 0 (not at all) and 3 (nearly every day).
Time frame: Baseline, 4-6 weeks, 3 months, 6 months
Change in Alcohol Use
The Alcohol Use Disorders Identification Test (AUDIT) is a self-administered instrument that includes 10 screening questions tapping alcohol use and alcohol-related consequences in the past 12 months.
Time frame: Baseline, 4-6 weeks, 3 months, 6 months
Change in Drug Use
The Drug Abuse Screening Test (DAST-10) is a 10-item questionnaire tapping the use of drugs and related health effects and behaviors over the past 12 months.
Time frame: Baseline, 4-6 weeks, 3 months, 6 months
Change in General Well Being
The General Well Being Schedule (GWB) is an 18-item, self-administered questionnaire that includes positive and negative questions tapping six dimensions: positive well-being, self-control, vitality, depression, anxiety, and general health. Statements ask participants to indicate feelings in the past 30 days. Lower scores indicate lower overall well-being.
Time frame: Baseline, 4-6 weeks, 3 months, 6 months
Changes in Health Conditions
The World Health Organization Disability Assessment Schedule (WHODAS) 2.0 is a 12-item questionnaire tapping difficulties due to health conditions. Participants report difficulties in physical, cognitive, and social tasks in the past 30 days. Provided response categories range between 0 (none) and 4 (extreme or cannot do).
Time frame: Baseline, 4-6 weeks, 3 months, 6 months
Change in Social Support
The Medical Outcomes Study (MOS) Social Support Survey is a 19-item self-administered questionnaire tapping four functional support domains: positive social interaction, emotional/informational support; tangible/instrumental support; and affectionate support. Provided response categories range from "none of the time" to "all of the time"
Time frame: Baseline, 4-6 weeks, 3 months, 6 months
Changes in Chronic Pain
The Brief Pain Inventory-Short Form (BPI-SF), is a 15-item self-administered questionnaire that assesses the severity and impact of pain.
Time frame: Baseline, 4-6 weeks, 3 months, 6 months
This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.
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Florida State University