Evidence map›Paper›PMID 36347106›Full record

Trial reportJournal of psychiatric research2022

Technology-enhanced in vivo exposures in Prolonged Exposure for PTSD: A pilot randomized controlled trial.

Tanya C Saraiya, Amber M Jarnecke, Alex O Rothbaum, Bethany Wangelin, Lisa M McTeague, Ron Acierno, Delisa G Brown, Emily Bristol, Hayley Feigl, Mclain Reese and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of psychiatric research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04471207 (Intelligent Biometrics to Optimize Prolonged Exposure for PTSD), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04471207 phase1completednot on this map

Intelligent Biometrics to Optimize Prolonged Exposure for PTSD

TypeinterventionalSponsorMedical University of South CarolinaRan2020 to 2022Enrolled40ConditionsPTSDArmsTherapist Guided Prolonged Exposure with BioWare Device, Record Only Prolonged Exposure with BioWare Device
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Tanya C SaraiyaDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA; Center of Alcohol & Substance Use Studies, Rutgers University, New Brunswick, USA. Electronic address: tanya.saraiya@rutgers.edu.
Amber M JarneckeDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA.
Alex O RothbaumDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA; Department of Research and Outcomes, Skyland Trail, USA.
Bethany WangelinDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA; Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA.
Lisa M McTeagueDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA; Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA.
Ron AciernoDepartment of Psychiatry and Behavioral Sciences, McGovern Medical School, University of Texas, USA.
Delisa G BrownDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA.
Emily BristolDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA.
Hayley FeiglDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA.
Mclain ReeseZeriscope, Inc, USA.
Adam R CobbDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA; Department of Research and Outcomes, Skyland Trail, USA; Department of Psychology, Institute for Mental Health Research, University of Texas-Austin, USA.
Bill HarleyZeriscope, Inc, USA.
Robert J AdamsZeriscope, Inc, USA; Department of Neurology, Medical University of South Carolina, USA.
Sudie E BackDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA; Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA.

Funding

The Impact of Stress and Craving on Return to Postpartum Cannabis UseU54DA016511 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI CONSTANCE GUILLE · 2018 to 2026
$15.9M
Traumatic Stress Across the Lifespan: A Biopsychosocial Training ProgramT32MH018869 · NIMH · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI CARLA KMETT DANIELSON, DEAN Gaines KILPATRICK · 1988 to 2026
$7.2M
Interdisciplinary Women's Health Research at MUSCK12HD055885 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MCGINTY, JACQUELINE F. · 2007 to 2021
$7.2M
Drug Abuse Research Training (DART) ProgramR25DA020537 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KATHLEEN T. BRADY, Sudie E Back · 2006 to 2026
$6.3M
Integrated Treatment for Co-Occurring Opioid Use Disorder and Posttraumatic Stress DisorderK23DA055209 · NIDA · RUTGERS, THE STATE UNIV OF N.J. · PI Tanya Chandresh Saraiya · 2022 to 2026
$1.1M
Identifying the neurobehavioral signature of individuals with AUD and comorbid PTSDK23AA027307 · NIAAA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI JARNECKE, AMBER · 2019 to 2023
$1.0M
Intelligent Biometrics to Optimize Prolonged Exposure Treatment for PTSD (IB-PE)R43MH122045 · NIMH · ZERISCOPE, INC. · PI BACK, SUDIE E, HARLEY, WILLIAM · 2019 to 2020
$952k
NIAAA NIH HHS K23 AA027307NICHD NIH HHS K12 HD055885NIDA NIH HHS K23 DA055209NIDA NIH HHS R25 DA020537NIDA NIH HHS U54 DA016511NIMH NIH HHS R43 MH122045NIMH NIH HHS T32 MH018869
6 · The paper itself

Abstract

In vivo exposures (IVEs) are a key component of exposure-based treatments, during which patients approach fear-provoking, yet safe, situations in "real life." This pilot study assessed the use of a wearable technology (Bio Ware) during IVEs to enhance Prolonged Exposure (PE) therapy for PTSD. Bio Ware provides a clinician dashboard with real-time physiological and subjective data for clinicians to use for virtually guided IVEs. Participants (N = 40) were randomized to a Guided group that received standard PE and virtual, clinician-guided IVEs with the Bio Ware device, or a Non-Guided group that received standard PE and used the Bio Ware device on their own for IVEs. Multilevel linear models with bootstrapping were completed on the intent-to-treat (ITT; N = 39) and per-protocol samples (PP; n = 23), defined as completing at least eight sessions of PE and using the Bio Ware system during ≥ 1 IVEs. In the PP sample, there were significant effects of treatment condition (b = -14.55, SE = 1.47, 95% CI [-17.58, -11.78], p < .001) and time (b = -1.98, SE = 0.25, 95% CI [-2.47, -1.48], p < .001). While both groups showed reductions in PTSD symptoms, the Guided group evidenced significantly greater reductions than the Non-Guided group. These findings demonstrate the feasibility and safety of leveraging Bio Ware for virtual, clinician-guided IVEs during PE therapy for PTSD and suggest that virtual, clinician-guided exposures may enhance treatment outcomes. CLINICAL

trial registrationNCT04471207.

Indexed as

Stress Disorders, Post-TraumaticTechnologyHumansPilot ProjectsClinical trialPosttraumatic stress disorderProlonged exposureTechnologyWearables

Identifiers

PMID36347106
PMCPMC9811583

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.