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Implementation of Innovative Treatment for Moral Injury Syndrome: A Hybrid Type 2 Study
Sponsor: VA Office of Research and Development
Summary
Moral Injury Syndrome (MIS) affects up to 35-60% of Veterans managing combat-related PTSD; it results from experiences that challenge deeply held values or spiritual beliefs. Symptoms of MIS may include hopelessness, helplessness, loss of spiritual beliefs, difficulty with forgiveness, loss of meaning or purpose, reduced trust in self or others, or intractable guilt, shame or anger. Veterans managing MIS have difficulty responding to mental health treatment, and are at increased risk for suicide ideation or attempts. To date evidence-based interventions for MIS are not widely available in VA. This study will implement an evidence-based intervention for MIS in four VA facilities, collect data on the effectiveness of the intervention, and develop an implementation toolkit. This data will inform national dissemination in collaboration with the Office of Mental Health and Suicide Prevention and the National Chaplain Service.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
200
Start Date
2024-07-30
Completion Date
2028-07-31
Last Updated
2025-07-04
Healthy Volunteers
No
Conditions
Interventions
Building Spiritual Strength
Spiritually Integrated group intervention for moral injury
Present Centered Group Therapy
Active control, manualized evidence-based coping skills intervention for PTSD
Locations (5)
Central Arkansas Veterans Healthcare System , Little Rock, AR
Little Rock, Arkansas, United States
Atlanta VA Medical and Rehab Center, Decatur, GA
Decatur, Georgia, United States
Maine VA Medical Center, Augusta, ME
Augusta, Maine, United States
Minneapolis VA Health Care System, Minneapolis, MN
Minneapolis, Minnesota, United States
Michael E. DeBakey VA Medical Center, Houston, TX
Houston, Texas, United States