About this trial
This study will explore whether the use of the Safe and Sound Protocol (SSP) app is an effective adjunct to treatment as usual (TAU) in individuals with co-occurring substance use disorders and trauma. This study will recruit 129 participants (100 completers) randomized to receive either active or sham SSP in addition to TAU. Participants will utilize the SSP for a minimum of three hours to a maximum of five hours for a total of seven days. Data will be collected at both pre- and post-test. Data to be collected will include measures on affect, anxiety, personality, mindfulness, and posttraumatic stress disorder symptoms. The SSP has shown effectiveness in reducing symptoms of anxiety, depression, and trauma symptoms in pilot studies conducted at other locations. This will be the first study to examine the effectiveness of SSP with individuals with co-occurring SUD and trauma.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Ages 18 years old to 75 years old
In residential treatment for substance use disorder.
Has a history of trauma and is enrolled in Caron's trauma programming
Is proficient in English
Disqualifiers
Does not speak English
Age < 18 or > 75
Does not have a history of trauma
Active psychosis
Trial design
Parallel
Treatments tested in this trial
Safe and Sound Protocol
DeviceParticipants will complete a series of instruments after consenting to participate and have the SSP uploaded onto their mobile device or tablet. Participants will listen to the SSP for 3 to 5 hours over the course of 7 days. On the eighth day, participants will complete a follow-up set of instruments. The active arm will deliver the actual SSP intervention whereas the sham arm will deliver unfiltered music.
Treatment groups
Trial outcomes
Primary outcomes
Difference in posttraumatic stress symptom scores pre-post between groups as measured by the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5).
Linear mixed effects models for repeated measurements will be used to evaluate the difference in changes in posttraumatic stress symptom outcomes between treatment and sham group.
Difference in anxiety symptom scores pre-post between groups as measured by the Generalized Anxiety Disorder-7 (GAD-7) scale.
Linear mixed effects models for repeated measurements will be used to evaluate the difference in changes in anxiety outcomes between treatment and sham group.
Difference in autonomic arousal symptom scores pre-post between groups as measured by the Body Perception Questionnaire Autonomic Symptoms - short form (BPQ-20 ANS).
Linear mixed effects models for repeated measurements will be used to evaluate the difference in changes autonomic arousal outcomes between treatment and sham group.
Secondary outcomes
Differences in positive and negative affect scores pre-post between groups as measured by the Positive and Negative Affect Schedule.
Linear mixed effects models for repeated measurements will be used to evaluate the difference in changes in positive and negative affect outcomes between treatment and sham group.
Changes in mindfulness scores pre-post between groups as measured by the Cognitive and Affective Mindfulness Scale - Revised (CAMS-R)
Linear mixed effects models for repeated measurements will be used to evaluate the difference in changes in mindfulness outcomes between treatment and sham group.
Sponsors and contacts
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