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NCT04356274
Local Participatory Systems Dynamics to Increase Reach of Evidence Based Addiction and Mental Health Care
NA trial testing Participatory System Dynamics (PSD) in PTSD in 720 participants. Enrolling by invitation.
30 November 2025
Quick facts
| Lead sponsor | Palo Alto Veterans Institute for Research |
|---|---|
| Phase | NA |
| Status | ENROLLING BY INVITATION |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | none |
| Primary purpose | health services research |
| Enrollment | 720 |
| Start date | 1 February 2019 |
| Primary completion | 30 November 2025 |
| Estimated completion | 31 December 2025 |
| Sites | 1 location across United States |
Drugs / interventions tested
- Participatory System Dynamics (PSD)
- Audit and Feedback (AF)
Conditions studied
- PTSD — all drugs for PTSD →
- Depression — all drugs for Depression →
- Alcohol Use Disorder — all drugs for Alcohol Use Disorder →
- Opioid Use Disorder — all drugs for Opioid Use Disorder →
Sponsor
Palo Alto Veterans Institute for Research
Who can join
18 and older, any sex, with PTSD or Depression. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
The most common reasons Veterans seek VA addiction and mental health care is for help with opioid and alcohol misuse, depression and PTSD. Research evidence has established highly effective treatments that prevent relapse, overdose and suicide, but even with policy mandates, performance metrics, and electronic health records to fix the problem, these treatments may only reach 3-28% of patients. This study tests participatory business engineering methods (Participatory System Dynamics) that engage patients, providers and policy makers against the status quo approaches, such as data review, and will determine if participatory system dynamics works, why it works, and whether it can be applied in many health care settings to guarantee patient access to the highest quality care and better meet the addiction and mental health needs of Veterans and the U.S. population.
Publications & conference data
No peer-reviewed publications indexed yet for this trial.
Verify or expand the search:
- PubMed search for NCT04356274
- Europe PMC full search
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT04356274 (US National Library of Medicine, public domain)
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Palo Alto Veterans Institute for Research
- Last refreshed: 3 June 2025
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04356274.
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