The Effect of Using the Combat Attention App on the Risk of Post-traumatic Symptoms

NCT06710145 — Not yet recruiting, 1000 participants, Tel Aviv University

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RegistryNCT06710145
StatusNot yet recruiting
Study typeObservational
Enrollment1000 (Estimated)
SponsorTel Aviv University (Other)
ConditionsPTSD - Post Traumatic Stress Disorder
InterventionsCombat Attention Training (Behavioral)
Datesstart 2026-01-01 (estimated), primary completion 2026-06-30 (estimated), completion 2026-12-31 (estimated), first posted 2024-11-29, last updated 2025-04-11
Locations1 site in Israel

Related Papers Related Patents Related Grants Related Experts
All trials for PTSD - Post Traumatic Stress Disorder All trials of Combat Attention Training

-Summary

Military service and reserve duty in combat units entails exposure to traumatic events that require mental adjustment. In light of the results of controlled studies that proved the effectiveness an response-time based mechanized training protocol in reducing risk for post-trauma symptoms in deployed combat soldiers, the Israeli Defense Forces decided at the beginning of the Iron Swords War to implement an internet-based App of the intervention. Soldiers and combat reservists were invited to use the Combat Attention App. The purpose of this study is to examine the effectiveness of the Combat Attention App in relation to a control group of soldiers who did not use the App in reducing risk for post-traumatic stress symptoms of deployed soldiers.

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+Detailed description

Participants who used the Combat Attention App before combat deployment and a group of matched (age and sex) participants who did not use the App will be compared on PTSD, depression, and anxiety symptoms post deployment.

+Arms and interventions

ArmTypeInterventionsDescription
Attention App UsersBehavioral: Combat Attention TrainingSoldiers who used the App and completed at least one training session
Non UsersSoldiers matched on age, sex, and specialty to the Attention App Users group who never used the App
  • Combat Attention Training (Behavioral): The Combat Attention App is a response-time based mechanized preventive intervention designed to train combat soldiers' attention toward threats before combat exposure in order to reduce the risk for combat-related post-trauma symptoms. In light of the results of controlled studies that proved the efficacy of this preventive intervention, the Israel Defense Forces (IDF) decided at the beginning of the Iron Swords War (October 7th, 2023) to implement an internet-based App of the intervention, and soldiers and combat reservists were invited to train on the Combat Attention App.

+Outcome measures

Primary outcomes

  • PTSD Checklist for DSM-5 (PCL-5) [January-June 2025]: Measures PTSD symptoms according to DSM-5
  • IDF Medical Records [January-June 2025]: Holds all the medical information and contact with health/mental health professionals during one's service

Secondary outcomes

  • Combat Experiences Scale [January-June 2025]: Measures the occurrence of specific combat events
  • Patient Health Questionnaire 9 (PHQ-9) [January-June 2025]: Measures Depression symptoms according to DSM-5
  • Attention Bias Questionnaire (ABQ) [January-June 2025]: Measures subjective experiences of attention allocation to threats
  • GAD-7 [January-June 2025]: measures symptoms of generalized anxiety disorder
  • Dissociative Experiences Scale (DES) [January-June 2025]: measures dissociative symptoms associated with trauma exposure

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion criteria:

* Age over 18 years.
* Served as an enlisted soldier or reservist during the Iron Swards War.
* Used the Combat Attention App or can serve as a matched control who did not use the App.
* Colloquial Hebrew sufficient to fill out the research questionnaires.

Exclusion criteria:

* Below 18 years of age.
* Colloquial Hebrew that is insufficient to fill out the research questionnaires.

+Locations (1)

FacilityCityCountryStatus
Tel Aviv UniversityTel AvivIsrael

+Publications

  • Wald I, Fruchter E, Ginat K, Stolin E, Dagan D, Bliese PD, Quartana PJ, Sipos ML, Pine DS, Bar-Haim Y. Selective prevention of combat-related post-traumatic stress disorder using attention bias modification training: a randomized controlled trial. Psychol Med. 2016 Sep;46(12):2627-36. doi: 10.1017/S0033291716000945. Epub 2016 Jul 5. PMID 27377418

+Investigators

  • Yair bAR-hAIM, PhD, Principal investigator, Tel Aviv University