Building Experience for Treating Trauma and Enhancing Resilience (BETTER)

Posttraumatic stress disorder (PTSD) is a significant problem among underserved populations who receive care in community health centers. Several evidence-based psychotherapies for PTSD are not practical given the time and resources required for these approaches. This research will examine whether Written Exposure Therapy (WET), a brief and well-tolerated therapy approach, delivered within collaborative primary care is effective and can be implemented successfully within a collaborative care (CC) intervention. The primary aims of the proposed study are to evaluate the effectiveness and implementation of delivering WET into CoCM to improve the management of PTSD among underserved primary care patients in Federally Qualified Health Centers (FQHCs).

NCT Number	NCT05330442
Lead Sponsor	RAND Collaborators: Boston University, Clinical Directors Network
Conditions	PTSD
Enrollment	720 participants
Start Date	2022-04-25
Primary Completion	2026-07-31 (estimated)
Study Completion	2027-07-26 (estimated)
Updated on ClinicalTrials.gov	2026-08-14