Trial Outcomes & Findings for Exercise Training to Improve PTSD Symptoms and Health in Older Veterans (NCT NCT04199182)

NCT ID: NCT04199182

Last Updated: 2026-03-25

Results Overview

PTSD symptoms over the previous month will be assessed with the CAPS-5 clinical interview. Total symptom severity score and symptom cluster severity scores will be calculated. Scores range from 0 to 80, with higher scores reflecting more severe PTSD symptoms.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

80 participants

Primary outcome timeframe

6 months

Results posted on

2026-03-25

Participant Flow

The participants are explained the nature, purpose, and procedure of the study and asked to sign an informed consent that will explain the potential risks and benefits of the study participation.

Participant milestones

Participant milestones
Measure
Exercise
Progressive, multi-component supervised exercise training group.
Healthy Aging Attention Control
A health education program that addresses topics relevant to older adults.
Overall Study
STARTED
41
39
Overall Study
COMPLETED
25
29
Overall Study
NOT COMPLETED
16
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Exercise
Progressive, multi-component supervised exercise training group.
Healthy Aging Attention Control
A health education program that addresses topics relevant to older adults.
Overall Study
Withdrawal by Subject
9
7
Overall Study
Lost to Follow-up
7
3

Baseline Characteristics

Exercise Training to Improve PTSD Symptoms and Health in Older Veterans

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Exercise
n=41 Participants
Progressive, multi-component supervised exercise training group.
Healthy Aging Attention Control
n=39 Participants
A health education program that addresses topics relevant to older adults.
Total
n=80 Participants
Total of all reporting groups
Age, Continuous
71.3 Years
STANDARD_DEVIATION 4.3 • n=138 Participants
72.3 Years
STANDARD_DEVIATION 3.6 • n=62 Participants
71.8 Years
STANDARD_DEVIATION 3.9 • n=123 Participants
Sex: Female, Male
Female
7 Participants
n=138 Participants
6 Participants
n=62 Participants
13 Participants
n=123 Participants
Sex: Female, Male
Male
34 Participants
n=138 Participants
33 Participants
n=62 Participants
67 Participants
n=123 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=138 Participants
0 Participants
n=62 Participants
1 Participants
n=123 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
39 Participants
n=138 Participants
38 Participants
n=62 Participants
77 Participants
n=123 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=138 Participants
1 Participants
n=62 Participants
2 Participants
n=123 Participants
Clinician-Administered PTSD Scale for DSM-V (CAPS-5)
29.6 units on a scale
STANDARD_DEVIATION 9.4 • n=138 Participants
27.4 units on a scale
STANDARD_DEVIATION 9.32 • n=62 Participants
28.8 units on a scale
STANDARD_DEVIATION 9.4 • n=123 Participants
Pittsburgh Sleep Quality Index (PSQI)
11.8 units on a scale
STANDARD_DEVIATION 4.3 • n=138 Participants
12.3 units on a scale
STANDARD_DEVIATION 3.6 • n=62 Participants
12.0 units on a scale
STANDARD_DEVIATION 3.4 • n=123 Participants
Six-minute walk test
458.3 Meters
STANDARD_DEVIATION 146.6 • n=138 Participants
447.5 Meters
STANDARD_DEVIATION 145.8 • n=62 Participants
452.9 Meters
STANDARD_DEVIATION 146.2 • n=123 Participants
Patient Health Questionnaire (PHQ-9)
11.2 units on a scale
STANDARD_DEVIATION 4.8 • n=138 Participants
11.5 units on a scale
STANDARD_DEVIATION 5.5 • n=62 Participants
11.4 units on a scale
STANDARD_DEVIATION 5.1 • n=123 Participants

PRIMARY outcome

Timeframe: 6 months

PTSD symptoms over the previous month will be assessed with the CAPS-5 clinical interview. Total symptom severity score and symptom cluster severity scores will be calculated. Scores range from 0 to 80, with higher scores reflecting more severe PTSD symptoms.

Outcome measures

Outcome measures
Measure
Exercise
n=25 Participants
Progressive, multi-component supervised exercise training group.
Healthy Aging Attention Control
n=29 Participants
A health education program that addresses topics relevant to older adults.
Clinician-Administered PTSD Scale for DSM-V (CAPS-5) Change Baseline to 6 Months
-4.96 units on a scale
Standard Deviation 10.1
-2.5 units on a scale
Standard Deviation 9.0

PRIMARY outcome

Timeframe: 6 months

Population: 10 participants (n=2 Exercise; n=8 HAC) did not complete the 6-minute walk test at post-test and were not included in this analysis.

Performance-based measure of aerobic endurance. Participants are instructed to walk along a measured course for 6 minutes. The distance walked in 6 minutes is the outcome of this assessment. There is no maximum value for this test, but the minimum value could be 0 (unable to walk any distance).

Outcome measures

Outcome measures
Measure
Exercise
n=23 Participants
Progressive, multi-component supervised exercise training group.
Healthy Aging Attention Control
n=21 Participants
A health education program that addresses topics relevant to older adults.
Six-minute Walk Test Change From Baseline to 6 Months
48.8 Meters
Standard Deviation 94.6
29.3 Meters
Standard Deviation 77.4

SECONDARY outcome

Timeframe: 6 months

Population: 7 participants (n=5 Exercise; n=2 HAC) did not have complete data for the PHQ-9 at post-test and were not included in this analysis.

Self-report tool for assessing the severity of depression. Scores range from 0 to 27, with higher scores indicating more severe depressive symptoms.

Outcome measures

Outcome measures
Measure
Exercise
n=20 Participants
Progressive, multi-component supervised exercise training group.
Healthy Aging Attention Control
n=27 Participants
A health education program that addresses topics relevant to older adults.
Patient Health Questionnaire (PHQ-9) Change From Baseline to 6 Months
-2.0 units on a scale
Standard Deviation 4.6
0.3 units on a scale
Standard Deviation 5.1

SECONDARY outcome

Timeframe: 6 months

Population: 13 participants (n=7 Exercise; n=6 HAC) did not have complete data for the PSQI at post-test and were not included in this analysis.

The PSQI is a self-report tool for assessing sleep quality and disturbance. Scores on the PSQI range from 0 to 21, with higher scores indicating poorer sleep quality.

Outcome measures

Outcome measures
Measure
Exercise
n=18 Participants
Progressive, multi-component supervised exercise training group.
Healthy Aging Attention Control
n=23 Participants
A health education program that addresses topics relevant to older adults.
Pittsburgh Sleep Quality Index (PSQI) Change From Baseline to 6 Months
-2.8 units on a scale
Standard Deviation 2.8
-1.0 units on a scale
Standard Deviation 2.8

Adverse Events

Exercise

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Healthy Aging Attention Control

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Exercise
n=41 participants at risk
Progressive, multi-component supervised exercise training group.
Healthy Aging Attention Control
n=39 participants at risk
A health education program that addresses topics relevant to older adults.
Psychiatric disorders
Participant endorsed suicidal ideation on PHQ-9 survey during baseline or follow-up assessment.
29.3%
12/41 • Enrollment until end of follow-up (6 months)
When participants disclosed suicidal ideation on the PHQ-9 survey, the research team conducted our risk-assessment protocol to determine appropriate steps for responding and supporting participants. Some participants reported physical health symptoms during research exercise session prompting in-depth assessment by research team and follow-up with care team as indicated.
15.4%
6/39 • Enrollment until end of follow-up (6 months)
When participants disclosed suicidal ideation on the PHQ-9 survey, the research team conducted our risk-assessment protocol to determine appropriate steps for responding and supporting participants. Some participants reported physical health symptoms during research exercise session prompting in-depth assessment by research team and follow-up with care team as indicated.
Endocrine disorders
Hyperglycemia
2.4%
1/41 • Enrollment until end of follow-up (6 months)
When participants disclosed suicidal ideation on the PHQ-9 survey, the research team conducted our risk-assessment protocol to determine appropriate steps for responding and supporting participants. Some participants reported physical health symptoms during research exercise session prompting in-depth assessment by research team and follow-up with care team as indicated.
0.00%
0/39 • Enrollment until end of follow-up (6 months)
When participants disclosed suicidal ideation on the PHQ-9 survey, the research team conducted our risk-assessment protocol to determine appropriate steps for responding and supporting participants. Some participants reported physical health symptoms during research exercise session prompting in-depth assessment by research team and follow-up with care team as indicated.
General disorders
Lightheadedness during exercise
2.4%
1/41 • Enrollment until end of follow-up (6 months)
When participants disclosed suicidal ideation on the PHQ-9 survey, the research team conducted our risk-assessment protocol to determine appropriate steps for responding and supporting participants. Some participants reported physical health symptoms during research exercise session prompting in-depth assessment by research team and follow-up with care team as indicated.
0.00%
0/39 • Enrollment until end of follow-up (6 months)
When participants disclosed suicidal ideation on the PHQ-9 survey, the research team conducted our risk-assessment protocol to determine appropriate steps for responding and supporting participants. Some participants reported physical health symptoms during research exercise session prompting in-depth assessment by research team and follow-up with care team as indicated.

Additional Information

Dr. Katherine Hall

Durham VA HCS

Phone: 9192860411

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place