Evaluating an Internet-based video cognitive processing therapy intervention for veterans with PTSD: A pilot study.

Introduction: There remain a number of UK military veterans who are not able to access psychological therapies for post-traumatic stress disorder (PTSD). Some of these barriers are practical, including the need to balance work and other life commitments with attendance at residential or outpatient a...

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Publicado en:Journal of Telemedicine & Telecare Vol. 26; no. 9; pp. 552 - 560
Autores principales: Murphy, Dominic, Turgoose, David
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Oct2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2020
      vid: 26
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      pub: Sage Publications Inc.
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        atl: Evaluating an Internet-based video cognitive processing therapy intervention for veterans with PTSD: A pilot study.
      aug:
        au:
          Murphy, Dominic
          Turgoose, David
        affil: Combat Stress, King's Centre for Military Health Research, Leatherhead, Surrey, UK
      sug:
        subj:
          Telemedicine Methods
          Veterans Psychosocial Factors
          Stress Disorders, Post-Traumatic Therapy
          Mental Health
          Male
          Patient Dropouts
          Adult
          Internet
          Female
          Middle Age
          Patient Satisfaction
          Pilot Studies
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Introduction: There remain a number of UK military veterans who are not able to access psychological therapies for post-traumatic stress disorder (PTSD). Some of these barriers are practical, including the need to balance work and other life commitments with attendance at residential or outpatient appointments. There is a need to investigate more accessible and flexible methods of delivering psychological therapies to veterans. One such alternative is to use remote-access video technology, often referred to as tele-therapy. The aims of the present study were to explore the feasibility of using tele-therapy in this population, whilst also reporting mental health outcomes for those who accessed the intervention.Methods: Participants were recruited from a UK veterans mental health charity. The intervention consisted of 12 sessions of cognitive processing therapy delivered via Skype. Participants completed various measures of mental health, including PTSD at three time points: pre-treatment, post-treatment and at three months follow-up. A measure of therapeutic alliance was also completed by participants and the clinician.Results: A total of 27 participants engaged in tele-therapy, with a treatment completion rate of 79% and a 'did not attend' rate of 12%, which compared well against similar outpatient services. All mental health outcomes showed maintained improvement at three months follow-up, with the highest effect size recorded for PTSD. Therapeutic alliance was also rated highly by both participants and the clinician.Discussion: The findings suggest that tele-therapy could provide a viable alternative format for delivering trauma-focused psychological therapies to veterans. Limitations and recommendations for future research are also presented.
      pubtype: Academic Journal
      doctype:
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      ougenre: Article
    language: English
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