Enhancing Prolonged Exposure therapy for PTSD using physiological biomarker-driven technology

Back, Sudie E.; Acierno, Ron; Saraiya, Tanya C.; Harley, Bill; Wangelin, Bethany C.; Jarnecke, Amber M.; McTeague, Lisa M.; Brown, Delisa G.; Ana, Elizabeth Santa; Rothbaum, Alex O.; Adams, Robert J.

doi:10.1016/j.conctc.2022.100940

Cited by 3 publications

(2 citation statements)

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“…Such work will require iterative pilot testing and feedback from both patients and providers in the clinical setting. A tool such as the one proposed in the current study could be developed by a technology company or organization (e.g., VA, medical university) and would likely require input from an interdisciplinary team of clinicians, physiologists, software developers, user experience researchers, and so on (Back et al, 2022). Additionally, more research is needed to assess clinicians' perceptions of the usability and implementation of this kind of technology.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, developing a mobile technology system that is flexible enough to be used in the office during imaginal exposures as well as during ambulatory IVE exercises holds the possibility of transforming PE practice, patient engagement, clinical outcomes, and retention. It will be imperative for future research to assess clinicians' perspectives on usability of such a system and complete clinical trials investigating the use of such technology with PE (Back et al, 2022; Saraiya et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

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Clinician perspectives on technology‐enhanced in vivo exposures during prolonged exposure therapy for PTSD

Brown,

Jarnecke,

Saraiya

et al. 2023

J Clin Psychol

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ObjectiveTo investigate clinicians' perceptions regarding the use of mobile technology tools during prolonged exposure (PE) therapy to allow for monitoring and enhancing in‐vivo exposures (IVEs).MethodsClinicians with training in PE therapy (N = 32; average of 9 years of practice) completed surveys asking about their perspectives on the utility of virtually attending IVEs with patients while simultaneously having access to real‐time subjective and physiological data (i.e., heart rate, galvanic skin conductance) to guide exposure exercises and assure optimal stimulus engagement.ResultsFindings showed clinicians to have a favorable view of applying technology devices and systems to enhance IVEs of PE therapy. Most clinicians (93.8%) believed that real‐time monitoring of IVEs—particularly monitoring patients' subjective distress and completion of and duration of time in the IVE—would be useful and significantly enhance PE therapy.ConclusionThe positive perceptions toward integrating technology into IVEs in this study have important implications for the development and implementation of technology‐enhanced PE therapy. A mobile technology system that incorporates real‐time indicators of engagement (i.e., both subjective and physiological) during IVEs and allows clinicians to review recordings of, or virtually accompany, patients during IVEs has the potential to innovate and transform PE and other exposure‐based treatments. Clinicians also believed that technology‐enhanced IVEs may help reduce early termination from PE.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%