Real-Time Telehealth Versus Face-to-Face Management for Patients With PTSD in Primary Care

Scott, Anna Mae; Bakhit, Mina; Greenwood, Hannah; Cardona, Magnolia; Clark, Justin; Krzyżaniak, Natalia; Peiris, Ruwani; Glasziou, Paul

doi:10.4088/jcp.21r14143

Cited by 18 publications

(9 citation statements)

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“…Regardless of preference, veterans predicted that their preferred modality would improve their connection with the therapist or their partner. Fortunately, a recent meta-analysis examining individual PTSD treatments via HBT or in-person found no differences in therapeutic alliance following therapy and 3 months later (Scott et al, 2022). This suggests that veterans' initial preferences may be based on their perception of what modality will be better for forming a connection with their therapist, but a strong therapeutic alliance can occur with either modality.…”

Section: Discussionmentioning

confidence: 99%

Examining veterans’ preferences for how to deliver couples-based treatments for posttraumatic stress disorder: Home-based telehealth or in-person?

Wells,

Knopp,

Ponzini

et al. 2024

Psychological Services

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Section: Discussionmentioning

confidence: 99%

Examining veterans’ preferences for how to deliver couples-based treatments for posttraumatic stress disorder: Home-based telehealth or in-person?

Wells,

Knopp,

Ponzini

et al. 2024

Psychological Services

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“…Telehealth may be a viable alternative to the provision of care face-to-face for different patients ( Scott et al, 2022 ). Our pilot study suggests that video-based support groups are feasible and have wide acceptance by PLWDs and carers.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Literature Search and Pilot Study of Online Support Groups for Patients With Dementia and Their Carers

Constantini,

Bliem,

Crepaz

et al. 2023

Gerontology and Geriatric Medicine

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The ever-growing group of people living with dementia (PLWD) and their relatives face great challenges. The Covid 19 pandemic has once again placed a particular challenge on this vulnerable group. What started a decade earlier with telephone-based support groups experienced a real push during the pandemic in the form of video-based self-help services. The aim of this qualitative literature search in MEDLINE, EMBASE, CINAHL, and PsycINFO with keywords related to online, support group, caregiver, and dementia was to collect the reported experiences by the end of 2022. Peer reviewed journal papers were included when published and written in English. After the joint decision of two reviewers, it was decided to only include studies that were published in Medline. The results of the literature search are compared with experiences of the participants in a presentation group that was transformed into an online group at the time of the COVID-19 pandemic via Zoom. In search yielded a total of 129 articles. 113 articles described different types of interventions, 30 of which had a randomized design. The qualitative literature search showed on the one hand a high interest in online support groups but on the other hand that the effectiveness and efficacy in randomized trials is much less clear. In addition, we investigated the assessments and experiences of the participants in a presentation group that was transformed into an online group at the time of the COVID-19 pandemic via Zoom. This study demonstrates that PLWD and carers on virtual group meetings can express significant emotive capacity and enhanced connectivity with one another despite a diagnosis of mild to moderate dementia. Further research on entry criteria, concerns about online support services in general and necessary support for use is essential to develop the time- and location-independent possibility of video-based online self-help into an important form of support for both PLWD and their caregivers as an additional support option independent of exceptional pandemic situations.

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“…Briefly, this multi-site non-inferiority RCT took place in 12 health clinics across eight sites within eight states and territories in Australia, and via telehealth during the COVID-19 pandemic. While the trial protocol was originally designed for face-to-face (F2F) therapy, this was adapted to include telehealth during the pandemic and Australian lockdown periods given evidence that telehealth therapy, including prolonged exposure, provides equivalent outcomes to F2F therapy for patients with PTSD (Scott et al, 2022 ).…”

Section: Methodsmentioning

confidence: 99%

Massed v. standard prolonged exposure therapy for PTSD in military personnel and veterans: 12-month follow-up of a non-inferiority randomised controlled trial

et al. 2023

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Background The utilisation of massed therapy for treating posttraumatic stress disorder (PTSD) is gaining strength, especially prolonged exposure. However, it is unknown whether massed prolonged exposure (MPE) is non-inferior to standard prolonged exposure (SPE) protocols in the long term. The current study aimed to assess whether MPE was non-inferior to SPE at 12 months post-treatment, and to ascertain changes in secondary measure outcomes. Methods A multi-site non-inferiority randomised controlled trial (RCT) compared SPE with MPE in 12 clinics. The primary outcome was PTSD symptom severity (CAPS-5) at 12 months post-treatment commencement. Secondary outcome measures included symptoms of depression, anxiety, anger, disability, and quality of life at 12 weeks and 12 months post-treatment commencement. Outcome assessors were blinded to treatment allocation. The intention-to-treat sample included 138 Australian military members and veterans and data were analysed for 134 participants (SPE = 71, MPE = 63). Results Reductions in PTSD severity were maintained at 12 months and MPE remained non-inferior to SPE. Both treatment groups experienced a reduction in depression, anxiety, anger, and improvements in quality of life at 12 weeks and 12 months post-treatment commencement. Treatment effects for self-reported disability in the SPE group at 12 weeks were not maintained, with neither group registering significant effects at 12 months. Conclusions The emergence of massed protocols for PTSD is an important advancement. The current study provides RCT evidence for the longevity of MPE treatment gains at 12 months post-treatment commencement and demonstrated non-inferiority to SPE. Promisingly, both treatments also significantly reduced the severity of comorbid symptoms commonly occurring alongside PTSD.

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Real-Time Telehealth Versus Face-to-Face Management for Patients With PTSD in Primary Care

Cited by 18 publications

References 0 publications

Examining veterans’ preferences for how to deliver couples-based treatments for posttraumatic stress disorder: Home-based telehealth or in-person?

Examining veterans’ preferences for how to deliver couples-based treatments for posttraumatic stress disorder: Home-based telehealth or in-person?

A Qualitative Literature Search and Pilot Study of Online Support Groups for Patients With Dementia and Their Carers

Massed v. standard prolonged exposure therapy for PTSD in military personnel and veterans: 12-month follow-up of a non-inferiority randomised controlled trial

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