Vets prevail online intervention reduces PTSD and depression in veterans with mild-to-moderate symptoms.

Abstract

Vets Prevail circumvents many barriers to care and effectively addresses the dire mental health needs of veterans.

A Systematic Review and Meta-Analysis of e-Mental Health Interventions to Treat Symptoms of Posttraumatic Stress

“…We found 14 other studies that included sample sizes ≥100: Beyer [27], N=163; Brief [29], N=600; Carpenter et al [30], N=132; Cieslak et al [32], N=168; Hirai et al [37], N=133; Hobfoll et al [38], N=303; Kersting et al [41], N=228; Knaevelsrud et al [43], N=159; Lange et al [46], N=101; Marsac et al [49], N=100; Mouthaan et al [51], N=300; Schoorl et al [57], N=102; Spence [59], N=125; and Wang et al [62], N=183.…”

“…The majority of remaining papers reported on either university students [27,36,37,45], military service members and veterans [35,38,44,47,54], health and human service professionals [32], patients [26,30,51,53,55,63,64] or parents of patients [31,33,49] in medical settings, or other members of the wider community [40,41,46,48,50,52,61] self-reporting experience of a potentially traumatic event, receiving treatment from trauma-related services and or scoring high on a measure of PTSD, complicated grief, depression, or psychological distress. Two further studies included veterans self-reporting problems readjusting back into civilian life [56] or alcohol misuse [29].…”

“…Some studies focused on specific potentially traumatic events including bereavement [34,48,61] or loss of a child during pregnancy [40,41], physical injury or diagnosis of a chronic health condition such as cancer to oneself or a close other [26,30,31,33,49,51,53,63,64], organ transplant [55], complicated childbirth [52], as well as exposure to combat [29,35,38,44,47,54,56], sexual trauma [28], or natural disasters [60]. However, others did not specify the type of trauma experienced and included people with a multitude of difference experiences that could be potentially traumatic [36,37,39,42,43, 45,46,50,57-59,62].…”

“…Of the 39 RCTs included, 21 compared the e-Mental Health intervention with a waitlist control condition [29-31,33, 36,38,40-43,45,46,48,50,52,53,58,61-64]. See Multimedia Appendix 1 for further details on these studies.…”

Measuring the Implementation of Behavioral Intervention Technologies: Recharacterization of Established Outcomes (Preprint)

“…[11] However, determining adequate fidelity to a BIT that does not dictate how or how much it should be used, such as the "Vets Prevail" program where consumers access a range of activities for depression and anxiety symptoms in a nonlinear fashion, may be more difficult. [59] Ultimately, the association between fidelity and clinical outcomes must be measured. [27] BIT usability assessment and implementation outcomes…”