Group cognitive processing therapy delivered to veterans via telehealth: a pilot cohort.
ABSTRACT The authors report clinical findings from the pilot cohort of the first prospective, noninferiority-designed randomized clinical trial evaluating the clinical outcomes of delivering a cognitive-behavioral group intervention for posttraumatic stress disorder (PTSD), cognitive processing therapy (CPT), via video teleconferencing (VT) compared to the in-person modality. The treatment was delivered to 13 veterans with PTSD residing on the Hawaiian Islands. Results support the general feasibility and safety of using VT. Both groups showed clinically meaningful reductions in PTSD symptoms and no significant between-group differences on clinical or process outcome variables. In keeping with treatment manual recommendations, a few changes were made to the CPT protocol to accommodate this population. Novel aspects of this trial and lessons learned are discussed.
SourceAvailable from: Patrick GosselinRevue Européenne de Psychologie Appliquée 01/2015; 65(1):9-17. DOI:10.1016/j.erap.2014.10.001 · 0.52 Impact Factor
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ABSTRACT: While group interventions for weight management have been shown to be efficacious, adherence is often low, especially among men. This pilot study seeks to test whether group interventions using web-based group video conferencing (VC) technology is effective for weight loss. We adapted a 12-week curriculum based on the Diabetes Prevention Program, and delivered this intervention to a small group of men (BMI ≥30 kg/m(2)), using web-based group VC. Participants were randomized to intervention (n = 32) or delayed-intervention control group (n = 32). The intervention group lost 3.5 % (95 % CI 2.1 %, 4.9 %) of their initial body weight. Difference in mean weight loss was 3.2 kg (p = 0.0002) and mean BMI decrease was 1.0 kg/m(2) (p = 0.0010) between the two groups. Virtual small groups may be an effective means of allowing face-to-face group interaction, while overcoming some barriers to access.03/2015; 5(1):37-44. DOI:10.1007/s13142-014-0296-6
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ABSTRACT: Objective: Telehealth is a method to expand the reach of clinical care for PTSD treatment. However, those with limited prior exposure to telehealth or limited confidence using telehealth may have poorer treatment response. The present study examined familiarity with telehealth as a moderator of treatment response for a behavioral treatment delivered via telehealth. Method: Fifty-nine combat veterans completed eight sessions of exposure-based treatment via telehealth. Familiarity with telehealth and confidence in the technology were assessed at baseline. Results: PTSD and depression symptoms decreased as a result of treatment administered via telehealth. Familiarity with the technology and confidence in the technology were unrelated to symptom change. The lack of a significant relation was maintained after controlling for age. Conclusions: Perceptions of telehealth are unrelated to outcomes for mental health treatment. Clinicians should be confident in using this approach with patients, regardless of their familiarity or comfort with the technology.The International Journal of Psychiatry in Medicine 01/2014; 48(1):57-67. DOI:10.2190/PM.48.1.e · 0.81 Impact Factor