Online Telehealth Delivery of Group Mental Health Treatment Is Safe, Feasible, and Increases Enrollment and Attendance in Post-9/11 U.S. Veterans.
Online Telehealth Delivery of Group Mental Health Treatment Is Safe, Feasible, and Increases Enrollment and Attendance in Post-9/11 U.S. Veterans.
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DOI：
10.1016/j.beth.2021.11.004
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发表时间：
2022-05
期刊：
影响因子：
3.7
通讯作者：
Fonda JR
中科院分区：
文献类型：
--
作者：
Fortier CB;Currao A;Kenna A;Kim S;Beck BM;Katz D;Hursh C;Fonda JR
9/11事件后的美国退伍军人临床情况复杂，多种健康状况并存，导致发病率和死亡率增加，自杀风险增加，生活质量下降，但利用不足和抗拒治疗仍然是严重的问题。由于冠状病毒病(新冠肺炎)，与世隔绝的程度增加，社区和社会支持减少，加剧了精神健康风险。这项研究评估了以家庭为基础的远程健康小组讲习班的安全性和可行性，以改善9/11事件后美国军事人员的重返社会和社会联系。74名(61名男性/13名女性)9·11事件后的美国退伍军人被随机分为12个阶段接受Step-Home认知行为小组研讨会或以当下为中心的小组治疗。治疗要么亲自提供(传统医疗中心设置，照常治疗[TAU])，要么通过基于家庭的同步视频会议(VC)。对风投的改变是由于新冠肺炎期间的社交距离指导方针。年龄24~65岁，平均41.0岁(SD=11.5)。45名(36名男性/9名女性)参加了VC，29名(25名男性/4名女性)参加了TAU。在不同的治疗环境中，人口统计学数据是相似的。TAU和VC的治疗师治疗依从性没有差异。TAU组治疗师满意度较高(Q值<0.05)。与TAU相比，退伍军人表现出更高的注册人数、出勤率、团队凝聚力和退伍军人对退伍军人的支持(Q值和0.05)。通过VC成功地实施了安全程序。结果表明，美国退伍军人群体远程健康具有安全性、可行性和较高的满意度。与TAU相比，远程医疗服务的更高的参保率和治疗依从性导致接受有效治疗剂量的可能性更大。强大的群体凝聚力和退伍军人对退伍军人的支持可以通过远程医疗实现。远程健康为退伍军人提供方便、高效和成本效益高的护理选择，可能对精神负担较重的患者特别有帮助。
Post-9/11 U.S. veterans are clinically complex with multiple co-occurring health conditions that lead to increased morbidity and mortality, risk for suicide, and decreased quality of life, but underutilization and resistance to treatment remain significant problems. Increased isolation and decreased community and social support due to coronavirus disease (COVID-19) have exacerbated mental health risk. This study evaluated the safety and feasibility of home-based telemental health group workshops to improve reintegration and social connection in post-9/11 U.S. military personnel. Seventy-four (61 males/13 females) post-9/11 U.S. military veterans were randomized to receive 12 sessions of STEP-Home cognitive-behavioral group workshop or present-centered group therapy. Treatment was delivered either in person (traditional medical center setting, treatment as usual [TAU]), or via home-based synchronous videoconferencing (VC). The change to VC occurred due to social distancing guidelines during COVID-19. Mean age was 41.0 years (SD = 11.5, range 24–65). Forty-five (36 males/9 females) participated in VC and 29 (25 males/4 females) in TAU. Demographics were similar across treatment milieu. There were no differences in therapist treatment adherence for TAU versus VC. Therapist satisfaction was higher for TAU groups (q value < .05). Veterans showed higher enrollment, attendance, group cohesion, and veteran-to-veteran support for VC compared to TAU (q values < .05). Safety procedures were successfully implemented via VC. Results demonstrate the safety, feasibility, and high satisfaction of group telemental health in U.S. veterans. Higher enrollment and treatment adherence for telemental health delivery resulted in a greater likelihood of receiving an effective treatment dose than TAU. Strong group cohesion and veteran-to-veteran support were achievable via telehealth. Telemental health offers convenient, efficient, and cost-effective care options for veterans and may be particularly helpful for patients with high psychiatric burden.
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影响因子：
--
作者：
Schnurr, PP;Friedman, MJ;Bernardy, NC
通讯作者：
Bernardy, NC
影响因子：
3.3
作者：
Sayer, Nina A.;Frazier, Patricia;Noorbaloochi, Siamak
通讯作者：
Noorbaloochi, Siamak
影响因子：
3.4
作者：
Forgays, DG;Forgays, DK;Spielberger, CD
通讯作者：
Spielberger, CD
DOI：
10.1521/psyc.2009.72.3.238
发表时间：
2009-09-01
影响因子：
2.4
作者：
Sayer, Nina A.;Friedemann-Sanchez, Greta;Rosenheck, Robert
通讯作者：
Rosenheck, Robert
影响因子：
158.5
作者：
Hoge, CW;Castro, CA;Koffman, RL
通讯作者：
Koffman, RL