Using PTSD Coach in primary care with and without clinician support: a pilot randomized controlled trial
Using PTSD Coach in primary care with and without clinician support: a pilot randomized controlled trial
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DOI：
10.1016/j.genhosppsych.2015.09.005
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发表时间：
2016-01-01
影响因子：
7
通讯作者：
Brooks, Emily
中科院分区：
文献类型：
--
作者：
Possemato, Kyle;Kuhn, Eric;Brooks, Emily
目的：本研究旨在评估两种方法的可行性和潜在的有效性，使用PTSD教练移动的应用程序在初级保健：自我管理的PTSD教练和临床医生支持的PTSD教练。本研究还旨在收集初步数据，以调查临床医生的支持是否改善了使用创伤后应激障碍（PTSD）教练对创伤后应激障碍（PTSD）严重程度和专业精神保健利用率的益处。方法：20名有创伤后应激障碍症状的初级保健退伍军人被随机分配到自我管理创伤后应激障碍教练组（包括一个10分钟的课程，提供应用程序使用说明）或临床医生支持的创伤后应激障碍教练组（包括4个20-min会议侧重于设置症状减轻目标，并帮助退伍军人充分参与应用content.Results：研究程序和干预条件出现可行的评估和干预保留率高，临床医生的保真度和满意度高。两种治疗都导致了PTSD症状的减少，7名临床医生支持的PTSD教练和3名自我管理的PTSD教练参与者报告了临床显著的改善。临床医生支持的PTSD教练导致更多的专业PTSD护理使用postintervention和可能更大的减少PTSD symptoms.Conclusions：这两种PTSD教练干预措施是可行的，可能有帮助的。临床医生的支持似乎增加了自我管理的有效性。一个更大规模的随机对照试验是必要的，以证实这些令人鼓舞的初步发现。爱思唯尔公司出版
Objective: This study aims to evaluate the feasibility and potential effectiveness of two approaches to using the PTSD Coach mobile application in primary care: Self-Managed PTSD Coach and Clinician-Supported PTSD Coach. This study also aims to gather preliminary data to investigate if clinician support improves the benefits of using PTSD Coach on posttraumatic stress disorder (PTSD) severity and specialty mental healthcare utilization.Method: Twenty primary care veterans with PTSD symptoms were randomized to either Self-Managed PTSD Coach consisting of one 10-min session providing instructions for application use or Clinician-Supported PTSD Coach consisting of four 20-min sessions focused on setting symptom reduction goals and helping veterans fully engage with application content.Results: Research procedures and intervention conditions appear feasible as indicated by high rates of assessment and intervention retention and high clinician fidelity and satisfaction. Both treatments resulted in reductions in PTSD symptoms, with 7 Clinician-Supported PTSD Coach and 3 Self-Managed PTSD Coach participants reporting clinically significant improvements. Clinician-Supported PTSD Coach resulted in more specialty PTSD care use postintervention and possibly greater reductions in PTSD symptoms.Conclusions: Both PTSD Coach interventions are feasible and potentially helpful. The addition of clinician support appears to increase the effectiveness of self-management alone. A larger-scale randomized controlled trial is warranted to confirm these encouraging preliminary findings. Published by Elsevier Inc.