Increasing treatment-seeking intentions of US veterans in the Covid-19 era: A randomized controlled trial
Increasing treatment-seeking intentions of US veterans in the Covid-19 era: A randomized controlled trial
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DOI：
10.1002/da.23149
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发表时间：
2021-03-18
影响因子：
7.4
通讯作者：
Neria, Yuval
中科院分区：
文献类型：
--
作者：
Amsalem, Doron;Lazarov, Amit;Neria, Yuval
背景退伍军人焦虑、抑郁和创伤后应激障碍（PTSD）的发病率较高，可能容易受到新冠肺炎大流行的心理健康后果的影响。超过一半的符合精神疾病标准的退伍军人不寻求帮助。这项研究筛选了临床症状，并评估了简短的在线社交视频干预在增加退伍军人寻求治疗意愿方面的有效性。我们假设，以视频为基础的干预将增加寻求治疗的意图比书面的小插曲和control conditions.Methods一百七十二退伍军人被随机分为（一）简短的视频为基础的干预;（B）书面小插曲干预，或（c）非干预对照组。在这段3分钟的视频中，一名此前被诊断患有创伤后应激障碍的老兵描述了他因新冠肺炎而出现的症状复发、他在护理方面的障碍，以及治疗如何帮助他科普。结果共有91名（53%）退伍军人报告了高水平的临床症状，特别是那些自我报告的Covid-19暴露。基于视频的简短干预使退伍军人寻求治疗的意愿大幅增加。在视频组中，女性从基线到干预后仅表现出寻求治疗的意图增加，而男性从基线到第14天表现出更持久的效果。一个简短的视频干预增加了寻求治疗的意图，可能是通过识别和情感参与的视频主角。这种易于传播的视频干预有可能增加寻求护理的可能性。未来的研究应该考察长期的可持续性和寻求帮助行为的变化。
Background Veterans have higher rates of anxiety, depression, and posttraumatic stress disorder (PTSD), and may be vulnerable to mental health consequences of the Covid-19 pandemic. More than half of veterans who meet mental illness criteria do not seek help. This study screened for clinical symptoms and evaluated the efficacy of a brief, online social-contact-based video intervention in increasing treatment-seeking intentions among veterans. We hypothesized that the video-based intervention would increase treatment-seeking intentions more than written vignette and control conditions.Methods One hundred seventy-two veterans were randomized to either a (a) brief video-based intervention; (b) written vignette intervention, or (c) nonintervention control group. In the 3-min video, a veteran previously diagnosed with PTSD described his symptom reactivation by Covid-19, his barriers to care, and how therapy helped him to cope. Assessments were conducted at baseline, postintervention, and at 14- and 30-day follow-ups.Results A total of 91 (53%) veterans reported high levels of clinical symptoms, especially those self-reporting Covid-19 exposure. The brief video-based intervention yielded greater increase in treatment-seeking intentions among veterans. Within the video group, women showed an increase in treatment-seeking intentions from baseline to postintervention only, whereas men showed a more sustained effect, from baseline to Day 14.Conclusions Surveyed veterans reported high symptoms levels. A brief video intervention increased treatment-seeking intention, likely through identification and emotional engagement with the video protagonist. This easily disseminable video-based intervention has the potential to increase likelihood of seeking care. Future research should examine longer term sustainability and changes in help-seeking behavior.