Journal
JOURNAL OF TELEMEDICINE AND TELECARE
Volume 13, Issue 3, Pages 142-147Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1258/135763307780677604
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Funding
- AGENCY FOR HEALTHCARE RESEARCH AND QUALITY [R01HS011642] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF MENTAL HEALTH [K08MH001660] Funding Source: NIH RePORTER
- AHRQ HHS [HS11642] Funding Source: Medline
- NIMH NIH HHS [MH01660] Funding Source: Medline
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We compared the efficacy of telepsychiatry and same-room treatment of combat-related post-traumatic stress disorder (PTSD) using cognitive behavioural therapy in 14 weekly, 90-min treatment sessions. Of 97 patients referred for study participation, 38 were randomized (17 into telepsychiatry, 21 into same-room), and approximately 25 (the number differed by instrument) had at least one post-baseline assessment. Measures of clinical and process outcomes were examined. No group differences were found on clinical outcomes at three-month follow-up. Satisfaction with treatment ratings was similar in both groups, with 'strong satisfaction' indicated by veterans in both modalities. Attendance and drop-out were similar in the two groups. The same-room group reported more comfort in talking with their therapist at post-treatment and had better treatment adherence. The results provide preliminary support for the use of telepsychiatry in the treatment of PTSD to improve access to care.
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