期刊
BEHAVIOUR RESEARCH AND THERAPY
卷 89, 期 -, 页码 57-65出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.brat.2016.11.009
关键词
PTSD; Prolonged exposure; Telehealth; Non-inferiority; RCT
资金
- Department of Veterans Affairs Health Services Research and Development grant [HX00152]
- South Carolina Clinical & Translational Research (SCTR) Institute
- Medical University of South Carolina through NIH/NCATS Grant [UL1 TR001450]
- National Institute of Mental Health [T32 MH18869]
This is the first randomized controlled trial to evaluate non-inferiority of Prolonged Exposure (PE) delivered via home-based telehealth (HBT) compared to standard in-person (IP) PE. One-hundred thirty two Veterans recruited from a Southeastern Veterans Affairs Medical Center and affiliated University who met criteria for posttraumatic stress disorder (PTSD) were randomized to receive PE via HBT or PE via IP. Results indicated that PE-HBT was non-inferior to PE-IP in terms of reducing PTSD scores at posttreatment, 3 and 6 month follow-up. However, non-inferiority hypotheses for depression were only supported at 6 month follow-up. HBT has great potential to reduce patient burden associated with receiving treatment in terms of travel time, travel cost, lost work, and stigma without sacrificing efficacy. These findings indicate that telehealth treatment delivered directly into patients' homes may dramatically increase the reach of this evidence-based therapy for PTSD without diminishing effectiveness. Published by Elsevier Ltd.
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