Telemedicine Exposure Therapy and Assessment for PTSD: a Systematic Clinical Practice Narrative Review

Telemedicine Exposure Therapy and Assessment for PTSD: a Systematic Clinical Practice Narrative... The aim of this paper was to systematically review the acceptability, feasibility, and efficacy of telemedicine/videoconference-based (video-teleconference (VTC)) methods used to deliver empirically supported treatments (i.e., prolonged exposure, cognitive processing therapy) and assessment for posttraumatic stress disorder (PTSD). Nineteen manuscripts detailing 14 studies were included. The five feasibility studies reported overall patient satisfaction with and viability of VTC-delivered PTSD treatment. The seven efficacy studies demonstrated significant reductions in PTSD symptoms in the telemedicine arms, and three protocols demonstrated equivalency/noninferiority of VTC compared to face-to-face treatment. Two manuscripts reported validity and acceptability and VTC-based PTSD assessment. No clinical emergencies were reported. Limitations of studies reviewed included inadequate noninferiority/equivalency data, a paucity of assessment focused research, and no published research of these methods in nonveteran high-risk populations (e.g., emergency workers). In conclusion, these data highlight the potential of VTC for providing evidence-based care for PTSD and may be a promising means to increase the dissemination of empirically supported treatments and assessment for this population. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Technology in Behavioral Science Springer Journals

Telemedicine Exposure Therapy and Assessment for PTSD: a Systematic Clinical Practice Narrative Review

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Publisher
Springer Journals
Copyright
Copyright © 2017 by Springer International Publishing
Subject
Psychology; Clinical Psychology; Psychiatry; Social Work and Community Development
eISSN
2366-5963
D.O.I.
10.1007/s41347-016-0004-0
Publisher site
See Article on Publisher Site

Abstract

The aim of this paper was to systematically review the acceptability, feasibility, and efficacy of telemedicine/videoconference-based (video-teleconference (VTC)) methods used to deliver empirically supported treatments (i.e., prolonged exposure, cognitive processing therapy) and assessment for posttraumatic stress disorder (PTSD). Nineteen manuscripts detailing 14 studies were included. The five feasibility studies reported overall patient satisfaction with and viability of VTC-delivered PTSD treatment. The seven efficacy studies demonstrated significant reductions in PTSD symptoms in the telemedicine arms, and three protocols demonstrated equivalency/noninferiority of VTC compared to face-to-face treatment. Two manuscripts reported validity and acceptability and VTC-based PTSD assessment. No clinical emergencies were reported. Limitations of studies reviewed included inadequate noninferiority/equivalency data, a paucity of assessment focused research, and no published research of these methods in nonveteran high-risk populations (e.g., emergency workers). In conclusion, these data highlight the potential of VTC for providing evidence-based care for PTSD and may be a promising means to increase the dissemination of empirically supported treatments and assessment for this population.

Journal

Journal of Technology in Behavioral ScienceSpringer Journals

Published: Jan 11, 2017

References

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