Real-world evaluation of an evidence-based telemental health program for PTSD symptoms
Abstract Blended care therapy (BCT), which augments live, video-based psychotherapy sessions with asynchronous digital tools, has the potential to increase access to evidence-based treatments for posttraumatic stress disorder (PTSD). However, its effectiveness in diverse, real-world settings is not...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2025-01-01
|
| Series: | Scientific Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1038/s41598-024-83144-6 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841559717220974592 |
|---|---|
| author | Jocelynn T. Owusu Lu Wang Shih-Yin Chen Robert E. Wickham Scott T. Michael Nazneen F. Bahrassa Alethea Varra Jennifer L. Lee Connie Chen Anita Lungu |
| author_facet | Jocelynn T. Owusu Lu Wang Shih-Yin Chen Robert E. Wickham Scott T. Michael Nazneen F. Bahrassa Alethea Varra Jennifer L. Lee Connie Chen Anita Lungu |
| author_sort | Jocelynn T. Owusu |
| collection | DOAJ |
| description | Abstract Blended care therapy (BCT), which augments live, video-based psychotherapy sessions with asynchronous digital tools, has the potential to increase access to evidence-based treatments for posttraumatic stress disorder (PTSD). However, its effectiveness in diverse, real-world settings is not well-understood. This evaluation aimed to assess clinical outcomes of a BCT program for PTSD symptoms. A retrospective cohort analysis was conducted of 199 adults who received an employer-offered BCT program for PTSD symptoms that delivered either cognitive processing therapy or prolonged exposure. PTSD symptom severity was regularly assessed using the PTSD Checklist for DSM-5 (PCL-5). Growth curve models were used to evaluate the trajectory of PTSD symptoms over the course of care, and an interaction term was added to assess outcomes by baseline PTSD symptom severity (i.e., PCL-5 ≥ 31 versus PCL-5 < 31). End-of-care reliable improvement and recovery were evaluated. On average, participants with baseline PCL-5 < 31 exhibited statistically significant declines in PTSD symptoms during care, while participants with baseline PCL-5 ≥ 31 showed statistically significantly steeper initial declines in PTSD symptoms that became less pronounced over time. Overall, 82.91% of participants demonstrated either reliable improvement or recovery in PTSD symptoms. This evaluation suggests BCT for PTSD symptoms can be beneficial in real-world settings. Future research should perform large-scale evaluations. |
| format | Article |
| id | doaj-art-200e3e8f43664b9196c9842e474100e9 |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-200e3e8f43664b9196c9842e474100e92025-01-05T12:14:09ZengNature PortfolioScientific Reports2045-23222025-01-0115111010.1038/s41598-024-83144-6Real-world evaluation of an evidence-based telemental health program for PTSD symptomsJocelynn T. Owusu0Lu Wang1Shih-Yin Chen2Robert E. Wickham3Scott T. Michael4Nazneen F. Bahrassa5Alethea Varra6Jennifer L. Lee7Connie Chen8Anita Lungu9Lyra HealthLyra HealthLyra HealthDepartment of Psychological Sciences, Northern Arizona UniversityLyra HealthPrivate PracticeLyra HealthLyra HealthLyra HealthLyra HealthAbstract Blended care therapy (BCT), which augments live, video-based psychotherapy sessions with asynchronous digital tools, has the potential to increase access to evidence-based treatments for posttraumatic stress disorder (PTSD). However, its effectiveness in diverse, real-world settings is not well-understood. This evaluation aimed to assess clinical outcomes of a BCT program for PTSD symptoms. A retrospective cohort analysis was conducted of 199 adults who received an employer-offered BCT program for PTSD symptoms that delivered either cognitive processing therapy or prolonged exposure. PTSD symptom severity was regularly assessed using the PTSD Checklist for DSM-5 (PCL-5). Growth curve models were used to evaluate the trajectory of PTSD symptoms over the course of care, and an interaction term was added to assess outcomes by baseline PTSD symptom severity (i.e., PCL-5 ≥ 31 versus PCL-5 < 31). End-of-care reliable improvement and recovery were evaluated. On average, participants with baseline PCL-5 < 31 exhibited statistically significant declines in PTSD symptoms during care, while participants with baseline PCL-5 ≥ 31 showed statistically significantly steeper initial declines in PTSD symptoms that became less pronounced over time. Overall, 82.91% of participants demonstrated either reliable improvement or recovery in PTSD symptoms. This evaluation suggests BCT for PTSD symptoms can be beneficial in real-world settings. Future research should perform large-scale evaluations.https://doi.org/10.1038/s41598-024-83144-6Posttraumatic stress disorderDepressionMental healthPsychotherapyTelehealthDigital health |
| spellingShingle | Jocelynn T. Owusu Lu Wang Shih-Yin Chen Robert E. Wickham Scott T. Michael Nazneen F. Bahrassa Alethea Varra Jennifer L. Lee Connie Chen Anita Lungu Real-world evaluation of an evidence-based telemental health program for PTSD symptoms Scientific Reports Posttraumatic stress disorder Depression Mental health Psychotherapy Telehealth Digital health |
| title | Real-world evaluation of an evidence-based telemental health program for PTSD symptoms |
| title_full | Real-world evaluation of an evidence-based telemental health program for PTSD symptoms |
| title_fullStr | Real-world evaluation of an evidence-based telemental health program for PTSD symptoms |
| title_full_unstemmed | Real-world evaluation of an evidence-based telemental health program for PTSD symptoms |
| title_short | Real-world evaluation of an evidence-based telemental health program for PTSD symptoms |
| title_sort | real world evaluation of an evidence based telemental health program for ptsd symptoms |
| topic | Posttraumatic stress disorder Depression Mental health Psychotherapy Telehealth Digital health |
| url | https://doi.org/10.1038/s41598-024-83144-6 |
| work_keys_str_mv | AT jocelynntowusu realworldevaluationofanevidencebasedtelementalhealthprogramforptsdsymptoms AT luwang realworldevaluationofanevidencebasedtelementalhealthprogramforptsdsymptoms AT shihyinchen realworldevaluationofanevidencebasedtelementalhealthprogramforptsdsymptoms AT robertewickham realworldevaluationofanevidencebasedtelementalhealthprogramforptsdsymptoms AT scotttmichael realworldevaluationofanevidencebasedtelementalhealthprogramforptsdsymptoms AT nazneenfbahrassa realworldevaluationofanevidencebasedtelementalhealthprogramforptsdsymptoms AT aletheavarra realworldevaluationofanevidencebasedtelementalhealthprogramforptsdsymptoms AT jenniferllee realworldevaluationofanevidencebasedtelementalhealthprogramforptsdsymptoms AT conniechen realworldevaluationofanevidencebasedtelementalhealthprogramforptsdsymptoms AT anitalungu realworldevaluationofanevidencebasedtelementalhealthprogramforptsdsymptoms |