Group cognitive processing therapy delivered to veterans via telehealth: A pilot cohort

Authors

  • Leslie A. Morland,

    Corresponding author
    1. Department of Veterans Affairs Pacific Islands Healthcare System
    Current affiliation:
    1. National Center for PTSD-Pacific Islands Division, Department of Veterans Affairs Pacific Islands Healthcare System
    • National Center for PTSD-Pacific Islands Division, Department of Veterans Affairs Pacific Islands Healthcare System, 3375 Koapaka St., Honolulu, HI 96819
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  • Anna K. Hynes,

    1. Department of Veterans Affairs Pacific Islands Healthcare System
    Current affiliation:
    1. National Center for PTSD-Pacific Islands Division, Department of Veterans Affairs Pacific Islands Healthcare System
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  • Margaret-Anne Mackintosh,

    1. Department of Veterans Affairs Pacific Islands Healthcare System
    Current affiliation:
    1. National Center for PTSD-Pacific Islands Division, Department of Veterans Affairs Pacific Islands Healthcare System
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  • Patricia A. Resick,

    1. VA Boston Healthcare System and Boston University
    Current affiliation:
    1. National Center for PTSD-Women's Health Science Division, VA Boston Healthcare System and Boston University
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  • Kathleen M. Chard

    1. Cincinnati VA Medical Center and University of Cincinnati
    Current affiliation:
    1. PTSD and Anxiety Disorders Division, Cincinnati VA Medical Center and University of Cincinnati
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  • This work is partially supported by Grant PT074516 from the Department of Defense and Office of Research and Development, Medical Research Service, Department of Veterans Affairs. All views and opinions expressed herein are those of the authors and do not necessarily reflect those of our respective institutions or the Department of Veterans Affairs.

Abstract

The authors report clinical findings from the pilot cohort of the first prospective, noninferiority-designed randomized clinical trial evaluating the clinical outcomes of delivering a cognitive–behavioral group intervention for posttraumatic stress disorder (PTSD), cognitive processing therapy (CPT), via video teleconferencing (VT) compared to the in-person modality. The treatment was delivered to 13 veterans with PTSD residing on the Hawaiian Islands. Results support the general feasibility and safety of using VT. Both groups showed clinically meaningful reductions in PTSD symptoms and no significant between-group differences on clinical or process outcome variables. In keeping with treatment manual recommendations, a few changes were made to the CPT protocol to accommodate this population. Novel aspects of this trial and lessons learned are discussed.

Traditional and Simplified Chinese Abstracts by AsianSTSS

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