A randomized trial of telepsychiatry for post-traumatic stress disorder

B. Christopher Frueh; Jeannine Monnier; Eunsil Yim; Anouk L. Grubaugh; Mark B. Hamner; Rebecca G. Knapp

doi:10.1258/135763307780677604

A randomized trial of telepsychiatry for post-traumatic stress disorder

B. Christopher Frueh, Jeannine Monnier, Eunsil Yim, Anouk L. Grubaugh, Mark B. Hamner, Rebecca G. Knapp

Research output: Contribution to journal › Article › peer-review

157 Scopus citations

Abstract

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 threemonth 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 sameroom 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.

Original language	English (US)
Pages (from-to)	142-147
Number of pages	6
Journal	Journal of Telemedicine and Telecare
Volume	13
Issue number	3
DOIs	https://doi.org/10.1258/135763307780677604
State	Published - Apr 1 2007

ASJC Scopus subject areas

Health Informatics

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10.1258/135763307780677604

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abstract = "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 threemonth 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 sameroom 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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AU - Hamner, Mark B.

AU - Knapp, Rebecca G.

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A randomized trial of telepsychiatry for post-traumatic stress disorder

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