Therapist adherence and competence with manualized cognitive-behavioral therapy for PTSD delivered via videoconferencing technology

B. Christopher Frueh, Jeannine Monnier, Anouk L. Grubaugh, Jon D. Elhai, Eunsil Yim, Rebecca Knapp

Research output: Contribution to journalArticle

53 Scopus citations

Abstract

Using secondary analyses from a randomized trial comparing the effectiveness of manualized cognitive-behavioral therapy for posttraumatic stress disorder, we compared ratings of therapist competency and adherence between two service delivery modes: telepsychiatry (TP) and same room (SR). Patients were 38 male treatment-seeking veterans recruited from a veterans affairs medical center. Domains of therapist competence and adherence included structuring sessions, implementing session activities, providing feedback, dealing with difficulties, developing rapport, and conveying empathy. Only one difference emerged between the two treatment conditions, with more favorable ratings on this item in the TP condition. Findings suggest that therapist competence and adherence to cognitive-behavioral therapy is similar whether the treatment is delivered via TP or by traditional means, and TP does not compromise therapists' ability to effectively structure sessions or build rapport with patients. These data further support the use of TP to address shortages in access to mental health care.

Original languageEnglish (US)
Pages (from-to)856-866
Number of pages11
JournalBehavior Modification
Volume31
Issue number6
DOIs
StatePublished - Nov 2007

Keywords

  • Cognitive-behavioral therapy
  • Empathy
  • PTSD
  • Rural mental health
  • Telemental health
  • Telepsychiatry
  • Therapist adherence
  • Therapist competence
  • Veterans

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology
  • Arts and Humanities (miscellaneous)

Fingerprint Dive into the research topics of 'Therapist adherence and competence with manualized cognitive-behavioral therapy for PTSD delivered via videoconferencing technology'. Together they form a unique fingerprint.

Cite this