Re-engaging dropouts of prolonged exposure for PTSD delivered via home-based telemedicine or in person

This paper describes feasibility of and patient and peer satisfaction with a Veteran-to-Veteran peer support program purposefully integrated into prolonged exposure (PE) for post-traumatic stress disorder (PTSD) to address barriers contributing to dropout from both in person and telemedicine deliver...

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Detalles Bibliográficos
Autores: Hernández Tejada, Melba A.|||0000-0003-0732-1248, Acierno, Ron, Sánchez-Carracedo, David|||0000-0002-3945-6940
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:288836
Acceso en línea:https://ddd.uab.cat/record/288836
https://dx.doi.org/urn:doi:10.1007/s11414-020-09734-0
Access Level:acceso abierto
Palabra clave:Posttraumatic stress disorder
Evidence-based psychotherapies
Social support
Therapy
Resilience
Trial
SDG 3 - Good health and well-being
Descripción
Sumario:This paper describes feasibility of and patient and peer satisfaction with a Veteran-to-Veteran peer support program purposefully integrated into prolonged exposure (PE) for post-traumatic stress disorder (PTSD) to address barriers contributing to dropout from both in person and telemedicine delivered PE. Specifically, patients who had dropped out of PE were offered the opportunity to return to treatment, this time with a peer who themselves had completed PE, who would join them during a limited number of PE in vivo exposure homework trials. About half of the Veterans who dropped out indicated willingness to return to treatment, noting the peer as central to this decision, and about a third actually returned to treatment. Participants reported high satisfaction with the program, as did peers. Peers reported that their own symptoms were not exacerbated by engaging in exposure homework with the patients. While in the military, service members are trained to leverage the power of the group toward mission-specific tasks; and this training appears relevant to PTSD treatment in the present context.