Re-engaging dropouts of prolonged exposure for PTSD delivered via home-based telemedicine or in person : satisfaction with veteran-to-veteran support
Hernández-Tejada, Melba A. (University of Texas Health Science Center at Houston)
Acierno, Ron (Ralph H. Johnson Veterans Affairs Medical Center)
Sánchez Carracedo, David (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)

Date:	2020
Description:	12 pàg.
Abstract:	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.
Note:	Funding for the parent studies from which dropouts were recruited and for whom baseline data were provided included: the Department of Veterans Affairs HSR&D MERIT Award HX00152 and the Department of Defense Grants W81XWH-14-1-0264 and W81XWH-08-2-0047.
Rights:	Tots els drets reservats.
Language:	Anglès
Document:	Article ; recerca ; Versió acceptada per publicar
Subject:	Posttraumatic stress disorder ; Evidence-based psychotherapies ; Social support ; Therapy ; Resilience ; Trial ; SDG 3 - Good health and well-being
Published in:	Journal of Behavioral Health Services and Research, Vol. 48 (2020) , p. 171-182, ISSN 1556-3308

DOI: 10.1007/s11414-020-09734-0
PMID: 33034019

Postprint 26 p, 1.4 MB

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