Depression Clinical Trial
Official title:
Telemedicine for Improved Delivery of Psychosocial Treatments for Post Traumatic Stress Disorder
The objective of the proposed study is to conduct a systematic comparison of post traumatic stress disorder (PTSD) outcomes for veterans receiving exposure therapy via telemedicine versus in-person care. The primary aim is to determine feasibility: whether telemedicine can be used as a tool to extend effective, specialized mental health services, such as Prolonged Exposure therapy (PE; a therapy designed to help clients face fears related to a traumatic event), to veterans with limited access to care. A secondary aim is to determine if therapy delivered by telemedicine affects the quality of care in terms of clinical outcomes and the quality of patient-therapist interaction. A tertiary aim is to examine whether results from neuropsychological testing predict treatment outcomes.
The objective of the proposed study is to conduct a systematic comparison of post traumatic
stress disorder (PTSD) outcomes for veterans receiving exposure therapy via telemedicine
versus in-person care. Specifically, prolonged exposure therapy (PE) was conducted with
veterans individually, either in person or via videoconferencing technology. PE is designed
to help clients face fears related to a traumatic experience by guiding individuals through
exposures to the memory of the event (called "imaginal exposure") and exposures to feared
situations (called "in vivo" exposures).
The primary aim is to determine the feasibility of whether telemedicine can be used as a
tool to extend effective, specialized mental health services, such as PE to veterans with
limited access to care. This is measured in part through patient and therapist satisfaction
ratings in each condition.
A secondary aim is to determine if therapy delivered by telemedicine affects the quality of
care in terms of clinical outcomes and the quality of patient-therapist interaction. This is
measured by relative changes in symptoms, primarily in PTSD, depressive symptoms, and
anxiety symptoms.
A tertiary aim is to examine whether results from neuropsychological testing predict
treatment outcomes across conditions. This includes seven measures of executive functioning.
The hypothesis is that poorer performance on these measures may be associated with less
improvement on measures of symptom severity.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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