| Literature DB >> 27894058 |
Ron Acierno1, Rebecca Knapp2, Peter Tuerk3, Amanda K Gilmore4, Carl Lejuez5, Kenneth Ruggiero6, Wendy Muzzy6, Leonard Egede7, Melba A Hernandez-Tejada6, Edna B Foa8.
Abstract
This is the first randomized controlled trial to evaluate non-inferiority of Prolonged Exposure (PE) delivered via home-based telehealth (HBT) compared to standard in-person (IP) PE. One-hundred thirty two Veterans recruited from a Southeastern Veterans Affairs Medical Center and affiliated University who met criteria for posttraumatic stress disorder (PTSD) were randomized to receive PE via HBT or PE via IP. Results indicated that PE-HBT was non-inferior to PE-IP in terms of reducing PTSD scores at post-treatment, 3 and 6 month follow-up. However, non-inferiority hypotheses for depression were only supported at 6 month follow-up. HBT has great potential to reduce patient burden associated with receiving treatment in terms of travel time, travel cost, lost work, and stigma without sacrificing efficacy. These findings indicate that telehealth treatment delivered directly into patients' homes may dramatically increase the reach of this evidence-based therapy for PTSD without diminishing effectiveness. Published by Elsevier Ltd.Entities:
Keywords: Non-inferiority; PTSD; Prolonged exposure; RCT; Telehealth
Mesh：
Year: 2016 PMID： 27894058 PMCID： PMC5222772 DOI： 10.1016/j.brat.2016.11.009
Source DB: PubMed Journal: Behav Res Ther ISSN： 0005-7967