OBJECTIVE: Many combat veterans struggle with posttraumatic stress disorder (PTSD) and hazardous alcohol use and are hesitant to engage in behavioral health services. Combining peer support with an eHealth intervention may overcome many barriers to care. This pilot study investigated the feasibility of adding peer support to a web-based cognitive behavior therapy (CBT) targeting PTSD symptoms and hazardous drinking, called Thinking Forward. METHOD:Thirty primary care patients with PTSD and hazardous alcohol use were randomized to receive Thinking Forward with or without peer support. Participants were assessed at pretreatment, posttreatment, and 24-week follow-up. Feasibility was analyzed with descriptive statistics. Preliminary outcomes were analyzed with multilevel modeling and effect sizes are presented. RESULTS: Peer support specialists can be feasibly trained to support the Thinking Forward intervention with good fidelity. Both participants and peers reported good satisfaction with the protocol; although peers discussed a mismatch between the philosophies of peer support and diagnostically focused CBT. All participants experienced significant improvements in PTSD, quality of life, resiliency, and coping from pre- to posttreatment, with no differences between conditions. Pretreatment patient activation predicted outcomes regardless of whether participants received peer support. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Peer support interventions to facilitate eHealth programs should strive to be consistent with the person-centered, recovery orientation of peer support, explicitly focus on patient activation, and consider characteristics of the patients, such as their level of problem recognition and willingness to engage in traditional behavioral health modalities. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
RCT Entities:
OBJECTIVE: Many combat veterans struggle with posttraumatic stress disorder (PTSD) and hazardous alcohol use and are hesitant to engage in behavioral health services. Combining peer support with an eHealth intervention may overcome many barriers to care. This pilot study investigated the feasibility of adding peer support to a web-based cognitive behavior therapy (CBT) targeting PTSD symptoms and hazardous drinking, called Thinking Forward. METHOD: Thirty primary care patients with PTSD and hazardous alcohol use were randomized to receive Thinking Forward with or without peer support. Participants were assessed at pretreatment, posttreatment, and 24-week follow-up. Feasibility was analyzed with descriptive statistics. Preliminary outcomes were analyzed with multilevel modeling and effect sizes are presented. RESULTS: Peer support specialists can be feasibly trained to support the Thinking Forward intervention with good fidelity. Both participants and peers reported good satisfaction with the protocol; although peers discussed a mismatch between the philosophies of peer support and diagnostically focused CBT. All participants experienced significant improvements in PTSD, quality of life, resiliency, and coping from pre- to posttreatment, with no differences between conditions. Pretreatment patient activation predicted outcomes regardless of whether participants received peer support. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Peer support interventions to facilitate eHealth programs should strive to be consistent with the person-centered, recovery orientation of peer support, explicitly focus on patient activation, and consider characteristics of the patients, such as their level of problem recognition and willingness to engage in traditional behavioral health modalities. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
Authors: Sharon Reif; Lisa Braude; D Russell Lyman; Richard H Dougherty; Allen S Daniels; Sushmita Shoma Ghose; Onaje Salim; Miriam E Delphin-Rittmon Journal: Psychiatr Serv Date: 2014-07 Impact factor: 3.084
Authors: Gina P Owens; Philip Held; Laura Blackburn; John S Auerbach; Allison A Clark; Catherine J Herrera; Jerome Cook; Gregory L Stuart Journal: J Interpers Violence Date: 2013-11-18
Authors: David C Mohr; Michelle Nicole Burns; Stephen M Schueller; Gregory Clarke; Michael Klinkman Journal: Gen Hosp Psychiatry Date: 2013-05-08 Impact factor: 3.238
Authors: Carla A Green; Nancy A Perrin; Michael R Polen; Michael C Leo; Judith H Hibbard; Martin Tusler Journal: Adm Policy Ment Health Date: 2009-08-29
Authors: Gabrielle Humphreys; Rebecca Evans; Harriet Makin; Richard Cooke; Andrew Jones Journal: J Med Internet Res Date: 2021-02-09 Impact factor: 5.428
Authors: Calista Leung; Julia Pei; Kristen Hudec; Farhud Shams; Richard Munthali; Daniel Vigo Journal: J Med Internet Res Date: 2022-06-15 Impact factor: 7.076
Authors: Kyle Possemato; Justina Wu; Carolyn Greene; Rex MacQueen; Daniel Blonigen; Michael Wade; Jason Owen; Terence Keane; Deborah Brief; Steven Lindley; Annabel Prins; Margaret-Anne Mackintosh; Eve Carlson Journal: J Med Internet Res Date: 2022-01-13 Impact factor: 5.428
Authors: Tracy L Simpson; Simon B Goldberg; Diana K N Louden; Shannon M Blakey; Sage E Hawn; Aline Lott; Kendall C Browne; Keren Lehavot; Debra Kaysen Journal: J Anxiety Disord Date: 2021-10-26