Therapist adherence and competence with manualized cognitive-behavioral therapy for PTSD delivered via videoconferencing technology.

Abstract:

:Using secondary analyses from a randomized trial comparing the effectiveness of manualized cognitive-behavioral therapy for posttraumatic stress disorder, we compared ratings of therapist competency and adherence between two service delivery modes: telepsychiatry (TP) and same room (SR). Patients were 38 male treatment-seeking veterans recruited from a veterans affairs medical center. Domains of therapist competence and adherence included structuring sessions, implementing session activities, providing feedback, dealing with difficulties, developing rapport, and conveying empathy. Only one difference emerged between the two treatment conditions, with more favorable ratings on this item in the TP condition. Findings suggest that therapist competence and adherence to cognitive-behavioral therapy is similar whether the treatment is delivered via TP or by traditional means, and TP does not compromise therapists' ability to effectively structure sessions or build rapport with patients. These data further support the use of TP to address shortages in access to mental health care.

journal_name

Behav Modif

journal_title

Behavior modification

authors

Frueh BC,Monnier J,Grubaugh AL,Elhai JD,Yim E,Knapp R

doi

10.1177/0145445507302125

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

856-66

issue

6

eissn

0145-4455

issn

1552-4167

pii

31/6/856

journal_volume

31

pub_type

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