| Autor: |
Wells SY; Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System., Knopp K; Veterans Affairs San Diego Healthcare System., Ponzini GT; Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System., Kehle-Forbes SM; Center for Care Deliver and Outcomes Research, Minneapolis Veterans Affairs Healthcare System., Gomez RM; Durham Veterans Affairs Health Care System., Morland LA; Veterans Affairs San Diego Healthcare System., Dedert E; Veterans Affairs Mid-Atlantic Mental Illness Research, Education, and Clinical Center., Jackson GL; Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System., Grubbs KM; Veterans Affairs San Diego Healthcare System. |
| Jazyk: |
angličtina |
| Zdroj: |
Psychological services [Psychol Serv] 2024 Feb 26. Date of Electronic Publication: 2024 Feb 26. |
| DOI: |
10.1037/ser0000836 |
| Abstrakt: |
Understanding the modality by which veterans prefer to receive couples-based posttraumatic stress disorder (PTSD) treatment (i.e., home-based telehealth, in-person) may increase engagement in PTSD psychotherapy. This study aimed to understand veterans' preferred modality for couples-based PTSD treatments, individual factors associated with preference, and reasons for their preference. One hundred sixty-six veterans completed a baseline assessment as part of a clinical trial. Measures included a closed- and open-ended treatment preference questionnaire, as well as demographics, clinical symptoms, functioning, and relational measures, such as relationship satisfaction. Descriptive statistics and correlations examined factors associated with preference. An open-ended question querying veterans' reasons for their preferred modality was coded to identify themes. Though veterans as a group had no clear modality preference (51% preferring home-based telehealth and 49% preferring in-person treatment), veterans consistently expressed high levels of preference strength in the modality they chose. The presence of children in the home was associated with stronger preference for home-based telehealth. Veterans who preferred in-person care found it to be more credible and had more positive treatment expectancies. Veterans who preferred home-based telehealth believed it was flexible and increased access to care. For both preference groups, veterans' preferred modality was viewed as facilitating interpersonal relations and being more comfortable than the alternative modality. Veterans expressed strong preference for receiving their desired treatment modality for couples-based PTSD treatment. Results suggest that it is important to offer multiple treatment delivery options in couples-based PTSD treatment and matching couples to their preferred modality supports individualized, patient-centered care. (PsycInfo Database Record (c) 2024 APA, all rights reserved). |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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