Design of a randomized superiority trial of a brief couple treatment for PTSD
| Autor: | Margaret-Anne Mackintosh, Kathleen M. Grubbs, Leslie A. Morland, Elizabeth R. Wrape, Alexandra Macdonald, Brian A. Buzzella, Julia Becker, Shirley M. Glynn, Benjamin M. Rooney, Stephanie Y. Wells, Candice M. Monson, Frederic J. Sautter, Lisa H. Glassman |
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| Rok vydání: | 2019 |
| Předmět: |
Home-based care
6.6 Psychological and behavioural medicine.medical_treatment Clinical Trials and Supportive Activities Treatment outcome Interpersonal communication urologic and male genital diseases Article law.invention 03 medical and health sciences 0302 clinical medicine Superiority Trial stomatognathic system Randomized controlled trial Clinical Research law Intervention (counseling) Complementary and Integrative Health Behavioral and Social Science Psychoeducation Medicine 030212 general & internal medicine Veterans Affairs Cognitive behavioral conjoint therapy Veterans Pharmacology lcsh:R5-920 Modalities business.industry Evaluation of treatments and therapeutic interventions General Medicine respiratory system Post-Traumatic Stress Disorder (PTSD) equipment and supplies Anxiety Disorders Couple therapy 3. Good health Mental Health Videoconferencing lcsh:Medicine (General) business Mind and Body 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Contemporary Clinical Trials Communications, Vol 15, Iss, Pp-(2019) Contemporary Clinical Trials Communications |
| ISSN: | 2451-8654 |
| Popis: | Interpersonal difficulties are common among veterans with posttraumatic stress disorder (PTSD) and are associated with poorer treatment response. Treatment outcomes for PTSD, including relationship functioning, improve when partners are included and engaged in the therapy process. Cognitive-behavioral conjoint therapy for PTSD (CBCT) is a manualized 15-session intervention designed for couples in which one partner has PTSD. CBCT was developed specifically to treat PTSD, engage a partner in treatment, and improve interpersonal functioning. However, recent research suggests that an abbreviated CBCT protocol may lead to sufficient gains in PTSD and relationship functioning, and yield lower dropout rates. Likewise, many veterans report a preference for receiving psychological treatments through clinical videoteleconferencing (CVT) rather than traditional face-to-face modalities that require travel to VA clinics. This manuscript describes the development and implementation of a novel randomized controlled trial (RCT) that examines the efficacy of an abbreviated 8-session version of CBCT (“brief CBCT,” or B-CBCT), and compares the efficacy of this intervention delivered via CVT to traditional in-person platforms. Veterans and their partners were randomized to receive B-CBCT in a traditional Veterans Affairs office-based setting (B-CBCT-Office), CBCT through CVT with the veteran and partner at home (B-CBCT-Home), or an in office-delivered, couple-based psychoeducation control condition (PTSD Family Education). This study is the first RCT designed to investigate the delivery of B-CBCT specifically to veterans with PTSD and their partners, as well as to examine the delivery of B-CBCT over a CVT modality; findings could increase access to care to veterans with PTSD and their partners. Keywords: Cognitive behavioral conjoint therapy, Videoconferencing, Veterans, Home-based care, Couple therapy, Randomized controlled trial |
| Databáze: | OpenAIRE |
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