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Randomized Controlled Trial
. 2022 Aug:119:106841.
doi: 10.1016/j.cct.2022.106841. Epub 2022 Jun 28.

Development of StressCheck: A telehealth motivational enhancement therapy to improve voluntary engagement for PTSD treatment among active-duty service members

Debra Kaysen  1 , Thomas O Walton  2 , Isaac C Rhew  3 , Anna E Jaffe  4 , Adam R Pierce  5 , Denise D Walker  6
Affiliations
Randomized Controlled Trial

Development of StressCheck: A telehealth motivational enhancement therapy to improve voluntary engagement for PTSD treatment among active-duty service members

Debra Kaysen et al. Contemp Clin Trials. 2022 Aug.

Abstract

Background: Rates of PTSD in active-duty military are high relative to the general population. Although efficacious treatments exist, they are underutilized. Many service members with PTSD do not present for treatment and, of those who do, many do not receive sufficient doses of the interventions to receive full benefits. Motivational Enhancement Therapy (MET) "check-ups", are brief interventions designed to elicit treatment engagement for those who are not treatment-seeking.

Methods: StressCheck is an MET for nontreatment seeking Army and Air Force personnel. StressCheck aims to improve PTSD and increase treatment engagement, especially around evidence-based interventions, as well as to decrease stigma about seeking mental health services and improve knowledge about treatment options. This paper describes the intervention components and process of treatment development. The paper also describes next steps in testing the effectiveness of the intervention.

Conclusion: PTSD is associated with deleterious health, occupational, and psychological effects. If effective, this innovative intervention will bridge the gap between those who are not treatment seeking and existing services, thereby enhancing reach and impact of existing services.

Gov identifier: NCT03423394.

Keywords: Military personnel; Motivational enhancement therapy; Motivational interviewing; Personalized feedback; Posttraumatic stress disorder; Randomized controlled trial.

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References

    1. Creamer M, Wade D, Fletcher S, Forbes D, PTSD among military personnel, Int. Rev. Psychiatry. 23 (2011) 160–165. 10.3109/09540261.2011.559456. - DOI - PubMed
    1. Seal KH, Maguen S, Cohen B, Gima KS, Metzler TJ, Ren L, Bertenthal D, Marmar CR, VA mental health services utilization in Iraq and Afghanistan veterans in the first year of receiving new mental health diagnoses, J. Trauma. Stress. (2010) n/a-n/a. 10.1002/jts.20493. - DOI - PubMed
    1. Hoge CW, Castro CA, Messer SC, McGurk D, Cotting DI, Koffman, Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care, N. Engl. J. Med. (2004) 10. 10.1056/NEJMoa040603. - DOI - PubMed
    1. Ramchand R, Schell TL, Karney BR, Osilla KC, Burns RM, Caldarone LB, Disparate prevalence estimates of PTSD among service members who served in Iraq and Afghanistan: Possible explanations, J. Trauma. Stress. 23 (2010) 59–68. 10.1002/jts.20486. - DOI - PubMed
    1. Bradley R, Greene J, Russ E, Dutra L, A multidimensional meta-analysis of psychotherapy for PTSD, Am J Psychiatry. (2005) 14. - PubMed

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