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Young C, Sinclair A, Black C, et al. Internet-Delivered Cognitive Behavioural Therapy for Post-Traumatic Stress Disorder: A Health Technology Assessment [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2019 Dec. (CADTH Optimal Use Report, No. 9.3b.)

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Internet-Delivered Cognitive Behavioural Therapy for Post-Traumatic Stress Disorder: A Health Technology Assessment [Internet].

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Appendix 13Characteristics of Included Primary Studies — Perspectives and Experiences

Table 20Characteristics of Included Studies

First Author (Publication Year), CountryStudy Design (Data Analysis)Study ObjectivesParticipant Characteristics, Sample Size (n)Inclusion CriteriaIntervention TypeData Collection
Hundt (2018), US99NS (grounded theory)To understand the attitudes, experiences, and barriers and facilitators to treatment for veterans who enrolled in a VA PTSD specialty clinic and were offered either PE or CPT24 veteransVeterans with a primary psychiatric diagnosis of PTSD who were admitted to the PTSD clinic and judged to be appropriate to for PE or CPT, offered PE or CPT, but not starting PE or CPT within 12 monthsPE and CPTInterviews
Cook (2017), US100NS (grounded theory)To assess how residential treatment providers within the VA conceptualize and address patient readiness for trauma-focused EBTs for PTSD

99 psychologists,

62 social workers,

4 psychiatrists,

3 nurses,

4 “other”

NSPE and CPTSemi-structured telephone interview
Hundt (2017), US101NS (grounded theory)To explore how veterans living with PTSD experience the use of EBT in their treatment23 veteransVeterans who had completed at least 8 sessions of PE or CPT in a VA PTSD clinicPE and CPTInterviews
Stige (2017), Norway102NS (hermeneutic phenomenological approach)To explore how former trauma clients experienced the inclusion of skill training in their treatment, their ways of relating to and using these skills, and how this changed over time13 patientsNSSkills training components of a trauma specific stabilization groupSemi-structured interviews conducted over two time points
Tong (2017), Australia103NS (interpretive phenomenological approach)To explore young people’s reactions to a trauma-focused treatment for PTSD in FEP8 participantsIndividuals aged 15 to 25 years with a DSM-IV psychotic disorder or mood disorder with psychotic features and having current trauma symptoms that meet the full criteria for PTSD using CAPSIntervention drawing on principles of CBTSemi-structured interviews
Whealin (2016), US111Mixed-methods (content analysis)To identify the types of eHealth tools that veterans with PTSD and comorbid CMCs use, understand how they currently use eHealth technology to self-manage their unique health care needs, and identify new e-health resources that veterans feel would empower them to better manage their health10 veteransVeterans with three or more chronic conditions and experience using technology to help them care for their health or manage their health care, and having received care at the VA facilityNSFocus groups
Hamblen (2015), US104NS (NS)To examine VA PTSD clinic director perspectives on the implementation of PE and CPT in PTSD outpatient programs to better understand the local challenges be faced

31 psychologists,

5 social workers,

2 psychiatrists

NSPE and CPTSemi-structured interviews
Hundt (2015), US105NS (grounded theory)To enhance knowledge of facilitators to EBP initiation by examining veterans’ real-world experiences initiating EBP for PTSD and how they overcame barriers to EBP in their own lives23 veteransVeterans who had completed at least 8 sessions of EBP in a VA PTSD clinicPE and CPTInterviews
McCormack (2015), Australia106NS (interpretive phenomenological analysis)To explore the “lived” experience of trauma-focused therapists working with mental health in-patients with complex trauma histories

2 psychiatric consultants,

1 clinical psychologist,

1 psychologist/clinical manager

NSNSInterviews
Cook (2014), US107NS (NS)To present VA residential PTSD treatment provider perceptions of dissuading factors to the use of PE and CPT

110 psychologist,

66 social workers,

11 nurses,

5 psychiatrists,

6 “other”

NSPE and CPTSemi-structured telephone interviews
Lawrence (2014), UK108NS (interpretive phenomenological analysis)To produce an in-depth understanding of the experience of completing a course of compassion-focused therapy for PTSD and the process of developing self-compassion9 patientsPeople who had completed two CFT groups for PTSDCFTInterviews
Lowe (2014), UK109Phenomenological and idiographic (interpretive phenomenological analysis)To gain an understanding of the aspects of trauma-focused CBT for PTSD that service users find important in contributing to their improvement9 patientsNSTrauma-focused CBTInterviews
Reeves (2014), Canada110Naturalistic paradigm informed by Indigenous inquiry(grounded theory)Investigate the use of traditional Indigenous healing alongside Western mental health services to address issues related to recovery from sexual trauma at a culture-based multiservice health centre

3 traditional healers/medicine people,

5 traditional counsellors,

1 traditional counsellor/traditional teacher,

1 Elder

NSNSTwo sets of interviews

CAPS = clinician-administered PTSD scale; CBT = cognitive behavioural therapy; CFT = compassion-focused therapy; CMC = chronic medical conditions; CPT = cognitive processing therapy; DSM = Diagnostic and Statistical Manual of Mental Disorders; EBP = evidence-based psychotherapies; EBT = evidence-based therapies; FEP = first-episode psychosis; NS = not specified; PE = prolonged exposure; PTSD = post-traumatic stress disorder; VA = Department of Veterans Affairs (US).

Copyright © 2019 Canadian Agency for Drugs and Technologies in Health.

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Bookshelf ID: NBK554866

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