The From Survivor to Thriver program: RCT of an online therapist-facilitated program for rape-related PTSD

Littleton, Heather; Grills, Amie E.; Kline, Katherine D.; Schoemann, Alexander M.; Dodd, Julia C.

doi:10.1016/j.janxdis.2016.07.010

Cited by 71Posttraumatic Stress Disorder ResearchDigital Mental Health InterventionsSexual Assault and Victimization Studies

The From Survivor to Thriver program: RCT of an online therapist-facilitated program for rape-related PTSD

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Littleton, Heather, Grills, Amie E., Kline, Katherine D., Schoemann, Alexander M., Dodd, Julia C.·2016·Journal of Anxiety Disorders

DOI 10.1016/j.janxdis.2016.07.010PMC PMC5056149

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Abstract

This study evaluated the efficacy of the From Survivor to Thriver program, an interactive, online therapist-facilitated cognitive-behavioral program for rape-related PTSD. Eighty-seven college women with rape-related PTSD were randomized to complete the interactive program (n=46) or a psycho-educational self-help website (n=41). Both programs led to large reductions in interview-assessed PTSD at post-treatment (interactive d=2.22, psycho-educational d=1.10), which were maintained at three month follow-up. Both also led to medium- to large-sized reductions in self-reported depressive and general anxiety symptoms. Follow-up analyses supported that the therapist-facilitated interactive program led to superior outcomes among those with higher pre-treatment PTSD whereas the psycho-educational self-help website led to superior outcomes for individuals with lower pre-treatment PTSD. Future research should examine the efficacy and effectiveness of online interventions for rape-related PTSD including whether treatment intensity matching could be utilized to maximize outcomes and therapist resource efficiency.

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The satisfaction with therapy subscale has shown excellent reliability (α=.92) and validity in a digital intervention study with a racially and ethnically diverse sample.
“The satisfaction with therapy subscale has shown excellent reliability (α=.92) and validity in a digital intervention study with a racially and ethnically diverse sample [76].”
From App-Based Mindfulness Meditation for People of Color Who Experience Race-Related Stress: Protocol for a Randomized Controlled Trial (2022) · cites this paper as [76]
The Methods (2.2 Measures; page not provided) report α=.95 for satisfaction with treatment received; α=.92 belongs to the separate satisfaction-with-therapist scale. The same section cites prior research supporting the measure’s factor structure and ability to distinguish improvement groups, rather than establishing validity in this online trial. The Results (3.1 Pre-treatment characteristics; page not provided) describe participants from multiple ethnic groups. (LLM, conf=0.90)
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Additional file 2 of The impact of technology systems and level of support in digital mental health interventions: a secondary meta-analysis
Sasseville, M., LeBlanc, A., Tchuente, J., Boucher, M., Dugas, M., Mbemba, G. I. C., Barony, R., Chouinard, M., Beaulieu, M., Beaudet, N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22767515
Additional file 7 of The impact of technology systems and level of support in digital mental health interventions: a secondary meta-analysis
Sasseville, M., LeBlanc, A., Tchuente, J., Boucher, M., Dugas, M., Mbemba, G. I. C., Barony, R., Chouinard, M., Beaulieu, M., Beaudet, N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22767530
Additional file 3 of The impact of technology systems and level of support in digital mental health interventions: a secondary meta-analysis
Sasseville, M., LeBlanc, A., Tchuente, J., Boucher, M., Dugas, M., Mbemba, G. I. C., Barony, R., Chouinard, M., Beaulieu, M., Beaudet, N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22767518
Additional file 4 of The impact of technology systems and level of support in digital mental health interventions: a secondary meta-analysis
Sasseville, M., LeBlanc, A., Tchuente, J., Boucher, M., Dugas, M., Mbemba, G. I. C., Barony, R., Chouinard, M., Beaulieu, M., Beaudet, N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22767521
Additional file 6 of The impact of technology systems and level of support in digital mental health interventions: a secondary meta-analysis
Sasseville, M., LeBlanc, A., Tchuente, J., Boucher, M., Dugas, M., Mbemba, G. I. C., Barony, R., Chouinard, M., Beaulieu, M., Beaudet, N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22767527
Additional file 5 of The impact of technology systems and level of support in digital mental health interventions: a secondary meta-analysis
Sasseville, M., LeBlanc, A., Tchuente, J., Boucher, M., Dugas, M., Mbemba, G. I. C., Barony, R., Chouinard, M., Beaulieu, M., Beaudet, N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22767524
Additional file 1 of The impact of technology systems and level of support in digital mental health interventions: a secondary meta-analysis
Sasseville, M., LeBlanc, A., Tchuente, J., Boucher, M., Dugas, M., Mbemba, G. I. C., Barony, R., Chouinard, M., Beaulieu, M., Beaudet, N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22767512
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Authors: Littleton, H., Grills, A. E., Kline, K. D., Schoemann, A. M., & Dodd, J. C.
Affiliations: East Carolina University (US)
Boston University (US)
East Tennessee State University (US)
Corresponding author: Littleton, Heather
ORCID: Littleton, Heather
Grills, Amie E.
Schoemann, Alexander M.
Dodd, Julia C.
Venue: Journal of Anxiety Disorders
Publisher: Elsevier BV
Published: 2016-10
Volume: 43
Pages: 41-51
ISSN: 0887-6185 (ISSN-L)
DOI: 10.1016/j.janxdis.2016.07.010
PMC: PMC5056149
OpenAlex: W2487898614
Cited by: 71
References: 66
Citations by year: 2026: 7 · 2025: 7 · 2024: 6 · 2023: 18 · 2022: 3 · 2021: 9 · 2020: 12 · 2019: 6 · 2018: 2 · 2017: 1
FWCI: 4.02
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Anxiety Disorders (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Digital Commons - East Tennessee State University (East Tennessee State University) (submittedVersion)
Funders: National Institute of Mental Health (R34MH085118)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
Keywords: internet-based cognitive behavioral therapy, depressive symptoms, anxiety symptoms
MeSH terms: Distance Counseling, Adolescent, Adult, Female, Humans, Rape, Stress Disorders, Post-Traumatic, Health Behavior, Cognitive Behavioral Therapy, Treatment Outcome, Survivors, Young Adult

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