Therapist Adherence and Competence With Manualized Cognitive-Behavioral Therapy for PTSD Delivered via Videoconferencing Technology
Abstract
Using secondary analyses from a randomized trial comparing the effectiveness of manualized cognitive-behavioral therapy for posttraumatic stress disorder, we compared ratings of therapist competency and adherence between two service delivery modes: telepsychiatry (TP) and same room (SR). Patients were 38 male treatment-seeking veterans recruited from a veterans affairs medical center. Domains of therapist competence and adherence included structuring sessions, implementing session activities, providing feedback, dealing with difficulties, developing rapport, and conveying empathy. Only one difference emerged between the two treatment conditions, with more favorable ratings on this item in the TP condition. Findings suggest that therapist competence and adherence to cognitive-behavioral therapy is similar whether the treatment is delivered via TP or by traditional means, and TP does not compromise therapists' ability to effectively structure sessions or build rapport with patients. These data further support the use of TP to address shortages in access to mental health care.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Studies have shown similar efficacy between in-person and telehealth interventions.
“studies have shown similar efficacy between IP and telehealth interventions.”
From Telehealth Versus In-Person Acceptance and Commitment Therapy for Chronic Pain: A Randomized Noninferiority Trial. (2017) · cites this paper as [19]
Cited by
Sorted by citations
Videoconferencing psychotherapy: a systematic review
Backhaus, A., Agha, Z., Maglione, M. L., Repp, A., Ross, B., Zuest, D., Rice-Thorp, N. M., Lohr, J., & Thorp, S. R. (2012) · Psychological Services · doi:10.1037/a0027924 · Cited by 586 · see citing works
Current and Future Trends in Internet-Supported Mental Health Interventions
Barak, A., & Grohol, J. M. (2011) · Journal of Technology in Human Services · doi:10.1080/15228835.2011.616939 · Cited by 373 · see citing works
Current directions in videoconferencing tele-mental health research
Richardson, L. K., Frueh, B. C., Grubaugh, A. L., Egede, L., & Elhai, J. D. (2009) · Clinical Psychology: Science and Practice · doi:10.1111/j.1468-2850.2009.01170.x · Cited by 314 · see citing works
Self-citationEvidence for telehealth group-based treatment: a systematic review
Gentry, M. T., Lapid, M. I., Clark, M. M., & Rummans, T. A. (2019) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x18775855 · Cited by 200 · see citing works
Turgoose, D., Ashwick, R., & Murphy, D. (2018) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x17730443 · Cited by 148 · see citing works
Herbert, M. S., Afari, N., Liu, L., Heppner, P., Rutledge, T., Williams, K., Eraly, S., VanBuskirk, K., Nguyen, C., Bondi, M., et al. (2017) · The Journal of Pain · doi:10.1016/j.jpain.2016.10.014 · Cited by 137 · see citing works
Barnett, P., Goulding, L., Casetta, C., Jordan, H., Sheridan-Rains, L., Steare, T., Williams, J., Wood, L., Gaughran, F., & Johnson, S. (2021) · Journal of Medical Internet Research · doi:10.2196/26492 · Cited by 136 · see citing works
What About Telepsychiatry?: A Systematic Review
García-Lizana, F., & Muñoz-Mayorga, I. (2010) · The Primary Care Companion to The Journal of Clinical Psychiatry · doi:10.4088/pcc.09m00831whi · Cited by 125 · see citing works
Clinical Update: Telepsychiatry With Children and Adolescents
(2017) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2017.07.008 · Cited by 122 · see citing works
Sansom-Daly, U. M., Wakefield, C. E., Bryant, R. A., Butow, P., Sawyer, S., Patterson, P., Anazodo, A., Thompson, K., & Cohn, R. J. (2012) · BMC Cancer · doi:10.1186/1471-2407-12-339 · Cited by 94 · see citing works
Challenges and opportunities in internet-mediated telemental health.
Yuen, E. K., Goetter, E. M., Herbert, J. D., & Forman, E. M. (2012) · Professional Psychology: Research and Practice · doi:10.1037/a0025524 · Cited by 89 · see citing works
Complementary and alternative medicine approaches in the treatment of PTSD
Wynn, G. H. (2015) · Current Psychiatry Reports · doi:10.1007/s11920-015-0600-2 · Cited by 71 · see citing works
Distance-delivered interventions for PTSD: A systematic review and meta-analysis
Olthuis, J. V., Wozney, L., Asmundson, G. J. G., Cramm, H., Lingley-Pottie, P., & McGrath, P. J. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.09.010 · Cited by 64 · see citing works
Home-based clinical video teleconferencing care: Clinical considerations and future directions
Morland, L. A., Poizner, J. M., Williams, K. E., Masino, T. T., & Thorp, S. R. (2015) · International Review of Psychiatry · doi:10.3109/09540261.2015.1082986 · Cited by 51 · see citing works
King, S. C., Richner, K. A., Tuliao, A. P., Kennedy, J. L., & McChargue, D. E. (2020) · Substance Abuse · doi:10.1080/08897077.2019.1675116 · Cited by 48 · see citing works
Puspitasari, A. J., Heredia, D., Gentry, M., Sawchuk, C., Theobald, B., Moore, W., Tiede, M., Galardy, C., & Schak, K. (2021) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2021.05.002 · Cited by 45 · see citing works
Rayner, M., Dimovski, A., Muscara, F., Yamada, J., Burke, K., McCarthy, M., Hearps, S. J. C., Anderson, V. A., Coe, A., Hayes, L., et al. (2016) · Child & Family Behavior Therapy · doi:10.1080/07317107.2016.1203145 · Cited by 37 · see citing works
Wakefield, C. E., Sansom-Daly, U. M., McGill, B. C., McCarthy, M., Girgis, A., Grootenhuis, M., Barton, B., Patterson, P., Osborn, M., Lowe, C., et al. (2015) · Trials · doi:10.1186/s13063-015-0681-6 · Cited by 35 · see citing works
Campos-Melady, M., Smith, J. E., Meyers, R. J., Godley, S. H., & Godley, M. D. (2017) · Psychology of Addictive Behaviors · doi:10.1037/adb0000216 · Cited by 28 · see citing works
Rayner, M., Muscara, F., Dimovski, A., McCarthy, M. C., Yamada, J., Anderson, V. A., Burke, K., Walser, R., & Nicholson, J. M. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-0861-2 · Cited by 18 · see citing works
“In comparison with face-to-face therapy, videoconferencing groups for veterans with posttraumatic stress disorder (N = 38) showed equal levels of adherence, empathy and rapport, and more favourable ratings of therapist competence in the videoconferencing conditions [33].”
Background
- Authors
- Frueh, B. C., Monnier, J., Grubaugh, A. L., Elhai, J. D., Yim, E., & Knapp, R.
- Affiliations
- University of Hawaii at Hilo (US)
- Medical University of South Carolina (US)
- University of South Dakota (US)
- Corresponding author
- Frueh, B. Christopher
- Venue
- Behavior Modification
- Publisher
- SAGE Publications
- Published
- 2007-11
- Volume
- 31
- Issue
- 6
- Pages
- 856-866
- ISSN
- 0145-4455 (ISSN-L)
- 1552-4167
- OpenAlex
- W2151779581
- Cited by
- 82
- References
- 0
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 6 · 2021: 9 · 2020: 7 · 2019: 4 · 2018: 2 · 2017: 5 · 2016: 7 · 2015: 10 · 2014: 6 · 2013: 5 · 2012: 6
- FWCI
- 2.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavior Modification (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Agency for Healthcare Research and Quality (HS11642)
- National Institute of Mental Health (K24MH074468, MH074468)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- post-traumatic stress disorder, cognitive behavioral therapy, telepsychiatry, videoconferencing, therapist adherence, therapist competence, veterans, telemedicine, access to mental health care, rapport building, empathy
- MeSH terms
- Adjustment Disorders, Empathy, Health Personnel, Humans, Male, Middle Aged, Professional Competence, Psychotherapy, Group, Rural Population, Stress Disorders, Post-Traumatic, Veterans, Cognitive Behavioral Therapy, Telemedicine, Educational Technology, Guideline Adherence, Videoconferencing
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
