Evidence map›Paper›PMID 23931729›Full record

Trial reportTelemedicine journal and e-health : the official journal of the American Telemedicine Association2013

Telemedicine: a cost-reducing means of delivering psychotherapy to rural combat veterans with PTSD.

Leslie A Morland, Michelle Raab, Margaret-Anne Mackintosh, Craig S Rosen, Clara E Dismuke, Carolyn J Greene, B Christopher Frueh

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00122109 (Telemedicine and Anger Management Groups for PTSD Veterans in the Hawaiian Islands), which is not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00122109 nacompletednot on this map

Telemedicine and Anger Management Groups for PTSD Veterans in the Hawaiian Islands

TypeinterventionalSponsorUS Department of Veterans AffairsRan2005 to 2009Enrolled125ConditionsPosttraumatic Stress DisorderArms12 sessions Anger Management Therapy.
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Technologies as support tools for persons with autistic spectrum disorder: a systematic review.International journal of environmental research and public health · 2014
    Pooled it
  4. Trial
  5. Trial
  6. Review
  7. Article
  8. Article
  9. A consolidated model for telepsychology practice.Journal of clinical psychology · 2020
    Review
  10. Review
  11. Article
  12. Article
  13. The State and Sustainability of Telepsychiatry Programs.The journal of behavioral health services & research · 2016
    Review
  14. Telepsychiatry Today.Current psychiatry reports · 2015
    Review
  15. Implementation of video telehealth to improve access to evidence-based psychotherapy for posttraumatic stress disorder.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2015
    Article
  16. Article
  17. Article
  18. Tele-Psychiatry: After Mars, Can we Reach the Unreached?Indian journal of psychological medicine
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Leslie A Morland1 Pacific Islands Division, National Center for PTSD, Department of Veterans Affairs Pacific Islands Healthcare System , Honolulu, Hawaii.
Michelle Raab
Margaret-Anne Mackintosh
Craig S Rosen
Clara E Dismuke
Carolyn J Greene
B Christopher Frueh
National Center for PTSD · USMedical University of South Carolina · USUniversity of Hawaii System · USVA Palo Alto Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough effective psychotherapies for posttraumatic stress disorder (PTSD) exist, high percentages of Veterans in need of services are unable to access them. One particular challenge to providing cost-effective psychological treatments to Veterans with PTSD involves the difficulty and high cost of delivering in-person, specialized psychotherapy to Veterans residing in geographically remote locations. The delivery of these services via clinical videoteleconferencing (CVT) has been presented as a potential solution to this access to care problem. MATERIALS AND

methodsThis study is a retrospective cost analysis of a randomized controlled trial investigating telemedicine service delivery of an anger management therapy for Veterans with PTSD. The parent trial found that the CVT condition provided clinical results that were comparable to the in-person condition. Several cost outcomes were calculated in order to investigate the clinical and cost outcomes associated with the CVT delivery modality relative to in-person delivery.

resultsThe CVT condition was significantly associated with lower total costs compared with the in-person delivery condition. The delivery of mental health services via CVT enables Veterans who would not normally receive these services access to empirically based treatments. Additional studies addressing long-term healthcare system costs, indirect cost factors at the patient and societal levels, and the use of CVT in other geographic regions of the United States are needed.

conclusionsThe results of this study provide evidence that CVT is a cost-reducing mode of service delivery to Veterans with PTSD relative to in-person delivery.

Indexed as

Cost-Benefit AnalysisCost ControlHawaiiHumansMalePsychotherapyStress Disorders, Post-TraumaticTelemedicineVeterans

Identifiers

PMID23931729
PMCPMC3787338
OpenAlexW2068222889

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.