ArticleTelemedicine journal and e-health : the official journal of the American Telemedicine Association2015
Implementation of video telehealth to improve access to evidence-based psychotherapy for posttraumatic stress disorder.
Article in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Implementation strategies for telemental health: a systematic review.BMC health services research · 2023Pooled it
- Implementation of Telemental Health Services Before COVID-19: Rapid Umbrella Review of Systematic Reviews.Journal of medical Internet research · 2021Pooled it
- Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework.Journal of medical Internet research · 2021Pooled it
- Barriers and facilitators of videoconferencing psychotherapy implementation in veteran mental health care environments: a systematic review.BMC health services research · 2020Pooled it
- Assessing fidelity of cognitive behavioral therapy in rural VA clinics: design of a randomized implementation effectiveness (hybrid type III) trial.Implementation science : IS · 2016Trial
- Association Between Telehealth Delivery and Same-day Access to Integrated Mental Health in a National VA Sample.Journal of general internal medicine · 2026Article
- PICU associated social-emotional adversity in early childhood cancer patients: consequences in neurodevelopment and mental health.Frontiers in oncology · 2026Review
- Development and preliminary testing of a culturally competent behaviour change intervention framework to enhance utilisation of sexual and reproductive health services among migrant adolescents in Ghana: an intervention design.International journal for equity in health · 2025Article
- Key informants' perceptions of telehealth palliative care for people living with dementia in nursing homes.BMC geriatrics · 2025Article
- The impact of COVID-19 on treatment seeking and interest in internet-based therapy for anxiety-related disorders: An interrupted time-series analysis.Psychiatry research · 2023Article
- Feasibility of Group-Based Implementation Facilitation for Video Telemental Health.Journal of technology in behavioral science · 2023Article
- Synthesis of the Evidence on What Works for Whom in Telemental Health: Rapid Realist Review.Interactive journal of medical research · 2022Review
- Results and Lessons Learned when Implementing Virtual Health Resource Centers to Increase Virtual Care Adoption During the COVID-19 Pandemic.Journal of technology in behavioral science · 2022Article
- Practitioner use of and attitudes towards videoconferencing for the delivery of evidence-based telemental health interventions: A mixed methods study.Internet interventions · 2021Article
- Review of the current empirical literature on using videoconferencing to deliver individual psychotherapies to adults with mental health problems.Psychology and psychotherapy · 2021Review
- Psychiatrist and Psychologist Experiences with Telehealth and Remote Collaborative Care in Primary Care: A Qualitative Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021Article
- Combination outreach and wellness intervention for distressed rural veterans: results of a multimethod pilot study.Journal of behavioral medicine · 2021Article
- Therapists' Experience of Video Consultation in Specialized Mental Health Services During the COVID-19 Pandemic: Qualitative Interview Study.JMIR human factors · 2021Article
- "It didn't fit for me:" A qualitative examination of dropout from prolonged exposure and cognitive processing therapy in veterans.Psychological services · 2020Article
- A systematic scoping review of change management practices used for telemedicine service implementations.BMC health services research · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIncreasing access to psychotherapy for posttraumatic stress disorder (PTSD) is a primary focus of the Department of Veterans Affairs (VA) healthcare system. Delivery of treatment via video telehealth can expand availability of treatment and be equally effective as in-person treatment. Despite VA efforts, barriers to establishing telehealth services remain, including both provider acceptance and organizational obstacles. Thus, development of specific strategies is needed to implement video telehealth services in complex healthcare systems, like the VA. MATERIALS AND
methodsThis project was guided by the Promoting Action on Research Implementation in Health Services framework and used external facilitation to increase access to psychotherapy via video telehealth. The project was conducted at five VA Medical Centers and their associated community clinics across six states in the South Central United States.
resultsOver a 21-month period, 27 video telehealth clinics were established to provide greater access to evidence-based psychotherapies for PTSD. Examination of change scores showed that participating sites averaged a 3.2-fold increase in unique patients and a 6.5-fold increase in psychotherapy sessions via video telehealth for PTSD. Differences between participating and nonparticipating sites in both unique patients and encounters were significant (p=0.041 and p=0.009, respectively). Two groups emerged, separated by degree of engagement in the facilitation intervention. Facilitation was perceived as useful by providers.
conclusionsTo our knowledge, this is the first prospective study of external facilitation as an implementation strategy for telehealth. Our findings suggest that external facilitation is an effective and acceptable strategy to support providers as they establish clinics and make complex practice changes, such as implementing video telehealth to deliver psychotherapy.
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