Evidence map›Paper›PMID 26992740›Full record

Trial reportContemporary clinical trials2016

"Do you expect me to receive PTSD care in a setting where most of the other patients remind me of the perpetrator?": Home-based telemedicine to address barriers to care unique to military sexual trauma and veterans affairs hospitals.

Amanda K Gilmore, Margaret T Davis, Anouk Grubaugh, Heidi Resnick, Anna Birks, Carol Denier, Wendy Muzzy, Peter Tuerk, Ron Acierno

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Trauma-Informed Telehealth in the COVID-19 Era and Beyond.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2020
    Article
  13. Female Veterans' Experiences With VHA Treatment for Military Sexual Trauma.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019
    Article
  14. Article
  15. Article
  16. 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

9 authors.

Amanda K GilmoreDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, United States.
Margaret T DavisAuburn University Department of Psychology, United States; VA Ann Arbor Health Care System, University of Michigan Department of Psychiatry, United States.
Anouk GrubaughRalph H. Johnson Veterans Affairs Medical Center, United States.
Heidi ResnickDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, United States.
Anna BirksDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, United States; Ralph H. Johnson Veterans Affairs Medical Center, United States.
Carol DenierRalph H. Johnson Veterans Affairs Medical Center, United States.
Wendy MuzzyCollege of Nursing, Medical University of South Carolina, United States.
Peter TuerkRalph H. Johnson Veterans Affairs Medical Center, United States.
Ron AciernoRalph H. Johnson Veterans Affairs Medical Center, United States; College of Nursing, Medical University of South Carolina, United States.

Funding

Traumatic Stress Across the Lifespan: A Biopsychosocial Training ProgramT32MH018869 · NIMH · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI CARLA KMETT DANIELSON, DEAN Gaines KILPATRICK · 1988 to 2026
$7.2M
NIMH NIH HHS T32 MH018869
6 · The paper itself

Abstract

Home-based telemedicine (HBT) is a validated method of evidence-based treatment delivery for posttraumatic stress disorder (PTSD), and justification for its use has centered on closing gaps related to provider availability and distance to treatment centers. However, another potential use of HBT may be to overcome barriers to care that are inherent to the treatment environment, such as with female veterans who have experienced military sexual trauma (MST) and who must present to VA Medical Centers where the majority of patients share features with perpetrator (e.g. gender, clothing) and may function as reminders of the trauma. Delivering evidence-based therapies to female veterans with MST-related PTSD via HBT can provide needed treatment to this population. This manuscript describes an ongoing federally funded randomized controlled trial comparing Prolonged Exposure (PE) delivered in-person to PE delivered via HBT. Outcomes include session attendance, satisfaction with services, and clinical and quality of life indices. It is hypothesized that based on intent-to-treat analyses, HBT delivery of PE will be more effective than SD at improving both clinical and quality of life outcomes at post, 3-, and 6-month follow-up. This is because 'dose received', that is fewer sessions missed, and lower attrition, will be observed in the HBT group. Although the current manuscript focuses on female veterans with MST-related PTSD, implications for other populations facing systemic barriers are discussed.

Indexed as

Sex OffensesEvidence-Based MedicineFemaleHome Care ServicesHospitals, VeteransHumansImplosive TherapySexual HarassmentStress Disorders, Post-TraumaticTelemedicineUnited StatesUnited States Department of Veterans AffairsVeteransClinical trialFemale veteransHome-based telemedicineMilitary sexual traumaPosttraumatic stress disorderProlonged exposure

Identifiers

PMID26992740
PMCPMC4926870

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.