Evidence map›Paper›PMID 27894058›Full record

Trial reportBehaviour research and therapy2017

A non-inferiority trial of Prolonged Exposure for posttraumatic stress disorder: In person versus home-based telehealth.

Ron Acierno, Rebecca Knapp, Peter Tuerk, Amanda K Gilmore, Carl Lejuez, Kenneth Ruggiero, Wendy Muzzy, Leonard Egede, Melba A Hernandez-Tejada, Edna B Foa

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Behaviour research and therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 4 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

73 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Pooled it
  5. Trial
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  7. Peer support during in vivo exposure homework increases likelihood of prolonged exposure therapy completion.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025
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  15. Rural-Urban and Racial-Ethnic Differences in Tele-Behavioral Health Access for Medicaid Beneficiaries.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  16. Observational
  17. Article
  18. Reducing Depression and Suicidal Ideation Among Elder Abuse Victims Using PROTECT.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025
    Article
  19. Uses of Virtual Care in Primary Care: Scoping Review.Journal of medical Internet research · 2025
    Article
  20. Improved outcomes for depressed elder abuse victims with video-delivered psychotherapy during COVID-19.Psychotherapy research : journal of the Society for Psychotherapy Research · 2025
    Article

13 more citing papers are in PubMed but not listed here.

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

10 authors.

Ron AciernoRalph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA; College of Nursing, Medical University of South Carolina, Charleston, SC, USA. Electronic address: acierno@musc.edu.
Rebecca KnappDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA.
Peter TuerkRalph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Amanda K GilmoreDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Carl LejuezCollege of Liberal Arts & Sciences, University of Kansas, Lawrence, KS, USA.
Kenneth RuggieroRalph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA; College of Nursing, Medical University of South Carolina, Charleston, SC, USA.
Wendy MuzzyRalph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA; College of Nursing, Medical University of South Carolina, Charleston, SC, USA.
Leonard EgedeRalph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA.
Melba A Hernandez-TejadaRalph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA; College of Nursing, Medical University of South Carolina, Charleston, SC, USA.
Edna B FoaDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.

Funding

South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
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
Prolonged Exposure (PE) for PTSD: Telemedicine vs. In PersonI01HX000152 · VA · RALPH H JOHNSON VA MEDICAL CENTER · PI ACIERNO, RONALD E. · 2011 to 2015
–
HSRD VA I01 HX000152NCATS NIH HHS UL1 TR001450NIMH NIH HHS T32 MH018869
6 · The paper itself

Abstract

This is the first randomized controlled trial to evaluate non-inferiority of Prolonged Exposure (PE) delivered via home-based telehealth (HBT) compared to standard in-person (IP) PE. One-hundred thirty two Veterans recruited from a Southeastern Veterans Affairs Medical Center and affiliated University who met criteria for posttraumatic stress disorder (PTSD) were randomized to receive PE via HBT or PE via IP. Results indicated that PE-HBT was non-inferior to PE-IP in terms of reducing PTSD scores at post-treatment, 3 and 6 month follow-up. However, non-inferiority hypotheses for depression were only supported at 6 month follow-up. HBT has great potential to reduce patient burden associated with receiving treatment in terms of travel time, travel cost, lost work, and stigma without sacrificing efficacy. These findings indicate that telehealth treatment delivered directly into patients' homes may dramatically increase the reach of this evidence-based therapy for PTSD without diminishing effectiveness.

Indexed as

TelemedicineAdultFemaleHumansImplosive TherapyMaleStress Disorders, Post-TraumaticYoung AdultNon-inferiorityProlonged exposurePTSDRCTTelehealth

Identifiers

PMID27894058
PMCPMC5222772

What OpenQuestion holds

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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.