Evidence map›Paper›PMID 33705169›Full record

Trial reportJournal of consulting and clinical psychology2021

A randomized trial of an online, coach-assisted self-management PTSD intervention tailored for women veterans.

Keren Lehavot, Steven P Millard, Rachel M Thomas, Konstantina Yantsides, Michelle Upham, Kerry Beckman, Alison B Hamilton, Anne Sadler, Brett Litz, Tracy Simpson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. PTSD symptom clusters and alcohol use among midlife women Veterans.Journal of military, veteran and family health · 2025
    Article
  12. Review
  13. Article
  14. Article
  15. Post-traumatic Stress Disorder in Veterans: A Concept Analysis.Behavioral sciences (Basel, Switzerland) · 2024
    Article
  16. State of the Knowledge of VA Military Sexual Trauma Research.Journal of general internal medicine · 2022
    Review
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.

Keren LehavotHealth Services Research & Development Center of Innovation.
Steven P MillardGeriatric Research Education and Clinical Center.ORCID 0000-0001-9194-5621
Rachel M ThomasHealth Services Research & Development Center of Innovation.
Konstantina YantsidesHealth Services Research & Development Center of Innovation.
Michelle UphamHealth Services Research & Development Center of Innovation.
Kerry BeckmanHealth Services Research & Development Center of Innovation.
Alison B HamiltonVA HSR&D Center for the Study of Healthcare Innovation, Implementation, & Policy.ORCID 0000-0003-3998-7212
Anne SadlerThe Center for Comprehensive Access & Delivery Research and Evaluation.ORCID 0000-0001-5020-3752
Brett LitzMassachusetts Veterans Epidemiological Research and Information Center.
Tracy SimpsonDepartment of Psychiatry & Behavioral Sciences.

Funding

Evaluation of Web-Based CBT for Women Veterans with PTSDIK2CX000867 · VA · VA PUGET SOUND HEALTHCARE SYSTEM · PI LEHAVOT, KEREN · 2014 to 2018
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CSRD VA IK2 CX000867
6 · The paper itself

Abstract

objectiveScalable, efficiently delivered treatments are needed to address the needs of women Veterans with PTSD. This randomized clinical trial compared an online, coach-assisted cognitive behavioral intervention tailored for women Veterans with PTSD to phone monitoring only.

methodWomen Veterans who met diagnostic criteria for PTSD were randomized to an 8-week web-based intervention, called DElivery of Self TRaining and Education for Stressful Situations (DESTRESS)-Women Veterans version (WV), or to phone monitoring only (N = 102). DESTRESS-WV consisted of online sessions and 15-min weekly phone calls from a study coach. Phone monitoring included 15-min weekly phone calls from a study coach to offer general support. PTSD symptom severity (PTSD Symptom-Checklist-Version 5 [PCL-5]) was evaluated pre and posttreatment, and at 3 and 6 months posttreatment.

resultsMore participants completed phone monitoring than DESTRESS-WV (96% vs. 76%, p = 0.01), although treatment satisfaction was significantly greater in the DESTRESS-WV condition. We failed to confirm the superiority of DESTRESS-WV in intent-to-treat slope changes in PTSD symptom severity. Both treatments were associated with significant reductions in PTSD symptom severity over time. However, post hoc analyses of treatment completers and of those with baseline PCL ≥ 33 revealed that the DESTRESS-WV group had greater improvement in PTSD symptom severity relative to phone monitoring with significant differences at the 3-month follow-up assessment.

conclusionsBoth DESTRESS-WV and phone monitoring resulted in significant improvements in women Veterans' PTSD symptoms. DESTRESS-WV may be an appropriate care model for women Veterans who can engage in the demands of the treatment and have higher baseline symptoms. Future research should explore characteristics of and the methods of reliably identifying women Veterans who are most likely to benefit. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Indexed as

Internet-Based InterventionSelf-ManagementAdultFemaleHumansMiddle AgedStress Disorders, Post-TraumaticTreatment OutcomeVeterans

Identifiers

PMID33705169
PMCPMC8238393

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.