Evidence map›Paper›PMID 41494058›Full record

ArticleJournal of clinical psychology2026

A Qualitative Exploration of Post-Injury Challenges and the Potential Role of the PTSD Coach Mobile Application to Improve Recovery Among Acutely Injured Patients.

Maria L Pacella-LaBarbara, Megan Hamm, Neil Kenkre, Enzo G Plaitano, Natalee Gallo, Harry Morford, Eric Kuhn, Brian P Suffoletto

Abstract read
In one paragraph

Article in Journal of clinical psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Maria L Pacella-LaBarbaraDepartment of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-1431-9405
Megan HammDepartment of Medicine, Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Neil KenkreDepartment of Medicine, Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Enzo G PlaitanoThe Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Hanover, New Hampshire, USA.
Natalee GalloDepartment of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Harry MorfordDepartment of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Eric KuhnNational Center for PTSD, Dissemination and Training Division, Palo Alto, California, USA.
Brian P SuffolettoDepartment of Emergency Medicine, Stanford University, Palo Alto, California, USA.

Funding

Training in the Science of Co-Occurring DisordersT32DA037202 · NIDA · DARTMOUTH COLLEGE · PI Lisa A. Marsch · 2014 to 2026
$4.7M
An in-depth Examination of the Psychological Processes involved in the Transition from Acute to Chronic Pain after a Traumatic Musculoskeletal InjuryK01AR073300 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PACELLA, MARIA LYNN · 2019 to 2024
$670k
Identifying Modifiable Momentary Predictors of Substance Use in High Risk Emergency Medical Services CliniciansF31DA062393 · NIDA · DARTMOUTH COLLEGE · PI Enzo Gianni Plaitano · 2025 to 2026
$100k
CHAMPP Clinical Research Center at the University of PittsburghNational Institutes of Health T32 Training 5T32DA037202-10NIAMS NIH HHS 1K01AR073300-01A1NIAMS NIH HHS K01 AR073300NIDA NIH HHS F31 DA062393NIDA NIH HHS T32 DA037202
6 · The paper itself

Abstract

objectiveDigital interventions designed to prevent development of chronic pain and comorbid mental health symptoms, specifically targeting the acute injury recovery period, are in the early stages of development. The evidence-based PTSD Coach mobile application is a free resource offering cognitive-behavioral interventions to self-manage posttraumatic symptoms; it is used widely in varied populations, and it is feasible and acceptable to injured Emergency Department patients. However, patients' subjective experience and feedback regarding optimizing the app are lacking.

methodsWe conducted a qualitative study in which we recruited and interviewed 18 acutely injured adult patients (5 men; 13 women) at-risk for persistent pain and psychological problems. Participants were instructed to use PTSD Coach for at least 1 week; during the interview, participants discussed post-injury needs and challenges, their experience with the app, and general perceptions of its suitability to address post-injury distress.

resultsFavorable feedback centered on the variety of user-friendly tools to help manage symptoms, ability to increase awareness of symptoms and identify and cope with distressing reminders of the trauma, and on facilitating openness and linking to resources for mental health treatment. Suggestions for improvement included: increased personalization through app onboarding, text messages and other notifications to prompt use, having voice-overs to read content to participants, and linkages to in-person mental healthcare if needed.

conclusionThese findings support PTSD Coach as a potential self-management tool to prevent the chronicity of maladaptive psychological reactions to injury and highlight features that may improve its utility for this unique underserved population.

Indexed as

Cognitive Behavioral TherapyMobile ApplicationsSelf-ManagementStress Disorders, Post-TraumaticWounds and InjuriesAdultFemaleHumansMaleMiddle AgedQualitative ResearchYoung Adultacute paindigital health interventionemergency departmentposttraumatic stressPTSD Coach

Identifiers

PMID41494058
PMCPMC12958468

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LicenceCC BY
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Registered trials

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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.