A Randomized Controlled Trial of In-Home Tele-Behavioral Health Care Utilizing Behavioral Activation for Depression

Abstract

In-home tele-behavioral health treatments have the potential to address current health needs of Service Members, Veterans, and their families, especially for those that live in rural and underserved areas. The use of in-home, web-based treatment to address the psychological needs of Service Members and Veterans is not yet considered standard of care for the DoD. The safety and clinical efficacy of such treatments must be established before broad dissemination of these treatment programs occurs. This study is a two-group (web-based in-home BA vs. in-person BA) prospective randomized controlled trial. Both groups will be assessed at baseline, mid-treatment (Week 4), post-treatment (Week 8), and at a 3-month follow-up visit. The primary outcome variables are safety and hopelessness. Secondary outcome variables include depression, anxiety, PTSD symptoms, attitudes toward seeking mental health services, quality of life, and health care utilization, as well as treatment satisfaction, adherence, and compliance. A total of 120 participants will be recruited with an anticipated completion rate of 108 participants (54 per treatment group). Participants are Regular Service Members, National Guard Members, Reservists, and Veterans recruited at Madigan Army Medical Center and the Portland VA Medical Center.

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Document Details

Document Type
Technical Report
Publication Date
May 01, 2014
Accession Number
ADA600382

Entities

People

  • Amy K Wagner
  • David Luxton
  • Gregory Gahm
  • Katherine Stanfill
  • Larry D Pruitt
  • Mark Reger
  • Matt Mishkind
  • Michael Jenkins-guarnieri
  • Nancy A. Skopp
  • Nigel E. Bush

Organizations

  • Geneva Foundation

Tags

DTIC Thesaurus Topics

  • Afghanistan Conflict
  • Air Force
  • Brain Injuries
  • Depression
  • Diseases And Disorders
  • Health Care
  • Health Services
  • Institutional Review Board
  • Medical Personnel
  • Mental Disorders
  • Military Personnel
  • Psychiatry
  • Psychology
  • Psychotherapy
  • Social Media
  • Social Psychology
  • Therapy

Fields of Study

  • Medicine
  • Psychology

Readers

  • Mental Health of Military Veterans with Posttraumatic Stress Disorder (PTSD): Risk Factors, Prevalence, Symptoms, and Treatment.
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.
  • Rehabilitation and Prosthetic Care for Military Service Members and Veterans with Limb Loss or Disability.