Patient Satisfaction With a Coach-Guided, Technology-Based Mental Health Treatment: Qualitative Interview Study and Theme Analysis.

PTSD coaching digital treatment interview mental health patient satisfaction qualitative assessment qualitative methods sentiment analysis technology-based telehealth trauma veterans video telehealth web-based treatment

Journal

JMIR mental health
ISSN: 2368-7959
Titre abrégé: JMIR Ment Health
Pays: Canada
ID NLM: 101658926

Informations de publication

Date de publication:
02 Feb 2024
Historique:
received: 18 07 2023
accepted: 21 10 2023
revised: 20 10 2023
medline: 2 2 2024
pubmed: 2 2 2024
entrez: 2 2 2024
Statut: epublish

Résumé

Technology-based mental health interventions address barriers rural veterans face in accessing care, including provider scarcity and distance from the hospital or clinic. webSTAIR is a 10-module, web-based treatment based on Skills Training in Affective and Interpersonal Regulation, designed to treat posttraumatic stress disorder and depression in individuals exposed to trauma. Previous work has demonstrated that webSTAIR is acceptable to participants and effective at reducing symptoms of posttraumatic stress disorder and depression when delivered synchronously or asynchronously (over 5 or 10 sessions). This study explored factors that lead to greater patient satisfaction with webSTAIR, a web-based, coach-guided intervention. We analyzed qualitative interview data to identify themes related to patient satisfaction with webSTAIR delivered with synchronous video-based coaching. Four themes emerged from the data: (1) coaching provides accountability and support, (2) self-pacing offers value that meets individual needs, (3) participants like the comfort and convenience of the web-based format, and (4) technical issues were common but not insurmountable. We conclude that participants valued the accountability, flexibility, and convenience of tech-based interventions with video-delivered coaching.

Sections du résumé

BACKGROUND BACKGROUND
Technology-based mental health interventions address barriers rural veterans face in accessing care, including provider scarcity and distance from the hospital or clinic. webSTAIR is a 10-module, web-based treatment based on Skills Training in Affective and Interpersonal Regulation, designed to treat posttraumatic stress disorder and depression in individuals exposed to trauma. Previous work has demonstrated that webSTAIR is acceptable to participants and effective at reducing symptoms of posttraumatic stress disorder and depression when delivered synchronously or asynchronously (over 5 or 10 sessions).
OBJECTIVE OBJECTIVE
This study explored factors that lead to greater patient satisfaction with webSTAIR, a web-based, coach-guided intervention.
METHODS METHODS
We analyzed qualitative interview data to identify themes related to patient satisfaction with webSTAIR delivered with synchronous video-based coaching.
RESULTS RESULTS
Four themes emerged from the data: (1) coaching provides accountability and support, (2) self-pacing offers value that meets individual needs, (3) participants like the comfort and convenience of the web-based format, and (4) technical issues were common but not insurmountable.
CONCLUSIONS CONCLUSIONS
We conclude that participants valued the accountability, flexibility, and convenience of tech-based interventions with video-delivered coaching.

Identifiants

pubmed: 38306167
pii: v11i1e50977
doi: 10.2196/50977
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e50977

Informations de copyright

©Ashley Helm Smith, Hilary Touchett, Patricia Chen, Terri Fletcher, Jennifer Arney, Julianna Hogan, Miryam Wassef, Marylene Cloitre, Jan A Lindsay. Originally published in JMIR Mental Health (https://mental.jmir.org), 02.02.2024.

Auteurs

Ashley Helm Smith (AH)

Houston Veteran Affairs Health Services Research and Development Center for Innovations in Quality, Effectiveness and Safety, Michael E DeBakey Veteran Affairs Medical Center, Houston, TX, United States.
South Central Mental Illness Research, Education and Clinical Center, Houston, TX, United States.

Hilary Touchett (H)

Houston Veteran Affairs Health Services Research and Development Center for Innovations in Quality, Effectiveness and Safety, Michael E DeBakey Veteran Affairs Medical Center, Houston, TX, United States.
South Central Mental Illness Research, Education and Clinical Center, Houston, TX, United States.
Department of Medicine, Baylor College of Medicine, Houston, TX, United States.

Patricia Chen (P)

Houston Veteran Affairs Health Services Research and Development Center for Innovations in Quality, Effectiveness and Safety, Michael E DeBakey Veteran Affairs Medical Center, Houston, TX, United States.
Department of Medicine, Baylor College of Medicine, Houston, TX, United States.

Terri Fletcher (T)

Houston Veteran Affairs Health Services Research and Development Center for Innovations in Quality, Effectiveness and Safety, Michael E DeBakey Veteran Affairs Medical Center, Houston, TX, United States.
South Central Mental Illness Research, Education and Clinical Center, Houston, TX, United States.
Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States.

Jennifer Arney (J)

Department of Sociology, College of Human Sciences and Humanities, University of Houston Clear Lake, Houston, TX, United States.

Julianna Hogan (J)

Houston Veteran Affairs Health Services Research and Development Center for Innovations in Quality, Effectiveness and Safety, Michael E DeBakey Veteran Affairs Medical Center, Houston, TX, United States.
South Central Mental Illness Research, Education and Clinical Center, Houston, TX, United States.
Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States.

Miryam Wassef (M)

Houston Veteran Affairs Health Services Research and Development Center for Innovations in Quality, Effectiveness and Safety, Michael E DeBakey Veteran Affairs Medical Center, Houston, TX, United States.
South Central Mental Illness Research, Education and Clinical Center, Houston, TX, United States.
Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States.

Marylene Cloitre (M)

National Center for Post-Traumatic Stress Disorder Dissemination and Training Division, Veteran Affairs Palo Alto Health Care System, Palo Alto, CA, United States.

Jan A Lindsay (JA)

Houston Veteran Affairs Health Services Research and Development Center for Innovations in Quality, Effectiveness and Safety, Michael E DeBakey Veteran Affairs Medical Center, Houston, TX, United States.
South Central Mental Illness Research, Education and Clinical Center, Houston, TX, United States.
Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States.
Rice University's Baker Institute for Public Policy, Houston, TX, United States.

Classifications MeSH