A counsellor-supported ‘PTSD Coach’ intervention versus enhanced Treatment-as-Usual in a resource-constrained setting: A randomised controlled trial
To widen treatment access for posttraumatic stress disorder (PTSD) in resource-constrained South Africa, we evaluated the feasibility and effectiveness of a counsellor-supported PTSD Coach mobile application (app) (PTSD Coach-CS) intervention on PTSD and associated sequelae in a community sample. Pa...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2024-01-01
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| Series: | Cambridge Prisms: Global Mental Health |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2054425123000924/type/journal_article |
| _version_ | 1797349033284468736 |
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| author | Erine Bröcker Miranda Olff Sharain Suliman Martin Kidd Lyrése Greyvenstein Soraya Seedat |
| author_facet | Erine Bröcker Miranda Olff Sharain Suliman Martin Kidd Lyrése Greyvenstein Soraya Seedat |
| author_sort | Erine Bröcker |
| collection | DOAJ |
| description | To widen treatment access for posttraumatic stress disorder (PTSD) in resource-constrained South Africa, we evaluated the feasibility and effectiveness of a counsellor-supported PTSD Coach mobile application (app) (PTSD Coach-CS) intervention on PTSD and associated sequelae in a community sample. Participants (female = 89%; black = 77%; aged 19–61) with PTSD were randomised to PTSD Coach-CS (n = 32) or enhanced Treatment-as-Usual (n = 30), and assessed with the Clinician-Administered PTSD Scale (CAPS-5), PTSD Checklist (PCL-5) and Depression, Anxiety and Stress Scale-21 items, at pre- to post-treatment and follow-up (1 and 3 months). We also collected data on user experiences of the PTSD Coach app with self-administered surveys. We conducted an intent-to-treat analysis and linear mixed models. A significant (group × time) effect for the CAPS-5 (F3.136 = 3.33, p = 0.02) indicated a greater reduction in PTSD symptom severity over time for the intervention group with a significant between-group effect size detected at 3-month follow-up. Significant between-group effect sizes were detected in self-reported stress symptom reduction in the intervention group at post-treatment and 3-month follow-up. Participants perceived the app as helpful and were satisfied with the app. Findings suggest PTSD Coach-CS as a suitable low-cost intervention and potential treatment alternative for adults with PTSD in a resource-constrained country. Replication in larger samples is needed to fully support effectiveness. Pan African Trial Registry: PACTR202108755066871. |
| first_indexed | 2024-03-08T12:24:18Z |
| format | Article |
| id | doaj.art-81a6c94e115d4a68831ce40081097173 |
| institution | Directory Open Access Journal |
| issn | 2054-4251 |
| language | English |
| last_indexed | 2024-03-08T12:24:18Z |
| publishDate | 2024-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Cambridge Prisms: Global Mental Health |
| spelling | doaj.art-81a6c94e115d4a68831ce400810971732024-01-22T10:54:24ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512024-01-011110.1017/gmh.2023.92A counsellor-supported ‘PTSD Coach’ intervention versus enhanced Treatment-as-Usual in a resource-constrained setting: A randomised controlled trialErine Bröcker0https://orcid.org/0000-0002-9861-9527Miranda Olff1https://orcid.org/0000-0003-1016-9515Sharain Suliman2https://orcid.org/0000-0001-5510-3128Martin Kidd3https://orcid.org/0000-0002-4887-7296Lyrése Greyvenstein4Soraya Seedat5https://orcid.org/0000-0002-5118-786XDepartment of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South AfricaDepartment of Psychiatry, Academic Medical Centre, University of Amsterdam, Amsterdam, NetherlandsDepartment of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South AfricaCentre for Statistical Consultation, Department of Psychiatry, Stellenbosch UniversityDepartment of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South AfricaDepartment of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South AfricaTo widen treatment access for posttraumatic stress disorder (PTSD) in resource-constrained South Africa, we evaluated the feasibility and effectiveness of a counsellor-supported PTSD Coach mobile application (app) (PTSD Coach-CS) intervention on PTSD and associated sequelae in a community sample. Participants (female = 89%; black = 77%; aged 19–61) with PTSD were randomised to PTSD Coach-CS (n = 32) or enhanced Treatment-as-Usual (n = 30), and assessed with the Clinician-Administered PTSD Scale (CAPS-5), PTSD Checklist (PCL-5) and Depression, Anxiety and Stress Scale-21 items, at pre- to post-treatment and follow-up (1 and 3 months). We also collected data on user experiences of the PTSD Coach app with self-administered surveys. We conducted an intent-to-treat analysis and linear mixed models. A significant (group × time) effect for the CAPS-5 (F3.136 = 3.33, p = 0.02) indicated a greater reduction in PTSD symptom severity over time for the intervention group with a significant between-group effect size detected at 3-month follow-up. Significant between-group effect sizes were detected in self-reported stress symptom reduction in the intervention group at post-treatment and 3-month follow-up. Participants perceived the app as helpful and were satisfied with the app. Findings suggest PTSD Coach-CS as a suitable low-cost intervention and potential treatment alternative for adults with PTSD in a resource-constrained country. Replication in larger samples is needed to fully support effectiveness. Pan African Trial Registry: PACTR202108755066871.https://www.cambridge.org/core/product/identifier/S2054425123000924/type/journal_articleinternet-based interventionPTSD Coach mobile applicationPTSDadultsresource-constrained setting |
| spellingShingle | Erine Bröcker Miranda Olff Sharain Suliman Martin Kidd Lyrése Greyvenstein Soraya Seedat A counsellor-supported ‘PTSD Coach’ intervention versus enhanced Treatment-as-Usual in a resource-constrained setting: A randomised controlled trial Cambridge Prisms: Global Mental Health internet-based intervention PTSD Coach mobile application PTSD adults resource-constrained setting |
| title | A counsellor-supported ‘PTSD Coach’ intervention versus enhanced Treatment-as-Usual in a resource-constrained setting: A randomised controlled trial |
| title_full | A counsellor-supported ‘PTSD Coach’ intervention versus enhanced Treatment-as-Usual in a resource-constrained setting: A randomised controlled trial |
| title_fullStr | A counsellor-supported ‘PTSD Coach’ intervention versus enhanced Treatment-as-Usual in a resource-constrained setting: A randomised controlled trial |
| title_full_unstemmed | A counsellor-supported ‘PTSD Coach’ intervention versus enhanced Treatment-as-Usual in a resource-constrained setting: A randomised controlled trial |
| title_short | A counsellor-supported ‘PTSD Coach’ intervention versus enhanced Treatment-as-Usual in a resource-constrained setting: A randomised controlled trial |
| title_sort | counsellor supported ptsd coach intervention versus enhanced treatment as usual in a resource constrained setting a randomised controlled trial |
| topic | internet-based intervention PTSD Coach mobile application PTSD adults resource-constrained setting |
| url | https://www.cambridge.org/core/product/identifier/S2054425123000924/type/journal_article |
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