Perceptions and Experiences of Web-Prolonged Exposure for Posttraumatic Stress Disorder: A Mixed-Methods Study

Carmen P. McLean, Madeleine L. Miller, Katherine A. Dondanville, Sheila A.M. Rauch, Jeffrey S. Yarvis, Edward C. Wright, Brittany N. Hall-Clark, Brooke A. Fina, Brett T. Litz, Jim Mintz, Stacey Young-McCaughan, Alan L. Peterson, Edna B. Foa

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Web-based prolonged exposure therapy (Web-PE) has potential to increase the reach of effective posttraumatic stress disorder (PTSD) treatment. While there is initial support for the efficacy of Web-PE, no studies have examined the perceptions and experiences of participants receiving PE in this novel, Web based format. Method: We used a mixed-methods convergent design to examine and integrate quantitative and qualitative data of participant perceptions and experiences of Web-PE. Treatment-seeking active duty military personnel or veterans (N = 29) who received Web-PE completed posttreatment surveys about perceptions of Web-PE and a brief qualitative interview. Thematic coding was used to identify qualitative themes, which were integrated with quantitative data in a joint display. Results: Although many were initially skeptical of experiencing benefit, participants reported that Web- PE was helpful. They appreciated the flexibility of online therapy and reported that self-motivation was important for engagement. Web-PE therapists were well-regarded, although additional therapist support and technical improvements to the Web-PE program were suggested. Scores on the perceptions of Web- PE survey, PTSD survey, and other quantitative data corroborated the qualitative themes. Conclusion: Perceptions and experience of Web-PE are favorable and help to highlight the strengths (e.g., flexibility) and challenges (e.g., requiring self-motivation) associated with Web-treatment for PTSD. The results of this study may inform further development of Web-PE or other Web-based treatment programs.

Original languageEnglish (US)
JournalPsychological Trauma: Theory, Research, Practice, and Policy
DOIs
StateAccepted/In press - 2022

Keywords

  • Ehealth
  • Mixed methods
  • Prolonged exposure
  • Web treatment

ASJC Scopus subject areas

  • Social Psychology
  • Clinical Psychology

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