Belle Zaccari, PsyD, Veterans Affairs Portland Health Care System, Portland, OR, USA.
Belle Zaccari, PsyD, Department of Psychiatry, Oregon Health & Science University, Portland, OR, USA.
J Am Psychiatr Nurses Assoc. 2024 Apr;30(2):343-354. doi: 10.1177/10783903221108765. Epub 2022 Jul 14.
Posttraumatic stress disorder (PTSD) is a common sequela to military sexual trauma (MST) among women veterans. Yoga has shown promise in research examining its benefit for symptoms and sequela of PTSD.
The objective of this study was to evaluate the feasibility of a randomized controlled trial (RCT) of Trauma Center Trauma-Sensitive Yoga (TCTSY) for women veterans with PTSD related to MST.
In this feasibility study, the final sample included women veterans ( = 41) with PTSD related to MST accessing health care in a Veterans Affairs Health Care System in the southeast United States; the majority were African American ( 33; 80.5%). Interventions used established protocols of 10 weekly sessions of group TCTSY versus 12 weekly sessions of group Cognitive Processing Therapy (CPT). PTSD was assessed via clinical interview and participant report. Additional data collection included multiple participant-reported outcomes commonly associated with PTSD and psychophysiological measures. We also collected data regarding participant satisfaction and feasibility-related feedback from participants and providers.
Feasibility and acceptability were evaluated via demand, practicality, fidelity, and acceptability. This was measured by expressed interest, attendance, program completion, barriers to care and satisfaction with treatment, and satisfaction with interventions and data collection.
Results indicate the RCT design and TCTSY implementation were feasible; a full-scale RCT was subsequently conducted to determine efficacy of the experimental intervention. Recommendations for successful research strategies are provided.
创伤后应激障碍(PTSD)是女性退伍军人经历军事性创伤(MST)后的常见后遗症。瑜伽在研究其对 PTSD 症状和后遗症的益处方面显示出了前景。
本研究的目的是评估针对与 MST 相关的 PTSD 的创伤中心创伤敏感瑜伽(TCTSY)对女性退伍军人进行随机对照试验(RCT)的可行性。
在这项可行性研究中,最终样本包括在东南部美国退伍军人事务医疗保健系统中接受医疗保健的 PTSD 相关 MST 的女性退伍军人(n=41);大多数为非裔美国人(n=33;80.5%)。干预措施使用了已建立的方案,即每周 10 次团体 TCTSY 与每周 12 次团体认知加工疗法(CPT)。通过临床访谈和参与者报告评估 PTSD。额外的数据收集包括与 PTSD 相关的多个参与者报告的结果以及心理生理测量。我们还收集了参与者和提供者对参与者满意度和与可行性相关的反馈的相关数据。
通过需求、实用性、保真度和可接受性来评估可行性和可接受性。这是通过表达兴趣、出勤率、计划完成情况、护理障碍和对治疗的满意度以及对干预措施和数据收集的满意度来衡量的。
结果表明 RCT 设计和 TCTSY 的实施是可行的;随后进行了一项全面的 RCT,以确定实验干预的疗效。提供了成功研究策略的建议。