Wells Stephanie Y, Knopp Kayla, Ponzini Gabriella T, Kehle-Forbes Shannon M, Gomez Rosalba M, Morland Leslie A, Dedert Eric, Jackson George L, Grubbs Kathleen M
Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System.
Veterans Affairs San Diego Healthcare System.
Psychol Serv. 2025 Feb;22(1):158-166. doi: 10.1037/ser0000836. Epub 2024 Feb 26.
Understanding the modality by which veterans prefer to receive couples-based posttraumatic stress disorder (PTSD) treatment (i.e., home-based telehealth, in-person) may increase engagement in PTSD psychotherapy. This study aimed to understand veterans' preferred modality for couples-based PTSD treatments, individual factors associated with preference, and reasons for their preference. One hundred sixty-six veterans completed a baseline assessment as part of a clinical trial. Measures included a closed- and open-ended treatment preference questionnaire, as well as demographics, clinical symptoms, functioning, and relational measures, such as relationship satisfaction. Descriptive statistics and correlations examined factors associated with preference. An open-ended question querying veterans' reasons for their preferred modality was coded to identify themes. Though veterans as a group had no clear modality preference (51% preferring home-based telehealth and 49% preferring in-person treatment), veterans consistently expressed high levels of preference strength in the modality they chose. The presence of children in the home was associated with stronger preference for home-based telehealth. Veterans who preferred in-person care found it to be more credible and had more positive treatment expectancies. Veterans who preferred home-based telehealth believed it was flexible and increased access to care. For both preference groups, veterans' preferred modality was viewed as facilitating interpersonal relations and being more comfortable than the alternative modality. Veterans expressed strong preference for receiving their desired treatment modality for couples-based PTSD treatment. Results suggest that it is important to offer multiple treatment delivery options in couples-based PTSD treatment and matching couples to their preferred modality supports individualized, patient-centered care. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
了解退伍军人更喜欢通过哪种方式接受基于夫妻的创伤后应激障碍（PTSD）治疗（即居家远程医疗、面对面治疗），可能会提高他们参与PTSD心理治疗的程度。本研究旨在了解退伍军人对于基于夫妻的PTSD治疗的首选方式、与偏好相关的个体因素以及他们偏好的原因。166名退伍军人完成了一项作为临床试验一部分的基线评估。测量指标包括封闭式和开放式治疗偏好问卷，以及人口统计学、临床症状、功能和关系测量指标，如关系满意度。描述性统计和相关性分析检验了与偏好相关的因素。对一个询问退伍军人偏好原因的开放式问题进行编码以确定主题。虽然作为一个群体的退伍军人没有明确的方式偏好（51%更喜欢居家远程医疗，49%更喜欢面对面治疗），但退伍军人在他们选择的方式中始终表达出高度的偏好强度。家中有孩子与对居家远程医疗的更强偏好相关。更喜欢面对面护理的退伍军人认为它更可信，并且有更积极的治疗预期。更喜欢居家远程医疗的退伍军人认为它很灵活，并且增加了获得护理的机会。对于两个偏好组来说，退伍军人的首选方式被视为有助于人际关系，并且比另一种方式更舒适。退伍军人对接受他们期望的基于夫妻的PTSD治疗方式表达了强烈的偏好。结果表明，在基于夫妻的PTSD治疗中提供多种治疗方式选择很重要，并且将夫妻与他们喜欢的方式相匹配有助于提供个性化的、以患者为中心的护理。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
