McLean Caitlin L, Faytol Ashley, Chu Gage M, Henneken Andrea, Rabin Borsika A, Pittman James O E, Lindamer Laurie, Lang Ariel J
VA San Diego Healthcare System.
VA San Diego Center of Excellence for Stress and Mental Health.
Psychol Trauma. 2024 Oct 31. doi: 10.1037/tra0001811.
While mobile delivery can help increase access to evidence-based treatment for veterans with posttraumatic stress disorder (PTSD), feasibility and acceptability are of concern with the potential for high attrition rates and limited participation. The Mantram Repetition Program (MRP), a meditation-focused approach with documented efficacy for reducing symptoms of PTSD and insomnia, was adapted as a brief, mobile-delivered MRP (mMRP) training. This study assessed implementation indicators of mMRP and compared self-directed users of mMRP versus users who received additional text message support.
Thirty-six veterans with clinically significant PTSD symptoms ( = 50.50 years; 83.3% male; 72.2% White; 88.9% heterosexual) completed four weekly training video modules. Participants completed questions related to program satisfaction, mantram repetition use, clinical measures, and a 30-min individual interview.
Participants reported using their mantram between 4 and 5 days per week. Participants indicated that mMRP was generally acceptable, appropriate, and feasible across quantitative and qualitative data. On clinical measures, change from pre- to postintervention was significant for the brief symptom screen, PTSD symptoms, and Personal Health Inventory but not for depression or insomnia symptoms. No significant differences were found between the self-directed and supported conditions; however, data suggest that participants primarily engaged with the support for administrative needs. Qualitative data highlighted suggestions for mMRP improvement, including alternative methods for receiving support and more content on how to use the skills taught.
Findings suggest that mMRP can be delivered in a brief format, with veterans learning and using mantram repetition. Developing additional ways of individualizing the mMRP and further testing are warranted. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
虽然移动交付有助于增加创伤后应激障碍（PTSD）退伍军人获得循证治疗的机会，但可行性和可接受性令人担忧，因为存在高流失率和参与度有限的可能性。曼陀罗重复计划（MRP）是一种以冥想为重点的方法，已证明对减轻PTSD和失眠症状有效，现被改编为简短的移动交付MRP（mMRP）训练。本研究评估了mMRP的实施指标，并比较了mMRP的自主使用者与接受额外短信支持的使用者。
36名有临床显著PTSD症状的退伍军人（平均年龄=50.50岁；83.3%为男性；72.2%为白人；88.9%为异性恋）完成了四个每周一次的训练视频模块。参与者完成了与项目满意度、曼陀罗重复使用、临床测量相关的问题，以及一次30分钟的个人访谈。
参与者报告每周使用曼陀罗4至5天。参与者表示，从定量和定性数据来看，mMRP总体上是可接受的、合适的且可行的。在临床测量方面，干预前后简短症状筛查、PTSD症状和个人健康量表有显著变化，但抑郁或失眠症状没有变化。自主组和支持组之间未发现显著差异；然而，数据表明参与者主要是为了行政需求而寻求支持。定性数据突出了mMRP改进的建议，包括获得支持的替代方法以及关于如何使用所学技能的更多内容。
研究结果表明，mMRP可以以简短的形式交付，退伍军人能够学习并使用曼陀罗重复。有必要开发更多个性化mMRP的方法并进行进一步测试。（PsycInfo数据库记录（c）2024美国心理学会，保留所有权利）
