A Pilot Randomized Controlled Trial of the PTSD Coach App Following Motor Vehicle Crash–related Injury

Pacella, Maria L.; Suffoletto, Brian; Kuhn, Eric; Germain, Anne; Jaramillo, Stephany; Repine, Melissa; Callaway, Clifton W.

doi:10.1111/acem.14000

Cited by 23 publications

(24 citation statements)

References 57 publications

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“…Forty-six subjects (73%) were retained at 90 days; retention analyses revealed no differences in demographic factors or ED psychological variables between those retained versus not retained at 90 days. We previously reported that no group differences were present for subjects in the PTSD Coach and TAU groups regarding baseline demographic characteristics or key study variables (Pacella-LaBarbara et al, 2020).…”

Section: Resultsmentioning

confidence: 98%

“…This study was based on secondary data analysis of a randomized clinical trial (ClinicalTrials.gov Identifier: NCT03247179) testing the use of a smartphone app (“PTSD Coach”) to prevent postinjury PTSS (Pacella-LaBarbara et al, 2020). No overall group differences emerged for outcomes at 90 days postinjury; as such, we collapsed treatment groups for analysis in this study.…”

Section: Methodsmentioning

confidence: 99%

“…Subjects were randomized in a 1:1 fashion into either PTSD Coach (app) or treatment as usual (TAU) groups. Additional information regarding recruitment, informed consent, randomization, and group assignments has been previously detailed (Pacella-LaBarbara et al, 2020).…”

Section: Methodsmentioning

confidence: 99%

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The role of specific sources of social support on postinjury psychological symptoms.

Brienza¹,

Suffoletto²,

Kuhn³

et al. 2021

Rehabilitation Psychology

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Purpose/Objective: The role of perceived social support from specific sources (e.g., families, friends, and significant others) on the development of postinjury posttraumatic stress disorder (PTSD) and associated psychological symptoms (e.g., depression and anxiety) remains relatively unexplored. We examined the predictive role of social support from specific sources on psychological symptoms among emergency department (ED) patients following motor vehicle crash (MVC). Research Methods/Design: Sixty-three injured patients (63.5% female; 37 years old on average) with moderately painful complaints were recruited in the EDs of two Level-1 trauma centers within 24 hr post-MVC. In the ED, participants completed surveys of baseline psychological symptoms and perceived social support; follow-up surveys were completed at 90 days postinjury. Results: Most of the sample (84.1%) was discharged home from the ED with predominantly mild injuries and did not require hospitalization. After adjusting for race, sex, age, and baseline symptoms, hierarchical regression analyses demonstrated that lower perceived social support in the ED predicted higher PTSD symptoms and depressive symptoms (but not anxiety) at 90 days. This effect seemed to be specific to significant others and friends but not family. Conclusions/Implications: MVC-related injuries are robust contributors to psychological sequelae. These findings extend prior work by highlighting that perceived social support, particularly from significant others and friends, provides unique information regarding the development of psychological symptoms following predominantly mild MVC-related injuries. This data may serve to inform recovery expectations. Impact and ImplicationsMotor-vehicle-crash-related injuries are robust contributors to postinjury psychological sequelae; the identification of mitigating factors for postinjury comorbidities is critical to improve recovery and functional outcomes. Low perceived social support, as measured in the emergency department within 24 hr of the injury, generally predicts higher symptoms of posttraumatic stress disorder and depression at 90 days postinjury. Findings from this study suggest that it is important to differentiate between interpersonal domains of social support as social support from significant others and friends uniquely predicts postinjury posttraumatic stress disorder and depressive symptoms. Additional research is warranted to determine whether these findings have clinical utility and to clarify and specify the sources of support and their relation to the injured patient.

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Section: Resultsmentioning

confidence: 98%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

The role of specific sources of social support on postinjury psychological symptoms.

Brienza¹,

Suffoletto²,

Kuhn³

et al. 2021

Rehabilitation Psychology

Self Cite

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“…The copyright holder for this preprint this version posted April 26, 2021. ; https://doi.org/10.1101/2021.04.23.21256003 doi: medRxiv preprint the app, which could affect their user experience and outcome in more negative ways. As seen in previous studies with the PTSD Coach app, some participants may experience difficulties with downloading or installing the app, or to remember to use it more than once during an ongoing intervention (64,65). In the My Grief app, a daily reminder can be set up to remind them to rate their grief in the grief chart self-assessment.…”

Section: Discussionmentioning

confidence: 99%

A Mobile App for Prolonged Grief among Bereaved Parents: Study Protocol for a Randomized Controlled Trial

Eklund

Eisma

Boelen

et al. 2021

Preprint

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Introduction: Bereaved parents have elevated risk to develop mental health problems, yet, few studies have evaluated the effect of psychosocial interventions developed for bereaved parents. Cognitive behavioral therapy (CBT), both face-to-face or digitally delivered, has shown to be an effective intervention for prolonged grief symptoms. Self-help mobile apps offer various advantages and studies show improved mental health after app interventions. No app has yet been evaluated targeting prolonged grief in bereaved parents. Therefore, the aim of this planned study is to develop and examine the effectiveness of a CBT-based mobile app, called My Grief, in reducing symptoms of prolonged grief, as well as other psychological symptoms, in bereaved parents. Another aim is to assess users experiences and adverse events of My Grief. Methods and analysis: We will conduct a two-armed randomized waitlist-controlled trial. Parents living in Sweden, who lost a child to cancer between one and ten years ago, with elevated symptoms of prolonged grief, will be recruited to participate in the trial. The content of My Grief covers four main domains (Learn: Self-monitoring: Exercises: Get support) and builds on principles of CBT and the proven-effective PTSD Coach app. Participants in the intervention group will fill out online questionnaires at baseline and at 3, 6 and 12-months follow-ups, and the waitlist-controls at baseline and at 3 months. The primary outcome will be prolonged grief symptoms at the 3 months follow-up. Secondary outcomes are posttraumatic stress and depression symptoms, quality of life, and cognitive behavioral variables (i.e., avoidance, rumination, negative cognitions). Ethics and dissemination: Ethical approval has been received from the Swedish Ethical Review Authority (project no. 2021-00770). If the app is shown to be effective, the app will be made publicly accessible on app stores, so that it can benefit other bereaved parents. Trial registration: Clinicaltrials.gov, identifier: NCT04552717.

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“…As seen in previous studies with the PTSD Coach app, some participants may experience difficulties with downloading or installing the app, or to remember to use it more than once during an ongoing intervention. 64 65 In the My Grief app, a daily reminder can be set up to remind them to rate their grief in the grief chart self-assessment. The research group will also make a phone call to each user, about 1 week from registration, to check if everything is working.…”

Section: Discussionmentioning

confidence: 99%

Mobile app for prolonged grief among bereaved parents: study protocol for a randomised controlled trial

et al. 2021

View full text Add to dashboard Cite

IntroductionBereaved parents, who have lost a child, have an elevated risk to develop mental health problems, yet, few studies have evaluated the effect of psychosocial interventions developed for bereaved parents. Cognitive–behavioural therapy (CBT), both face to face or digitally delivered, has shown to be an effective intervention for prolonged grief symptoms. Self-help mobile apps offer various advantages and studies show improved mental health after app interventions. No app has yet been evaluated targeting prolonged grief in bereaved parents. Therefore, the aim of this planned study is to develop and examine the effectiveness of a CBT-based mobile app, called My Grief, in reducing symptoms of prolonged grief, as well as other psychological symptoms, in bereaved parents. Another aim is to assess users’ experiences and adverse events of My Grief.Methods and analysisWe will conduct a two-armed randomised waitlist-controlled trial. Parents living in Sweden, who lost a child between one and ten years ago, with elevated symptoms of prolonged grief, will be recruited to participate in the trial. The content of My Grief covers four main domains (Learn; Self-monitoring; Exercises; Get support) and builds on principles of CBT and the proven-effective PTSD Coach app. Participants in the intervention group will fill out online questionnaires at baseline and at 3, 6 and 12 months follow-ups, and the waitlist-controls at baseline and at 3 months. The primary outcome will be prolonged grief symptoms at the 3 months follow-up. Secondary outcomes are post-traumatic stress and depression symptoms, quality of life and cognitive behavioural variables (ie, avoidance, rumination, negative cognitions).Ethics and disseminationEthical approval has been received from the Swedish Ethical Review Authority (project no. 2021-00770). If the app is shown to be effective, the app will be made publicly accessible on app stores, so that it can benefit other bereaved parents.Trial registration numberNCT04552717.

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A Pilot Randomized Controlled Trial of the PTSD Coach App Following Motor Vehicle Crash–related Injury

Cited by 23 publications

References 57 publications

The role of specific sources of social support on postinjury psychological symptoms.

The role of specific sources of social support on postinjury psychological symptoms.

A Mobile App for Prolonged Grief among Bereaved Parents: Study Protocol for a Randomized Controlled Trial

Mobile app for prolonged grief among bereaved parents: study protocol for a randomised controlled trial

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