Telemental Health Delivery of Skills Training in Affective and Interpersonal Regulation (STAIR) for Rural Women Veterans Who Have Experienced Military Sexual Trauma

Weiß, Bernd; Azevedo, Kathryn; Webb, Katie; Gimeno, Julia; Cloitre, Marylène

doi:10.1002/jts.22305

Cited by 40 publications

(47 citation statements)

References 28 publications

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“…The STAIR program is an evidence-based therapy originally designed to treat people with post-traumatic stress disorder who were victims of childhood abuse (Cloitre et al 2010). The program was adapted to provide telemental health services to women veterans living in rural areas who have a history of military-associated sexual and other traumas (Weiss et al 2018). Participants receive evidenced-based treatment for post-traumatic stress disorder through individual or group teleconferencing available in local outpatient clinics or their own homes.…”

Section: Skills Training In Affective and Interpersonal Regulation (Smentioning

confidence: 99%

Expansion of Telehealth Across the Rural–Urban Continuum

Bagchi

2019

State and Local Government Review

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Section: Skills Training In Affective and Interpersonal Regulation (Smentioning

confidence: 99%

Expansion of Telehealth Across the Rural–Urban Continuum

Bagchi

2019

State and Local Government Review

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“…The STAIR program is a skills-based, eight to 12 session program that, in combination with trauma-focused work, has been shown in two randomized controlled trials (RCTs) to reduced PTSD, depression, and a range of other trauma-related symptoms (Cloitre, Koenen, Cohen, & Han, 2002;Cloitre et al, 2010). The results of a recent open trial study indicated that STAIR as a stand-alone therapy was effective in reducing symptoms of PTSD and depression in veterans, with effect sizes equivalent to those found for trauma-focused treatments, suggesting the potential benefits of non-trauma-focused treatment in reducing symptoms of PTSD and depression (Weiss, Azevedo, Webb, Gimeno, & Cloitre, 2018). The rationale for the development of STAIR was to enhance functioning, particularly social adjustment, through improved emotion management and social skills delivered via a therapy meant to complement trauma-focused work.…”

mentioning

confidence: 99%

“…This represents a potential benefit of the treatment, as it increases the pool of PCMHI staff who can offer services to individuals in need. The STAIR program is intuitive, well liked, and well tolerated (Weiss et al., 2018), and it may be particularly suited for delivery in non–mental health settings.…”

mentioning

confidence: 99%

A Randomized Controlled Trial of Brief Skills Training in Affective and Interpersonal Regulation (STAIR) for Veterans in Primary Care

Jain

Ortigo

Gimeno

et al. 2020

Journal of Traumatic Stress

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This randomized controlled trial assessed the efficacy of a five‐session version of Skills Training in Affective and Interpersonal Regulation (STAIR) among veterans obtaining treatment in primary care. Veterans who screened positive for either posttraumatic stress disorder (PTSD) or depression (N = 26) were enrolled and randomized into either five‐session STAIR or treatment as usual (TAU). Assessments of PTSD symptoms (PTSD Checklist for DSM‐5; PCL‐5), depression (Beck Depression Inventory–II; BDI‐II), emotion regulation (Difficulties in Emotion Regulation Scale; DERS), and social engagement difficulties (World Health Organization Disability Assessment 2.0; WHODAS‐2) were assessed at pretreatment, posttreatment, and 3‐month follow‐up assessments. Participants assigned to the five‐session STAIR condition reported significant improvements on all measures, whereas those assigned to TAU showed no change. Group × Treatment interactions were significant for all outcomes, and effect sizes for the interactions ranged from moderate to large, Hedge's gs = 0.81 for the PCL‐5, 1.15 for the BDI‐II, 0.75 for the DERS, and 0.81 for the WHODAS‐2. The results indicate that five‐session STAIR, a brief, skills‐focused treatment, may be effective in reducing a range of symptoms and in improving social functioning among veterans treated in primary care settings.

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“…Similarly, video and phone conferencing allow rural physicians to have ready access to trauma surgeons E389 for patient management and educational sessions. 28 Future studies examining the impact and utility of distance-based care will be critical to evaluate outcomes for rural trauma patients.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of trauma resources in rural northern Alberta identifies opportunities for improvement

Jiang¹,

MacLean

Yoon³

et al. 2020

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Background: The care of rural trauma patients in northern Alberta can be extremely challenging because of the vast geographic area, the limited access to health care facilities and the lack of adequate resources to manage severe injuries. Identifying gaps in equipment and personnel in rural centres can provide opportunities for improving the care of injured patients in these environments. We conducted a survey based on Canadian Accreditation Council quality indicators to evaluate trauma infrastructure and human resources in rural centres across northern Alberta. Methods: A standardized survey was developed to assess the availability of trauma-specific equipment and personnel across the prehospital and emergency department (ED) settings. The survey was distributed to 50 peripheral hospitals biannually from January 2017 to September 2018. Two-tailed paired t tests were used to evaluate changes in survey responses; a p value of less than 0.05 was considered statistically significant. Results: The survey response rate was 100%. By the end of the study period, there were significant improvements in the number of providers (p = 0.04), nurses (p = 0.01) and dedicated trauma resuscitation bays (p = 0.04) in the ED for managing injured patients. There were also significant increases in the availability of equipment, including advanced airway management tools (p = 0.02), rapid infusion devices (p = 0.02) and warmers (p = 0.04). Access to x-ray equipment (p = 0.03) and computed tomography (CT) scanners (p = 0.04) as well as equipment to support telehealth and teleconferencing (p = 0.04) increased during the study period. Access to, and supply of, blood products also increased significantly (p = 0.02) during the study period. Conclusion: Our study demonstrates that the trauma resources of rural health care centres may be evaluated in a standardized fashion centres, and the results point to opportunities to remedy gaps in equipment and personnel. Our methods may be applied to any trauma network that serves geographically large areas with a sparse distribution of health care facilities, to provide critical information for the optimization of resources in rural trauma. Contexte : Les soins aux patients victimes de traumatismes en région rurale dans le nord de l'Alberta peuvent être très difficiles en raison de la superficie de la région, de l'accès limité aux établissements de santé et du manque de ressources pour soigner adéquatement les blessures graves. En repérant les lacunes en équipement et en personnel dans les établissements en région rurale, on peut créer des occasions d'améliorer les soins aux patients blessés dans ces milieux. Nous avons mené un sondage fondé sur les indicateurs de qualité du Conseil d'accréditation canadien pour évaluer les infrastructures et les ressources humaines en traumatologie dans les établissements des régions rurales du nord de l'Alberta. Méthodes : Un sondage standardisé a été créé pour évaluer la disponibilité des équipements et des ressources humaines en traumatologie en contexte préhosp...

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Telemental Health Delivery of Skills Training in Affective and Interpersonal Regulation (STAIR) for Rural Women Veterans Who Have Experienced Military Sexual Trauma

Cited by 40 publications

References 28 publications

Expansion of Telehealth Across the Rural–Urban Continuum

Expansion of Telehealth Across the Rural–Urban Continuum

A Randomized Controlled Trial of Brief Skills Training in Affective and Interpersonal Regulation (STAIR) for Veterans in Primary Care

Evaluation of trauma resources in rural northern Alberta identifies opportunities for improvement

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