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Improving Voluntary Engagement for PTSD Treatment Among Active-Duty Service Members Using Motivational Enhancement Therapy

SSRN Electronic Journal
  • 1
    Citations
  • 396
    Usage
  • 0
    Captures
  • 0
    Mentions
  • 0
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

  • Citations
    1
    • Citation Indexes
      1
  • Usage
    396
    • Abstract Views
      339
    • Downloads
      57
  • Ratings
    • Download Rank
      743,581

Article Description

PTSD prevalence in the military is high and effective treatments are underutilized. Motivational Enhancement Therapy (MET) 'check-ups', are brief interventions to elicit treatment engagement for those who are nontreatment seeking. One hundred and sixty-one active-duty service members were randomized to MET or Treatment as Usual (TAU, treatment resource and referral). MET participants (n=82) received up to three 45-90 minute telephone sessions. TAU participants (n=79) were mailed PTSD resources and referrals. Follow-up assessments were conducted 6-weeks, 3-, and 6- months post-baseline. Mixed effect model results indicated treatment engagement significantly increased over time but there were no significant differences between conditions or interactions. PTSD symptom severity significantly decreased for both conditions. There was also a significant three-way interaction with baseline readiness-to-change confidence. Those low in baseline readiness-to-change saw more favorable effects of MET (relative to control) at 6-month follow-up. Results suggest both MET and high-quality referral options have promise as means of increasing evidence-based treatment engagement and decreasing PTSD for service members with PTSD. MET may be particularly useful for individuals with low confidence in their ability to address PTSD. Given the individual and societal costs of PTSD, there is need for interventions facilitating treatment seeking and engagement.

Bibliographic Details

Denise D. Walker; Thomas Otto Walton; Anna E. Jaffe; Scott Graupensperger; Isaac C. Rhew; Debra Kaysen

Elsevier BV

posttraumatic stress disorder; PTSD; motivational interviewing; military; personalized feedback

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