TY  - JOUR
AU  - Smith, Ashley Helm
AU  - Touchett, Hilary
AU  - Chen, Patricia
AU  - Fletcher, Terri
AU  - Arney, Jennifer
AU  - Hogan, Julianna
AU  - Wassef, Miryam
AU  - Cloitre, Marylene
AU  - Lindsay, Jan A
PY  - 2024
DA  - 2024/2/2
TI  - Patient Satisfaction With a Coach-Guided, Technology-Based Mental Health Treatment: Qualitative Interview Study and Theme Analysis
JO  - JMIR Ment Health
SP  - e50977
VL  - 11
KW  - coaching
KW  - digital treatment
KW  - interview
KW  - mental health
KW  - patient satisfaction
KW  - PTSD
KW  - qualitative assessment
KW  - qualitative methods
KW  - sentiment analysis
KW  - technology-based
KW  - telehealth
KW  - trauma
KW  - veterans
KW  - video telehealth
KW  - web-based treatment
AB  - Background: Technology-based mental health interventions address barriers rural veterans face in accessing care, including provider scarcity and distance from the hospital or clinic. webSTAIR is a 10-module, web-based treatment based on Skills Training in Affective and Interpersonal Regulation, designed to treat posttraumatic stress disorder and depression in individuals exposed to trauma. Previous work has demonstrated that webSTAIR is acceptable to participants and effective at reducing symptoms of posttraumatic stress disorder and depression when delivered synchronously or asynchronously (over 5 or 10 sessions). Objective: This study explored factors that lead to greater patient satisfaction with webSTAIR, a web-based, coach-guided intervention. Methods: We analyzed qualitative interview data to identify themes related to patient satisfaction with webSTAIR delivered with synchronous video-based coaching. Results: Four themes emerged from the data: (1) coaching provides accountability and support, (2) self-pacing offers value that meets individual needs, (3) participants like the comfort and convenience of the web-based format, and (4) technical issues were common but not insurmountable. Conclusions: We conclude that participants valued the accountability, flexibility, and convenience of tech-based interventions with video-delivered coaching. 
SN  - 2368-7959
UR  - https://mental.jmir.org/2024/1/e50977
UR  - https://doi.org/10.2196/50977
UR  - http://www.ncbi.nlm.nih.gov/pubmed/38306167
DO  - 10.2196/50977
ID  - info:doi/10.2196/50977
ER  -