Comparing the Ratio of Therapist Support to Internet Sessions in a Blended Therapy Delivered to Trauma-Exposed Veterans
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Meta-analyses and reviews have found that trauma-exposed individuals receive moderate benefits for posttraumatic stress disorder (PTSD) and depression symptom reduction from internet-based interventions; larger effects were found in studies that included therapist support as compared to completely self-guided approaches. Nevertheless, internet interventions, even those with some therapist support, do not provide full recovery for everyone, particularly over the long term, indicating the value of further exploration and improvement in technology-supported treatments. An emerging alternative approach is the “blended intervention,” which integrates face-to-face therapy with internet approaches. Blended therapy is characterized by continued therapist input alongside internet self-help to allow greater flexibility and personalization within the overall therapy process. Blended therapies provide an alternative model of care which may improve treatment outcomes as well as increase engagement with mental health services among those who prefer more intensive therapist guidance.
Access the full journal article in JMIR Mental Health.