Trauma-focused evidence-based psychotherapy for post-traumatic stress disorder delivered via video telehealth in the Veterans Health Administration.

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Title: Trauma-focused evidence-based psychotherapy for post-traumatic stress disorder delivered via video telehealth in the Veterans Health Administration.
Authors: Holder, Nicholas1,2 (AUTHOR) nicholas.davis.holder@gmail.com, Batten, Adam1 (AUTHOR), Shiner, Brian3,4,5 (AUTHOR), Maguen, Shira1,2 (AUTHOR)
Source: Journal of Telemedicine & Telecare. Jan2026, Vol. 32 Issue 1, p3-11. 9p.
Subjects: Post-traumatic stress disorder, Veterans' health, Demographic characteristics, United States. Dept. of Veterans Affairs, Videoconferencing, Trauma therapy, Mental health services, Veterans, United States. Veterans Health Administration, Social determinants of health
Abstract: Introduction: Trauma-focused evidence-based psychotherapy (EBP) is the recommended treatment for post-traumatic stress disorder (PTSD). During and after the COVID-19 pandemic, veterans began to initiate general mental health services delivered via video telehealth at high rates. Our goal in the current project was to describe the percentage as well as the demographic, military, and clinical characteristics of veterans receiving PTSD EBPs via video telehealth versus in-person. Methods: Using data from the VA electronic health record, we identified a national cohort of all-era veterans who received individual PTSD EBP between April 2022 and April 2023 (n = 24,447). We used multivariable hierarchical Bayesian logistic regression to model the probability of receiving at least 50% of their EBP care via video telehealth. Results: In our sample, 74.4% of veterans who received PTSD EBP used video telehealth for at least one EBP session and 66.8% of veterans received at least half of their EBP sessions by video telehealth. Female veterans, younger veterans, and veterans with fewer mental health comorbidities were more likely to have received their PTSD EBP via video telehealth. Additional strong interaction effects for Black female veterans, Hispanic female veterans, female officer veterans, and Black officer veterans. Discussion: Video telehealth delivery of PTSD EBPs was more common than in-person delivery of PTSD EBPs. Consistent with underlying trends in telehealth services, female veterans, and particularly female, racial/ethnic minority veterans were more likely to receive PTSD EBP via video telehealth. Future research designed to contextualize the observed differences in video telehealth delivery of PTSD EBPs should consider the role of social determinants of health. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Telemedicine & Telecare is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Trauma-focused evidence-based psychotherapy for post-traumatic stress disorder delivered via video telehealth in the Veterans Health Administration.
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  Data: <searchLink fieldCode="AR" term="%22Holder%2C+Nicholas%22">Holder, Nicholas</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> nicholas.davis.holder@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Batten%2C+Adam%22">Batten, Adam</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shiner%2C+Brian%22">Shiner, Brian</searchLink><relatesTo>3,4,5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Maguen%2C+Shira%22">Maguen, Shira</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Telemedicine+%26+Telecare%22">Journal of Telemedicine & Telecare</searchLink>. Jan2026, Vol. 32 Issue 1, p3-11. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Veterans'+health%22">Veterans' health</searchLink><br /><searchLink fieldCode="DE" term="%22Demographic+characteristics%22">Demographic characteristics</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%2E+Dept%2E+of+Veterans+Affairs%22">United States. Dept. of Veterans Affairs</searchLink><br /><searchLink fieldCode="DE" term="%22Videoconferencing%22">Videoconferencing</searchLink><br /><searchLink fieldCode="DE" term="%22Trauma+therapy%22">Trauma therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Veterans%22">Veterans</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%2E+Veterans+Health+Administration%22">United States. Veterans Health Administration</searchLink><br /><searchLink fieldCode="DE" term="%22Social+determinants+of+health%22">Social determinants of health</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: Trauma-focused evidence-based psychotherapy (EBP) is the recommended treatment for post-traumatic stress disorder (PTSD). During and after the COVID-19 pandemic, veterans began to initiate general mental health services delivered via video telehealth at high rates. Our goal in the current project was to describe the percentage as well as the demographic, military, and clinical characteristics of veterans receiving PTSD EBPs via video telehealth versus in-person. Methods: Using data from the VA electronic health record, we identified a national cohort of all-era veterans who received individual PTSD EBP between April 2022 and April 2023 (n = 24,447). We used multivariable hierarchical Bayesian logistic regression to model the probability of receiving at least 50% of their EBP care via video telehealth. Results: In our sample, 74.4% of veterans who received PTSD EBP used video telehealth for at least one EBP session and 66.8% of veterans received at least half of their EBP sessions by video telehealth. Female veterans, younger veterans, and veterans with fewer mental health comorbidities were more likely to have received their PTSD EBP via video telehealth. Additional strong interaction effects for Black female veterans, Hispanic female veterans, female officer veterans, and Black officer veterans. Discussion: Video telehealth delivery of PTSD EBPs was more common than in-person delivery of PTSD EBPs. Consistent with underlying trends in telehealth services, female veterans, and particularly female, racial/ethnic minority veterans were more likely to receive PTSD EBP via video telehealth. Future research designed to contextualize the observed differences in video telehealth delivery of PTSD EBPs should consider the role of social determinants of health. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of Journal of Telemedicine & Telecare is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1177/1357633X241304072
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      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 3
    Subjects:
      – SubjectFull: Post-traumatic stress disorder
        Type: general
      – SubjectFull: Veterans' health
        Type: general
      – SubjectFull: Demographic characteristics
        Type: general
      – SubjectFull: United States. Dept. of Veterans Affairs
        Type: general
      – SubjectFull: Videoconferencing
        Type: general
      – SubjectFull: Trauma therapy
        Type: general
      – SubjectFull: Mental health services
        Type: general
      – SubjectFull: Veterans
        Type: general
      – SubjectFull: United States. Veterans Health Administration
        Type: general
      – SubjectFull: Social determinants of health
        Type: general
    Titles:
      – TitleFull: Trauma-focused evidence-based psychotherapy for post-traumatic stress disorder delivered via video telehealth in the Veterans Health Administration.
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            NameFull: Holder, Nicholas
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            NameFull: Batten, Adam
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            NameFull: Shiner, Brian
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            – D: 01
              M: 01
              Text: Jan2026
              Type: published
              Y: 2026
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