title: Therapist adherence to manualized cognitive-behavioral therapy for anger management delivered to veterans with PTSD via videoconferencing.
abstract: Therapist adherence to a manualized cognitive-behavioral anger management group treatment (AMT) was compared between therapy delivered via videoconference (VC) and the traditional in-person modality, using data from a large, randomized controlled trial comparing the effectiveness of AMT for veterans with combat-related posttraumatic stress disorder. Therapist adherence was rated for the presence or absence of process and content treatment elements. Secondary analyses were conducted using a repeated measures ANOVA. Overall adherence to the protocol was excellent (M = 96%, SD = 1%). Findings indicate that therapist adherence to AMT is similar across delivery modalities and VC is a viable service delivery strategy that does not compromise a therapist's ability to effectively structure sessions and manage patient care.
authors.affiliation: National Center for PTSD-Pacific Islands Division, Department of Veterans Affairs Pacific Islands Healthcare System, 3375 Koapaka St, Suite I-560, Honolulu, HI 96819, USA. Leslie.Morland@va.gov
authors.forename: Leslie A
authors.initials: LA
authors.lastname: Morland
authors.forename: Carolyn J
authors.initials: CJ
authors.lastname: Greene
authors.forename: Kathleen
authors.initials: K
authors.lastname: Grubbs
authors.forename: Karen
authors.initials: K
authors.lastname: Kloezeman
authors.forename: Margaret-Anne
authors.initials: MA
authors.lastname: Mackintosh
authors.forename: Craig
authors.initials: C
authors.lastname: Rosen
authors.forename: B Christopher
authors.initials: BC
authors.lastname: Frueh
mesh_terms: D000275:Adjustment Disorders / Q000628:therapy; D000328:Adult; D000786:Anger; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D008875:Middle Aged; D011615:Psychotherapy, Group; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology / Q000628:therapy*; D014728:Veterans / Q000523:psychology*; D049269:Videoconferencing