{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:43:05Z","timestamp":1777876985387,"version":"3.51.4"},"reference-count":54,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T00:00:00Z","timestamp":1720742400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T00:00:00Z","timestamp":1720742400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine Reports"],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Adults with mental health symptoms stemming from childhood interpersonal trauma require specialized trauma-focused psychological interventions. Limitations in accessing treatment interventions for this population necessitate innovative solutions. This study explored the feasibility of a protocol for a blended e-health psychoeducational treatment intervention for this population called the Trauma PORTAL (Providing Online tRauma Therapy using an Asynchronous Learning platform), combining asynchronous online modules and weekly live virtual group sessions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      From October 2021 to February 2022, this prospective, single-arm study recruited participants who were waitlisted for trauma therapy at an academic hospital. The primary outcome was protocol feasibility, including recruitment, adoption, and intervention acceptability. Secondary outcomes were pre- and post-intervention post-traumatic stress disorder (PTSD) symptoms (PTSD Checklist for DSM-5 [PCL-5]), depression\/anxiety\/stress (Depression and Anxiety Stress Scale [DASS-21]), and emotion regulation (Difficulties in Emotion Regulation Scale [DERS-18]), which were compared using paired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests and presented as mean differences (MDs) and 95% confidence intervals (CIs).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 66 participants (median age = 37, female = 61) were enrolled, and they completed on average 53.5% of the online modules. There were 51 (77%) participants who completed post-intervention questionnaires. Acceptability was very high, with 49 respondents (98%) reporting that the intervention increased their access to health care. There were reductions from pre- to post-intervention on the PCL-5 (49.1 vs. 36.7, MD \u221212.4, 95% CI 8.3\u201316.5), DERS-18 (51.8 vs. 48.8, MD \u22123.3, 95% CI 0.2\u20136.4), and DASS-21 (60.1 vs. 50.7, MD \u22129.4, 95% CI 2.3\u201316.6).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The Trauma PORTAL intervention was feasible to implement, well-adopted, and highly acceptable in an ambulatory trauma therapy program. The findings show promising evidence for symptom reduction. Further evaluation of the Trauma PORTAL\u2019s efficacy in a randomized trial is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmr.2024.0020","type":"journal-article","created":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T12:53:34Z","timestamp":1720788814000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The Trauma PORTAL\u2014A Blended e-Health Intervention for Survivors of Childhood Interpersonal Trauma: An Open-Label Pilot Study"],"prefix":"10.1177","volume":"5","author":[{"given":"Tina","family":"Behdinan","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annie K.","family":"Truuvert","sequence":"additional","affiliation":[{"name":"Women\u2019s College Hospital and Research Institute, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aishat","family":"Adekunte","sequence":"additional","affiliation":[{"name":"Women\u2019s College Hospital and Research Institute, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy","family":"McCallum","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada."},{"name":"Women\u2019s College Hospital and Research Institute, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simone N.","family":"Vigod","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada."},{"name":"Women\u2019s College Hospital and Research Institute, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aysha","family":"Butt","sequence":"additional","affiliation":[{"name":"Women\u2019s College Hospital and Research Institute, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Rojas","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada."},{"name":"The Wilson Centre, University of Toronto, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Soklaridis","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada."},{"name":"The Wilson Centre, University of Toronto, Toronto, Canada."},{"name":"Centre for Addictions and Mental Health, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0679-8773","authenticated-orcid":false,"given":"Dana C.","family":"Ross","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada."},{"name":"Women\u2019s College Hospital and Research Institute, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,7,12]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)00821-2"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(19)30031-8"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.11.143"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2017.1322399"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(21)00243-1"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.5498\/wjp.v11.i12.1407"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796022000713"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000000512"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11126-018-9598-z"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003262"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/20008066.2024.2323421"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2018.09.010"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-16-00017"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2021.12.013"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.07.008"},{"issue":"3","key":"e_1_3_7_17_2","first-page":"301","article-title":"EMPOWER: Toward the global dissemination of psychosocial interventions","volume":"20","author":"Patel V","year":"2022","unstructured":"Patel V, , Naslund JA, , Wood S, et al. 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