{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T18:14:35Z","timestamp":1789755275582,"version":"4.0.1"},"reference-count":52,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T00:00:00Z","timestamp":1736380800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"VA Office of Connected Care Rapid Project Funding"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      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                      <jats:italic toggle=\"yes\">n\u2009<\/jats:italic>\n                      =\u200924,447). We used multivariable hierarchical Bayesian logistic regression to model the probability of receiving at least 50% of their EBP care via video telehealth.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x241304072","type":"journal-article","created":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T08:19:51Z","timestamp":1736410791000},"page":"3-11","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Trauma-focused evidence-based psychotherapy for post-traumatic stress disorder delivered via video telehealth in the Veterans Health Administration"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5440-3698","authenticated-orcid":false,"given":"Nicholas","family":"Holder","sequence":"first","affiliation":[{"name":"Mental Health Service, San Francisco Veterans Affairs Health Care System, San Francisco, CA, USA"},{"name":"Department of Psychiatry and Behavioral Sciences, University of California San Francisco School of Medicine, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9975-4715","authenticated-orcid":false,"given":"Adam","family":"Batten","sequence":"additional","affiliation":[{"name":"Mental Health Service, San Francisco Veterans Affairs Health Care System, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Shiner","sequence":"additional","affiliation":[{"name":"Research Service, White River Junction Veterans Affairs Health Care System, White River Junction"},{"name":"National Center for Posttraumatic Stress Disorder, Executive Division, White River Junction, VT, USA"},{"name":"Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shira","family":"Maguen","sequence":"additional","affiliation":[{"name":"Mental Health Service, San Francisco Veterans Affairs Health Care System, San Francisco, CA, USA"},{"name":"Department of Psychiatry and Behavioral Sciences, University of California San Francisco School of Medicine, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,9]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2020.1729633"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/da.22511"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.06.008"},{"key":"e_1_3_4_5_2","volume-title":"VA-DoD clinical practice guideline for the management of posttraumatic stress disorder and acute stress disorder","author":"Department of Veterans Affairs and Defense","year":"2023","unstructured":"Department of Veterans Affairs and Defense. VA-DoD clinical practice guideline for the management of posttraumatic stress disorder and acute stress disorder. Washington: D.C.: Department of Veterans Affairs and Defense, 2023."},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/jts.23013"},{"key":"e_1_3_4_7_2","volume-title":"Cognitive processing therapy for PTSD: A comprehensive therapist manual","author":"Resick PA","year":"2024","unstructured":"Resick PA, Monson CM, Chard KM. Cognitive processing therapy for PTSD: A comprehensive therapist manual. 2nd ed. New York: The Guilford Press, 2024.","edition":"2"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/med-psych\/9780190926939.001.0001"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20588"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1037\/a0033888"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2016.07.009"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/da.22983"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1037\/tra0000496"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2018.11.003"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usaa389"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11414-013-9372-9"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000212"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000316"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-0361.2010.00294.x"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2022.01.001"},{"key":"e_1_3_4_21_2","first-page":"356","article-title":"A review of recent efforts to improve access to effective psychotherapies","volume":"16","author":"Yasinski C","year":"2018","unstructured":"Yasinski C, Rauch SAM. A review of recent efforts to improve access to effective psychotherapies. Focus (Am Psychiatr Publ) 2018; 16: 356\u2013362.","journal-title":"Focus (Am Psychiatr Publ)"},{"key":"e_1_3_4_22_2","article-title":"State of the science: Evidence-based treatments for posttraumatic stress disorder delivered via telehealth","author":"Bruce MJ","unstructured":"Bruce MJ, Pagan AF, Acierno R. State of the science: Evidence-based treatments for posttraumatic stress disorder delivered via telehealth. J Trauma Stress Epub ahead of print 30 June 2024. DOI: https:\/\/doi.org\/10.1002\/jts.23074","journal-title":"J Trauma Stress Epub ahead of print"},{"key":"e_1_3_4_23_2","article-title":"Psychiatric treatment conducted via telemedicine versus in-person modality in posttraumatic stress disorder, mood disorders, and anxiety disorders: Systematic review and meta-analysis","volume":"10","author":"Shaker AA","year":"2023","unstructured":"Shaker AA, Austin SF, Storebo OJ, et al. Psychiatric treatment conducted via telemedicine versus in-person modality in posttraumatic stress disorder, mood disorders, and anxiety disorders: Systematic review and meta-analysis. JMIR Ment Health 2023; 10: e44790.","journal-title":"JMIR Ment Health"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000751"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000636"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22544"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22573"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40501-020-00215-x"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000772"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnab194"},{"key":"e_1_3_4_31_2","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000770"},{"key":"e_1_3_4_32_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2014.0054"},{"key":"e_1_3_4_33_2","doi-asserted-by":"publisher","DOI":"10.1111\/jep.13587"},{"key":"e_1_3_4_34_2","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usz322"},{"key":"e_1_3_4_35_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.2517-6161.1995.tb02031.x"},{"key":"e_1_3_4_36_2","doi-asserted-by":"publisher","DOI":"10.1080\/00031305.2016.1154108"},{"key":"e_1_3_4_37_2","doi-asserted-by":"publisher","DOI":"10.1080\/00031305.2019.1583913"},{"key":"e_1_3_4_38_2","volume-title":"Regression and other stories","author":"Gelman A","year":"2021","unstructured":"Gelman A, Hill J, Vehtari A. Regression and other stories. Cambridge, England: Cambridge University Press, 2021."},{"key":"e_1_3_4_39_2","doi-asserted-by":"publisher","DOI":"10.32614\/RJ-2018-017"},{"key":"e_1_3_4_40_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11222-016-9696-4"},{"key":"e_1_3_4_41_2","doi-asserted-by":"publisher","DOI":"10.1080\/03610911003650383"},{"key":"e_1_3_4_42_2","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen J","year":"1988","unstructured":"Cohen J. Statistical power analysis for the behavioral sciences. New York, NY: Routledge Academic, 1988."},{"key":"e_1_3_4_43_2","doi-asserted-by":"publisher","DOI":"10.1177\/2515245918771304"},{"key":"e_1_3_4_44_2","volume-title":"R: A language and environment for statistical computing","author":"R Core Team","year":"2024","unstructured":"R Core Team. R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing, 2024."},{"key":"e_1_3_4_45_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-023-08475-y"},{"key":"e_1_3_4_46_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2023.0781"},{"key":"e_1_3_4_47_2","first-page":"43","article-title":"Geographic, patient, and VA medical center variation in the receipt and mode of primary care in a national sample of veterans with diabetes during 2020","volume":"6","author":"Davis M","year":"2024","unstructured":"Davis M, Neelon B, Pearce JL, et al. Geographic, patient, and VA medical center variation in the receipt and mode of primary care in a national sample of veterans with diabetes during 2020. Healthcare (Basel) 2024; 6: 43.","journal-title":"Healthcare (Basel)"},{"key":"e_1_3_4_48_2","doi-asserted-by":"publisher","DOI":"10.1177\/0022167819847328"},{"key":"e_1_3_4_49_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2018.12.002"},{"key":"e_1_3_4_50_2","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22859"},{"key":"e_1_3_4_51_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-016-0761-2"},{"key":"e_1_3_4_52_2","doi-asserted-by":"publisher","DOI":"10.1080\/09515070.2021.1960274"},{"key":"e_1_3_4_53_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40501-022-00278-y"}],"container-title":["Journal of Telemedicine and Telecare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1357633X241304072","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1357633X241304072","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1357633X241304072","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:18:00Z","timestamp":1777691880000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1357633X241304072"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,9]]},"references-count":52,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/1357633X241304072"],"URL":"https:\/\/doi.org\/10.1177\/1357633x241304072","relation":{},"ISSN":["1357-633X","1758-1109"],"issn-type":[{"value":"1357-633X","type":"print"},{"value":"1758-1109","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,9]]}}}