Trial reportPsychiatric rehabilitation journal2019
A pilot study comparing peer supported web-based CBT to self-managed web CBT for primary care veterans with PTSD and hazardous alcohol use.
Trial report in Psychiatric rehabilitation journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 6 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Providing Human Support for the Use of Digital Mental Health Interventions: Systematic Meta-review.Journal of medical Internet research · 2023Pooled it
- The Effects of Nonclinician Guidance on Effectiveness and Process Outcomes in Digital Mental Health Interventions: Systematic Review and Meta-analysis.Journal of medical Internet research · 2022Pooled it
- A systematic review and meta-analysis of psychological interventions for comorbid post-traumatic stress disorder and substance use disorder.European journal of psychotraumatology · 2022Pooled it
- Efficacy and acceptability of interventions for co-occurring PTSD and SUD: A meta-analysis.Journal of anxiety disorders · 2021Pooled it
- Identification of Behavior Change Techniques From Successful Web-Based Interventions Targeting Alcohol Consumption, Binge Eating, and Gambling: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Impacts of Internet-Based Interventions for Veterans With PTSD: A Systematic Review and Meta-Analysis.Frontiers in psychology · 2021Pooled it
- Peer support during in vivo exposure homework increases likelihood of prolonged exposure therapy completion.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025Trial
- Brief Peer-Supported Web-Based Skills Training in Affective and Interpersonal Regulation (BPS webSTAIR) for Trauma-Exposed Veterans in the Community: Randomized Controlled Trial.Journal of medical Internet research · 2024Trial
- Article
- Digital health interventions for women in frontline public service roles: A systematic review of effectiveness in reducing substance use.PLOS digital health · 2026Article
- Staying Relevant in the Digital Age: Exploring the Evolving Frontier of Telehealth for Mental Health in the Military Health System and Veterans Health Administration.Current psychiatry reports · 2025Review
- Digital Health Interventions for Military Members, Veterans, and Public Safety Personnel: Scoping Review.JMIR mHealth and uHealth · 2025Article
- Peer-supported mobile mental health for veterans in primary care: A pilot study.Psychological services · 2023Article
- Digitally Assisted Peer Recovery Coach to Facilitate Linkage to Outpatient Treatment Following Inpatient Alcohol Withdrawal Treatment: Proof-of-Concept Pilot Study.JMIR formative research · 2023Article
- Association between modifiable social determinants and mental health among post-9/11 Veterans: A systematic review.Journal of military, veteran and family health · 2023Article
- Article
- Peer Workers in Co-production and Co-creation in Mental Health and Substance Use Services: A Scoping Review.Administration and policy in mental health · 2023Article
- Peer Support Activities for Veterans, Serving Members, and Their Families: Results of a Scoping Review.International journal of environmental research and public health · 2023Article
- Differences in quality-of-life scores across injury categories by mental health status among injured U.S. military service members and veterans.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
- Peer support and whole health coaching to address the healthcare needs of homeless veterans: a pilot study.BMC primary care · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 3 countries.
Funding
Abstract
objectiveMany combat veterans struggle with posttraumatic stress disorder (PTSD) and hazardous alcohol use and are hesitant to engage in behavioral health services. Combining peer support with an eHealth intervention may overcome many barriers to care. This pilot study investigated the feasibility of adding peer support to a web-based cognitive behavior therapy (CBT) targeting PTSD symptoms and hazardous drinking, called Thinking Forward.
methodThirty primary care patients with PTSD and hazardous alcohol use were randomized to receive Thinking Forward with or without peer support. Participants were assessed at pretreatment, posttreatment, and 24-week follow-up. Feasibility was analyzed with descriptive statistics. Preliminary outcomes were analyzed with multilevel modeling and effect sizes are presented.
resultsPeer support specialists can be feasibly trained to support the Thinking Forward intervention with good fidelity. Both participants and peers reported good satisfaction with the protocol; although peers discussed a mismatch between the philosophies of peer support and diagnostically focused CBT. All participants experienced significant improvements in PTSD, quality of life, resiliency, and coping from pre- to posttreatment, with no differences between conditions. Pretreatment patient activation predicted outcomes regardless of whether participants received peer support. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Peer support interventions to facilitate eHealth programs should strive to be consistent with the person-centered, recovery orientation of peer support, explicitly focus on patient activation, and consider characteristics of the patients, such as their level of problem recognition and willingness to engage in traditional behavioral health modalities. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.