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Developing a Peer Support Protocol for Improving Veterans' Engagement to Computer-Delivered Cognitive Behavioural

John M Ray1, Lakiesha L Kemp1, Amanda Hubbard1

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Veterans prefer peer support specialists to offer practical help, technical assistance, and emotional support for computer-delivered cognitive behavioral therapy (cCBT) to improve engagement with mental health programs.

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Area of Science:

  • Mental Health
  • Digital Therapeutics
  • Veteran Health

Background:

  • Computer-delivered cognitive behavioral therapy (cCBT) shows promise for depression and anxiety but suffers from high attrition rates.
  • Peer support is a potential strategy to improve engagement with cCBT, yet its acceptability among Veterans is understudied.
  • Understanding Veteran preferences is crucial for developing effective peer support interventions for digital mental health tools.

Purpose of the Study:

  • To explore Veteran preferences for the roles and support delivery methods of Veterans Affairs Peer Support Specialists (VA PSS).
  • To gather feedback on how VA PSS can best assist Veterans using Moving Forward, a cCBT protocol.
  • To inform the development of a peer-supported engagement intervention for cCBT in Veterans.

Main Methods:

  • Four focus groups were conducted with 24 Veterans diagnosed with depression and/or anxiety.
  • Participants provided feedback on desired VA PSS activities and support delivery methods for the Moving Forward cCBT program.
  • Focus group data were analyzed to identify key themes regarding peer support preferences.

Main Results:

  • Veterans favored practical PSS support, including program orientation, technical assistance, and progress monitoring.
  • Participants also expressed a preference for more personal PSS roles, such as emotional support.
  • Veterans highlighted the importance of applying cCBT skills to real-life challenges.

Conclusions:

  • Emotional support and practical application of skills are key components Veterans prefer in peer support for cCBT.
  • Findings inform the design of interventions to enhance Veteran engagement with digital mental health tools.
  • This study contributes to understanding how to optimize peer support within online mental health protocols for Veterans.