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Problem Solving Training (PST) adapted during COVID-19 maintained effectiveness for medically complex Veterans. Adaptations improved treatment delivery without impacting patient mental health outcomes in depression, anxiety, or problem-solving skills.

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Area of Science:

  • Clinical Psychology
  • Mental Health Interventions
  • Healthcare Adaptations

Background:

  • The COVID-19 pandemic necessitated rapid adaptations in healthcare delivery.
  • Problem Solving Training (PST) is a key intervention for medically complex patients.
  • Understanding the impact of pandemic-related adaptations on PST is crucial.

Purpose of the Study:

  • To document adaptations made to VA Problem Solving Training (PST) during the COVID-19 pandemic.
  • To compare mental health outcomes for Veterans before (2019) and during (2020) the pandemic.
  • To assess the effectiveness of adapted PST for medically complex Veterans.

Main Methods:

  • Clinicians participated in PST workshops and consultations.
  • 122 Veterans completed pre- and post-treatment measures for depression, anxiety, and problem-solving beliefs.
  • Qualitative data explored clinician challenges in pandemic-era treatment delivery.

Main Results:

  • Adaptations addressed challenges in remote delivery (phone, video), recruitment, and privacy.
  • Veterans in both 2019 and 2020 cohorts showed significant improvements in depression, anxiety, and problem-solving.
  • No significant differences in outcome improvement were observed between the pre-pandemic and pandemic cohorts.

Conclusions:

  • Pandemic-induced flexibilities in PST delivery overcame implementation barriers.
  • Treatment adaptations did not diminish the intervention's effectiveness.
  • Findings support the continued use of flexible PST delivery models post-pandemic.