Perceptions and experiences of web-prolonged exposure for posttraumatic stress disorder: A mixed-methods study

Area of Science:

• Psychiatry and Behavioral Sciences
• Digital Health
• Mental Health Interventions

Background:

• Web-based prolonged exposure therapy (Web-PE) offers a scalable approach to treating posttraumatic stress disorder (PTSD).
• Previous research indicates the efficacy of Web-PE, but participant experiences in this format remain underexplored.

Purpose of the Study:

• To investigate participant perceptions and experiences of Web-PE for PTSD.
• To identify strengths and challenges of Web-PE from the user perspective.

Main Methods:

• A mixed-methods convergent design was employed, integrating quantitative and qualitative data.
• Twenty-nine active duty military personnel or veterans receiving Web-PE completed posttreatment surveys and qualitative interviews.
• Thematic coding analyzed qualitative data, which was then integrated with quantitative findings.

Main Results:

• Participants generally perceived Web-PE favorably, reporting it as helpful despite initial skepticism.
• Key benefits included the flexibility of online delivery; self-motivation was identified as crucial for engagement.
• Therapists were viewed positively, though participants suggested enhanced therapist support and program technical improvements.

Conclusions:

• Participant perceptions of Web-PE for PTSD are largely positive, highlighting its flexibility as a major strength.
• Challenges include the necessity for participant self-motivation, indicating areas for future program development.
• Findings can inform the refinement of Web-PE and other digital mental health interventions for PTSD.