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Area of Science:

  • Psychiatry and Mental Health
  • Clinical Psychology
  • Health Services Research

Background:

  • The Posttraumatic Stress Disorder (PTSD) Checklist for the Diagnostic and Statistical Manual of Mental Disorders-5 (PCL-5) is a key instrument for assessing PTSD.
  • The Department of Veterans Affairs mandates PCL-5 use for tracking patient progress in PTSD Specialty Clinics.
  • The COVID-19 pandemic accelerated the adoption of telehealth, necessitating remote assessment methods.

Purpose of the Study:

  • To review the psychometric properties and criticisms of the PCL-5.
  • To provide recommendations for the optimal use of the PCL-5 in remote, asynchronous telehealth settings.
  • To explore broader considerations for remote, asynchronous assessment in measurement-based care.

Main Methods:

  • Literature review of the PCL-5's psychometric properties.
  • Analysis of criticisms and limitations of the PCL-5.
  • Exploration of telehealth and remote assessment best practices.

Main Results:

  • The PCL-5 is a well-validated measure for PTSD symptom severity.
  • Remote, asynchronous administration requires careful consideration of its psychometric integrity.
  • Guidelines are needed for effective telehealth implementation of the PCL-5.

Conclusions:

  • The PCL-5 can be effectively used remotely, but requires adaptation and validation for asynchronous telehealth.
  • Optimizing remote assessment with the PCL-5 supports measurement-based care initiatives.
  • Further research is needed to refine remote administration protocols for PTSD assessment.