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Benight CC, Shoji K, Yeager CM, et al. Predicting Change in Posttraumatic Distress Through Change in Coping Self-Efficacy After Using the My Trauma Recovery eHealth Intervention: Laboratory Investigation. JMIR Ment Health. 2018;5(4):e10309doi: 10.2196/10309.
Benight, C. C., Shoji, K., Yeager, C. M., Weisman, P., & Boult, T. E. (2018). Predicting Change in Posttraumatic Distress Through Change in Coping Self-Efficacy After Using the My Trauma Recovery eHealth Intervention: Laboratory Investigation. JMIR mental health, 5(4), e10309. https://doi.org/10.2196/10309
Benight, Charles C, et al. "Predicting Change in Posttraumatic Distress Through Change in Coping Self-Efficacy After Using the My Trauma Recovery eHealth Intervention: Laboratory Investigation." JMIR mental health vol. 5,4 (2018): e10309. doi: https://doi.org/10.2196/10309
Benight CC, Shoji K, Yeager CM, Weisman P, Boult TE. Predicting Change in Posttraumatic Distress Through Change in Coping Self-Efficacy After Using the My Trauma Recovery eHealth Intervention: Laboratory Investigation. JMIR Ment Health. 2018 Nov 29;5(4):e10309. doi: 10.2196/10309. PMID: 30497992; PMCID: PMC6293247.
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JMIR Ment Health. 2018 Nov 29;5(4):e10309. doi: 10.2196/10309.

Predicting Change in Posttraumatic Distress Through Change in Coping Self-Efficacy After Using the My Trauma Recovery eHealth Intervention: Laboratory Investigation.

JMIR mental health

Charles C Benight, Kotaro Shoji, Carolyn M Yeager, Pamela Weisman, Terrance E Boult

Affiliations

  1. Department of Psychology, University of Colorado, Colorado Springs, CO, United States.
  2. Trauma, Health, and Hazards Center, University of Colorado, Colorado Springs, CO, United States.
  3. Department of Computer Science, University of Colorado, Colorado Springs, CO, United States.

PMID: 30497992 PMCID: PMC6293247 DOI: 10.2196/10309

Abstract

BACKGROUND: Technology offers a unique platform for delivering trauma interventions (ie, eHealth) to support trauma-exposed populations. It is important to evaluate mechanisms of therapeutic change in reducing posttraumatic distress in eHealth for trauma survivors.

OBJECTIVE: This study evaluated a proactive, scalable, and individually responsive eHealth intervention for trauma survivors called My Trauma Recovery. My Trauma Recovery is an eHealth intervention aiming to support trauma survivors and consisting of 6 modules: relaxation, triggers, self-talk, professional help, unhelpful coping, and social support. It was designed to enhance trauma coping self-efficacy (CSE). We tested 3 hypotheses. First, My Trauma Recovery would decrease posttraumatic stress symptoms (PTSS). Second, My Trauma Recovery would increase CSE. And last, changes in CSE would be negatively correlated with changes in PTSS.

METHODS: A total of 92 individuals exposed to trauma (78/92, 85% females, mean age 34.80 years) participated. Our study was part of a larger investigation and consisted of 3 sessions 1 week apart. Participants completed the baseline online survey assessing PTSS and CSE. Each session included completing assigned modules followed by the online survey assessing CSE. PTSS was remeasured at the end of the last module.

RESULTS: PTSS significantly declined from T1 to T9 (F

CONCLUSIONS: The findings of our study show that participants working through My Trauma Recovery report clinically lower PTSS after 3 weeks. The results also demonstrate that CSE is an important self-appraisal factor that increased during sessions 1 and 2. These improvements are correlated with reductions in PTSS. Thus, changes in CSE may be an important mechanism for reductions in PTSS when working on a self-help trauma recovery website and may be an important target for eHealth interventions for trauma. These findings have important implications for trauma eHealth interventions.

©Charles C Benight, Kotaro Shoji, Carolyn M Yeager, Pamela Weisman, Terrance E Boult. Originally published in JMIR Mental Health (http://mental.jmir.org), 29.11.2018.

Keywords: coping self-efficacy (CSE); digital behavior change interventions (DBCI); eHealth; internet; posttraumatic stress disorder (PTSD); relaxation; trauma triggers

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