Paraprofessional delivery of online narrative exposure therapy for firefighters

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dc.contributor.authorOlthuis, Janine V.
dc.contributor.authorKaltenbach, Elisa
dc.contributor.authorGiberson, Emma
dc.contributor.authorSaryeddine, Tina
dc.contributor.authorAsmundson, Gordon J. G.
dc.contributor.authorCarleton, R. Nicholas
dc.contributor.authorCramm, Heidi
dc.contributor.authorCrombach, Anselm
dc.contributor.authorDevlin, Julie
dc.contributor.authorMack, Jeff
dc.contributor.authorLingley-Pottie, Patricia
dc.contributor.authorRao, Sanjay
dc.contributor.authorSullivan, Michael
dc.contributor.authorWozney, Lori
dc.contributor.authorMcGrath, Patrick J.
dc.date.accessioned2023-06-13T17:46:39Z
dc.date.available2023-06-13T17:46:39Z
dc.date.issued2023-06-08
dc.description© 2023 The Authors. Journal of Traumatic Stress published by Wiley Periodicals LLC on behalf of International Society for Traumatic Stress Studies. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.en_US
dc.description.abstractFirefighters are at increased risk for developing posttraumatic stress disorder (PTSD) and face numerous barriers to accessing mental health care. Innovative ways to increase access to evidence-based interventions are needed. This study was a case series testing the acceptability, feasibility, and preliminary effectiveness of a paraprofessional-delivered, virtual narrative exposure therapy (eNET) intervention for PTSD. Participants were 21 firefighters who met the criteria for clinical or subclinical probable PTSD and completed 10–12 sessions of eNET via videoconference. Participants completed self-report measures pre- and postintervention and at 2- and 6-month follow-ups as well as a postintervention qualitative interview. Paired samples t tests evidenced statistically significant decreases in PTSD, anxiety, and depressive symptom severity and functional impairment from pre- to postintervention, ds = 1.08–1.33, and in PTSD and anxiety symptom severity and functional impairment from preintervention to 6-month follow-up, ds = 0.69–1.10. The average PTSD symptom severity score fell from above to below the clinical cutoff for probable PTSD at postintervention and follow-ups. Qualitative interviews indicated that paraprofessionals were considered central to participants’ success and experience with the intervention. No adverse events or safety concerns were raised. This study is an important step in demonstrating that appropriately trained and supervised paraprofessionals can effectively deliver eNET to firefighters with PTSD.en_US
dc.description.authorstatusFacultyen_US
dc.description.peerreviewyesen_US
dc.description.sponsorshipCanadian Institutes of Health Research. Grant Number: 162543en_US
dc.identifier.citationOlthuis, J. V., Kaltenbach, E., Giberson, E., Saryeddine, T., Asmundson, G. J. G., Carleton, R. N., Cramm, H., Crombach, A., Devlin, J., Mack, J., Lingley-Pottie, P., Rao, S., Sullivan, M., Wozney, L., & McGrath, P. J. (2023). Paraprofessional delivery of online narrative exposure therapy for firefighters. Journal of Traumatic Stress, 1–13. https://doi.org/10.1002/jts.22941en_US
dc.identifier.doihttps://doi.org/10.1002/jts.22941
dc.identifier.urihttps://hdl.handle.net/10294/15954
dc.language.isoenen_US
dc.publisherWileyen_US
dc.rightsAttribution-NonCommercial-NoDerivs 4.0 International*
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.titleParaprofessional delivery of online narrative exposure therapy for firefightersen_US
dc.typeArticleen_US
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Nicholas Carleton