Journal article
Feasibility and acceptability of remote technologies for the treatment of trauma- and stressor-related disorders in adults: mixed-methods systematic review
BJPsych Open, Vol.11(6), pp.1-15
2025
PMID: 41122899
Appears in Thompson Institute Research Collection
Abstract
Background
Trauma- and stressor-related disorders (TSRD) are debilitating mental health conditions. Given the barriers to traditional services, remote and online technologies are increasingly used in treating TSRD.
Aims
This mixed-methods systematic review aimed to identify remote technologies and assessed their feasibility and acceptability in treating adults with post-traumatic stress disorder (PTSD), acute stress disorder and adjustment disorder (AjD).
Method
The databases MEDLINE, CINAHL, Embase, PsycInfo, PubMed and the Cochrane Library were screened to identify studies investigating the feasibility and acceptability of remote interventions for PTSD, acute stress disorder and AjD in adults. Studies that obtained poor-quality ratings on critical appraisal tools were excluded. Results were synthesised using a narrative review approach.
Results
In total, there were 74 studies evaluating 27 remote interventions for TSRD: online interventions (k = 47, 63.51%), mobile applications (k = 17, 22.97%), video conferencing (k = 9, 12.16%) and message-based systems (k = 1, 1.35%). Findings from the review showed higher feasibility and acceptability for interventions with an interactive clinician–patient component. Among self-directed interventions, only two applications and eight online interventions provided a clinician component. Most studies targeted PTSD, with few targeting other diagnoses.
Conclusions
Recommendations related to remote interventions for TSRDs should be broadened to include AjD and other underrepresented diagnoses, and tailored to individual patients’ profiles, including their ability to sustain engagement and clinical needs, using a stepped-care approach.
Details
- Title
- Feasibility and acceptability of remote technologies for the treatment of trauma- and stressor-related disorders in adults: mixed-methods systematic review
- Authors
- Marjolaine Rivest-Beauregard - Douglas Mental Health University InstituteJustine Fortin - Université du Québec à MontréalÉlyse Gauthier - Douglas Mental Health University InstituteMichelle Lonergan - Mental Health Research CanadaAlain Brunet - University of the Sunshine Coast, Queensland, Thompson InstituteManuela Ferrari (Corresponding Author) - Douglas Mental Health University Institute
- Publication details
- BJPsych Open, Vol.11(6), pp.1-15
- Publisher
- Cambridge University Press
- Date published
- 2025
- DOI
- 10.1192/bjo.2025.10832
- ISSN
- 2056-4724
- PMID
- 41122899
- Copyright note
- © The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists. This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (https://creativecommons.org/licenses/by-nc-sa/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is used to distribute the re-used or adapted article and the original article is properly cited. The written permission of Cambridge University Press must be obtained prior to any commercial use.
- Data Availability
- Data availability is not applicable to this article as no new data were created or analysed in this study.
- Organisation Unit
- Thompson Institute
- Language
- English
- Record Identifier
- 991182345302621
- Output Type
- Journal article
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web Of Science research areas
- Psychiatry