JMIR Publications

ABSTRACT

Background:

Background:

Technology-based mental health interventions address barriers rural veterans face in accessing care, including provider scarcity and distance from the hospital or clinic. WebSTAIR is a 10-module, virtual treatment based on Skills Training in Affective and Interpersonal Regulation (STAIR), designed to treat posttraumatic stress disorder and depression in trauma-exposed individuals. Prior work has demonstrated webSTAIR is acceptable to participants and effective at reducing symptoms of posttraumatic stress disorder and depression when delivered synchronously, or asynchronously (over 5 or 10 sessions).

Objective:

Objective:

The current study explores factors that lead to greater patient satisfaction with webSTAIR, a web-based, coach guided intervention.

Methods:

We analyzed qualitative interview data to identify themes related to patient satisfaction with webSTAIR delivered with asynchronous video-based coaching.

Results:

Results:

Four themes emerged from the data: 1) coaching provides accountability and support, 2) self-pacing offers value that meets individual needs, 3) participants like the comfort and convenience of the virtual format, and 4) technical issues were common but not insurmountable.

Conclusions:

Conclusion: We conclude that participants valued the accountability, flexibility, and convenience of tech-based interventions with video-delivered coaching. Clinical Trial: This was not a clinical trial.