Abstract
In recent years, much of the innovation in patient care at the Veterans Health Administration has focused on improving access to behavioral health treatments. One innovation that can address barriers faced by veterans, especially those living in rural areas, is the use of digital tools such as smartphone applications (apps). This study is a pilot of a newly developed app, entitled Conquer Panic, which is integrated with intensive panic control treatment, a compressed group treatment for panic disorder. Two Operation Enduring Freedom/Operation Iraqi Freedom veterans used the Conquer Panic app as an integrated component of their treatment. Descriptive information obtained from the veterans’ treatment records is presented along with a summary of the veterans’ panic symptoms from pretreatment to 6 months following treatment. In addition, structured feedback given by the veterans concerning the treatment package, as a whole, and the Conquer Panic app are provided. Overall, both veterans indicated favorable opinions of the treatment package and the Conquer Panic app. Benefits of the Conquer Panic app included carry-over of primary treatment components beyond the provider-delivered phase of treatment, accessibility of information before and during actual panic attacks, and ease of use. Also, both veterans demonstrated marked reductions in panic symptom severity following the integrated treatment. Implications of these treatment innovations are discussed along with recommendations and future directions for combining novel service-delivery methods.
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References
Barlow, D. H., & Craske, M. G. (2000). Mastery of your anxiety and panic (3rd ed.). San Antonio: Graywind Publications Inc/The Psychological Corporation.
Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13, 319–340.
Erbes, C. R., Stinson, R., Kuhn, E., Polusny, M., Urban, J., Hoffman, J., et al. (2014). Access, utilization, and interest in mHealth applications among veterans receiving outpatient care for PTSD. Military Medicine, 179(11), 1218–1222.
Furukawa, T. A., Katherine Shear, M., Barlow, D. H., Gorman, J. M., Woods, S. W., Money, R., Etschel, E., Engel, R. R., & Leucht, S. (2009). Evidence-based guidelines for interpretation of the panic disorder severity scale. Depression and Anxiety, 26(10), 922–929.
Heron, K. E., & Smyth, J. M. (2010). Ecological momentary interventions: incorporating mobile technology into psychosocial and health behaviour treatments. British Journal of Health Psychology, 15(1), 1–39.
Newman, M. G., Szkodny, L. E., Llera, S. J., & Przeworski, A. (2011). A review of technology-assisted self-help and minimal contact therapies for anxiety and depression: is human contact necessary for therapeutic efficacy? Clinical Psychology Review, 31(1), 89–103.
Price, M., Yuen, E. K., Goetter, E. M., Herbert, J. D., Forman, E. M., Acierno, R., & Ruggiero, K. J. (2014). mHealth: a mechanism to deliver more accessible, more effective mental health care. Clinical Psychology and Psychotherapy, 21(5), 427–436.
Riding-Malon, R., & Werth Jr., J. L. (2014). Psychological practice in rural settings: At the cutting edge. Professional Psychology: Research and Practice, 45(2), 85–91.
Shear, M. K., Brown, T. A., Sholomskas, D. E., Barlow, D. H., Gorman, J. M., Woods, S. W., & Cloitre, M. (1992). Panic disorder severity scale (PDSS). Pittsburgh: Department of Psychiatry, University of Pittsburgh School of Medicine.
Stecker, T., Fortney, J., Hamilton, F., Sherbourne, C. D., & Ajzen, I. (2010). Engagement in mental health treatment among veterans returning from Iraq. Patient preference and adherence, 4, 45–49.
Teng, E. J., Barrera, T. L., Hiatt, E. L., Chaison, A. D., Dunn, N. J., Petersen, N. J., & Stanley, M. A. (2015). Intensive weekend group treatment for panic disorder and its impact on co-occurring PTSD: a pilot study. Journal of Anxiety Disorders, 33, 1–7.
U.S. Department of Health and Human Services, Health Resources and Services Administration. (2017). Medically Underserved Areas/Populations (MUA/P) by State and County. Retrieved March 8, 2018, from https://datawarehouse.hrsa.gov/.
Weingardt, K. R., & Greene, C. J. (2015). New electronic tools for veterans. North Carolina Medical Journal, 76(5), 332–334.
Acknowledgements
Special thanks to Cynthia Phelps, Ph.D. and HEALTHeDesigns, LLC for their work in developing the Conquer Panic app.
Funding
This research was supported by grant funding from the South Central Mental Illness, Research, Education, and Clinical Center (MIRECC). This material is also based upon work supported in part by the Department of Veterans Affairs and the VA HSR&D Houston Center for Innovations in Quality, Effectiveness and Safety (CIN13-413).
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The views expressed in this article are those of the authors and do not necessarily reflect the views, position, or policy of the Department of Veterans Affairs, the South Central MIRECC, Baylor College of Medicine or the US government.
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Broussard, J.D., Hiatt, E.L. & Teng, E.J. Conquer Panic: a Case Study on Integrating Technology into a Compressed Panic Disorder Treatment for Rural Veterans. J. technol. behav. sci. 4, 53–57 (2019). https://doi.org/10.1007/s41347-018-0073-3
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DOI: https://doi.org/10.1007/s41347-018-0073-3