Enhancing the Delivery of an Empirically-Supported Trauma-Focused Treatment for Adolescents: Providers’ Views of the Role of Technology and Web-Based Resources

  • Rosaura E. Orengo-Aguayo
  • Rochelle F. Hanson
  • Angela D. Moreland
  • Lisa Jobe-Shields
  • Zachary W. Adams
Original Article


This mixed-methods study assessed providers’ views of the use of technology in the delivery of an empirically supported mental health treatment for adolescents (Trauma-Focused Cognitive Behavioral Therapy; TF-CBT). Thematic qualitative interviews were conducted with nine experienced providers. Emerging themes served as the basis for the creation of a quantitative web-based survey, completed by 56 TF-CBT experts, to assess the perceived helpfulness of the recommendations. Technology was perceived as a useful, appealing, and familiar tool that could greatly enhance the delivery of this treatment modality with adolescents. Main recommendations included the creation of a mobile application targeting all of the treatment components and a website with developmentally appropriate resources for providers, caregivers, and teens. Technology may be a useful tool for enhancing service delivery and promoting engagement among youth receiving trauma-focused mental health treatment.


Service delivery Treatment engagement Technology e-Health Adolescent mental health TF-CBT Dissemination and implementation 



Data collection and manuscript preparation was supported by grants from the Substance Abuse and Mental Health Services Administration, National Child Traumatic Stress Network, Category II, (Grant No. 1U79SM061269-01 awarded to Dr. Hanson) and from the National Institute of Mental Health (Grant No. T32MH18869 awarded to Dr. Orengo-Aguayo). These funding agencies had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication.

Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Psychiatry & Behavioral Sciences, National Crime Victims Research & Treatment CenterMedical University of South CarolinaCharlestonUSA
  2. 2.Department of PsychologyUniversity of RichmondVirginiaUSA
  3. 3.Department of PsychiatryIndiana UniversityIndianapolisUSA

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