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Open Access 01-10-2019 | Post-Traumatic Stress Disorder | Original Paper

Effectiveness of Peer-Delivered Trauma Treatment in a Rural Community: A Randomized Non-inferiority Trial

Authors: Annette S. Crisanti, Cristina Murray-Krezan, Jessica Reno, Cynthia Killough

Published in: Community Mental Health Journal | Issue 7/2019

Abstract

This randomized controlled non-inferiority trial explored the effectiveness of Seeking Safety (SS) delivered by peer providers compared to its delivery by licensed behavioral health clinicians. The study enrolled 291 adults with PTSD and/or substance use disorders. Data were collected at 3 and 6-months post start of treatment. With respect to long-term outcomes, at 6 months PTSD symptoms decreased by 5.1 points [95% CI (− 9.0, − 1.1)] and by 4.9 points [95% CI (− 8.6, − 1.1)] and coping skills increased by 5.5 points [95% CI (0.4, 10.6)] and by 5.6 points [95% CI (0.8, 10.4)], in the peer- and clinician-led groups, respectively. This study demonstrated non-inferiority of peer-delivered SS compared to clinician-delivered SS for reducing PTSD symptoms and similar outcomes for both groups with respect to coping skills. A confirmatory study on the effectiveness of peer-delivered trauma-specific services is warranted, especially given the potential for increasing access to such treatment in underserved rural communities.

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Title: Effectiveness of Peer-Delivered Trauma Treatment in a Rural Community: A Randomized Non-inferiority Trial
Authors: Annette S. Crisanti
Cristina Murray-Krezan
Jessica Reno
Cynthia Killough
Publication date: 01-10-2019
Publisher: Springer US
Keyword: Post-Traumatic Stress Disorder
Published in: Community Mental Health Journal / Issue 7/2019
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-019-00443-3

At a glance: The STEP trials

Springer Medicine

Effectiveness of Peer-Delivered Trauma Treatment in a Rural Community: A Randomized Non-inferiority Trial

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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