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dc.contributor.authorKruse, Clemens S. ( Orcid Icon 0000-0002-7636-1086 )
dc.contributor.authorAtkins, James M. ( )
dc.contributor.authorBaker, Tiffany D. ( )
dc.contributor.authorGonzales, Estefania N. ( )
dc.contributor.authorPaul, Jennifer L. ( )
dc.contributor.authorBrooks, Matthew ( )
dc.identifier.citationKruse, C. S., Atkins, J. M., Baker, T. D., Gonzales, E. N., Paul, J. L., & Brooks, B. (2018). Factors influencing the adoption of telemedicine for treatment of military veterans with post-traumatic stress disorder. Journal of Rehabilitation Medicine, 50(5), pp. 385-392.en_US

Background: Military veterans returning from a combat zone often face mental health challenges as a result of traumatic experiences. The veteran in the United States has been underdiagnosed and underserved. Since its advancement in the 1990s, telemedicine has become a more prevalent means of delivering services for post-traumatic stress disorder among veterans in the United States, but its adoption is not ubiquitous.

Objective: To clarify the association of telemedicine and the treatment of veterans with post-traumatic stress disorder through identification of facilitators and barriers to the adoption of the modality.

Methods: Reviewers analysed articles from CINAHL and PubMed databases, using relative key words, selecting the 28 most germane to the study objective.

Results: The most common adoption facilitators were: improving access to rural populations of veterans (22%), effective treatment outcomes (16%), and decreased costs related to care (13%). The most prevalent barriers were: veterans lacking access to necessary modalities (25%), availability of physicians competent in post-traumatic stress disorder treatment (20%), and complications with technology (20%). Five themes surfaced for facilitators: accessibility, effectiveness, cost reduction, positive patient perception, and supportive community; and 5 themes for barriers: access to technology, technical complications, physician availability, negative patient perception, and uninformed patients.

Conclusion: This literature review identifies cost and outcomes-effectiveness. The association of telemedicine with the treatment of veterans with post-traumatic stress disorder is feasible, beneficial and effective.

dc.format.extent8 pages
dc.format.medium1 file (.pdf)
dc.publisherFoundation for Rehabilitation Informationen_US
dc.sourceJournal of Rehabilitation Medicine, 2018, Vol. 50, No. 5, pp. 385-392
dc.subjectPost-traumatic stress disorder
dc.subjectMilitary veterans
dc.titleFactors Influencing the Adoption of Telemedicine for Treatment of Military Veterans with Post-Traumatic Stress Disorderen_US
txstate.departmentHealth Administration



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