ABSTRACT

The objective was to estimate the efficacy of peer-delivered Whole Health Coaching with individual veterans with PTSD in primary care. This study examined changes in goal attainment before, during, and after peer-delivered Whole Health Coaching using a concurrent multiple-baseline design across participants with replication across cohorts. Ten primary care veterans with symptoms of PTSD were included. The primary outcome, goal attainment, was analysed using multilevel modelling, non-overlap of all pairs (NAP) effect size, and visual inspection. Across all three analyses, peer-delivered Whole Health Coaching was associated with increased and sustained goal attainment in some Veterans with PTSD. Multilevel modelling demonstrated that at the sample level, goal attainment was significantly higher during peer-delivered Whole Health Coaching, t = 2.49, p < .05. Multilevel modelling revealed significant improvement for 4 of 10 participants; NAP and visual inspection demonstrated moderate to large effects for 6 of 10 participants. Peer-delivered Whole Health Coaching may help veterans with PTSD make progress on individualised goals. Future research should replicate these findings and evaluate which participants may be most likely to benefit.

摘要

目的是评估同伴提供的整体健康指导对初级保健中患有 PTSD 的个体退伍军人的效果。本研究使用跨参与者的并发多基线设计和跨队列复制，检查了在同伴提供的整体健康指导之前、期间和之后目标实现的变化。包括 10 名有 PTSD 症状的初级保健退伍军人。使用多级建模、所有对的非重叠 (NAP) 效应大小和目视检查来分析主要结果，即目标实现。在所有三项分析中，同伴提供的整体健康指导与一些患有 PTSD 的退伍军人实现目标的增加和持续增加有关。多级建模表明，在样本级别，在同伴提供的整体健康指导中，目标达成率显着提高，t  = 2.49，p  < .05。多级建模显示 10 名参与者中有 4 名有显着改善；NAP 和目视检查对 10 名参与者中的 6 名显示出中到大的影响。同伴提供的整体健康指导可以帮助患有 PTSD 的退伍军人在个性化目标上取得进展。未来的研究应该复制这些发现并评估哪些参与者最有可能受益。