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Research Article

The development and evaluation of a virtual, asynchronous, trauma-focused treatment program for adult survivors of childhood interpersonal trauma

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Received 10 Mar 2023, Accepted 05 Aug 2023, Published online: 04 Apr 2024

References

  • Afifi, T. O., MacMillan, H. L., Boyle, M., Taillieu, T., Cheung, K., & Sareen, J. (2014). Child abuse and mental disorders in Canada. CMAJ: Canadian Medical Association Journal = Journal de L’Association Medicale Canadienne, 186(9), E324–E332. https://doi.org/10.1503/cmaj.131792
  • Alcalá, H. E., Valdez-Dadia, A., & von Ehrenstein, O. S. (2018). Adverse childhood experiences and access and utilization of health care. Journal of Public Health (Oxford, England), 40(4), 684–692. https://doi.org/10.1093/pubmed/fdx155
  • Alhajri, N., Simsekler, M. C. E., Alfalasi, B., Alhashmi, M., Memon, H., Housser, E., Abdi, A. M., Balalaa, N., Al Ali, M., Almaashari, R., Al Memari, S., Al Hosani, F., Al Zaabi, Y., Almazrouei, S., & Alhashemi, H. (2022). Exploring quality differences in telemedicine between hospital outpatient departments and community clinics: Cross-sectional study. JMIR Medical Informatics, 10(2), e32373. https://doi.org/10.2196/32373
  • Alpert, E., Hayes, A. M., Barnes, J. B., & Sloan, D. M. (2020). Predictors of dropout in cognitive processing therapy for PTSD: An examination of trauma narrative content. Behavior Therapy, 51(5), 774–788. https://doi.org/10.1016/j.beth.2019.11.003
  • Altman, M., Huang, T. T. K., & Breland, J. Y. (2018). Design thinking in health care. Preventing Chronic Disease, 15, E117. https://doi.org/10.5888/pcd15.180128
  • Andersson, G., Carlbring, P., Titov, N., & Lindefors, N. (2019). Internet interventions for adults with anxiety and mood disorders: A narrative umbrella review of recent meta-analyses. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 64(7), 465–470. https://doi.org/10.1177/0706743719839381
  • Andersson, G., & Titov, N. (2014). Advantages and limitations of Internet-based interventions for common mental disorders. World Psychiatry: official Journal of the World Psychiatric Association (WPA), 13(1), 4–11. https://doi.org/10.1002/wps.20083
  • Andrews, G., Basu, A., Cuijpers, P., Craske, M. G., McEvoy, P., English, C. L., & Newby, J. M. (2018). Computer therapy for the anxiety and depression disorders is effective, acceptable and practical health care: An updated meta-analysis. Journal of Anxiety Disorders, 55, 70–78. https://doi.org/10.1016/j.janxdis.2018.01.001
  • Atwoli, L., Platt, J. M., Basu, A., Williams, D. R., Stein, D. J., & Koenen, K. C. (2016). Associations between lifetime potentially traumatic events and chronic physical conditions in the South African stress and health survey: A cross-sectional study. BMC Psychiatry, 16(1), 214. https://doi.org/10.1186/s12888-016-0929-z
  • Bellis, M. A., Hughes, K., Ford, K., Ramos Rodriguez, G., Sethi, D., & Passmore, J. (2019). Life course health consequences and associated annual costs of adverse childhood experiences across Europe and North America: A systematic review and meta-analysis. The Lancet. Public Health, 4(10), e517–e528. https://doi.org/10.1016/S2468-2667(19)30145-8
  • Berger, T. (2017). The therapeutic alliance in internet interventions: A narrative review and suggestions for future research. Psychotherapy Research: journal of the Society for Psychotherapy Research, 27(5), 511–524. https://doi.org/10.1080/10503307.2015.1119908
  • Bisson, J. I., Ariti, C., Cullen, K., Kitchiner, N., Lewis, C., Roberts, N. P., Simon, N., Smallman, K., Addison, K., Bell, V., Brookes-Howell, L., Cosgrove, S., Ehlers, A., Fitzsimmons, D., Foscarini-Craggs, P., Harris, S. R. S., Kelson, M., Lovell, K., McKenna, M., … Williams-Thomas, R. (2022). Guided, internet based, cognitive behavioural therapy for post-traumatic stress disorder: Pragmatic, multicentre, randomised controlled non-inferiority trial (RAPID). BMJ (Clinical Research ed.), 377, e069405. https://doi.org/10.1136/bmj-2021-069405
  • Bowlus, A., McKenna, K., Day, T., & Wright, D. (2003). The economic costs and consequences of child abuse in Canada. Law Commission of Canada.
  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
  • Bröcker, E., Olff, M., Suliman, S., Kidd, M., Mqaisi, B., Greyvenstein, L., Kilian, S., & Seedat, S. (2022). A clinician-monitored ‘PTSD Coach’ intervention: Findings from two pilot feasibility and acceptability studies in a resource-constrained setting. European Journal of Psychotraumatology, 13(2), 2107359. https://doi.org/10.1080/20008066.2022.2107359
  • Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet (London, England), 395(10227), 912–920. https://doi.org/10.1016/S0140-6736(20)30460-8
  • Chan, S., Li, L., Torous, J., Gratzer, D., & Yellowlees, P. M. (2018). Review of use of asynchronous technologies incorporated in mental health care. Current Psychiatry Reports, 20(10), 85. https://doi.org/10.1007/s11920-018-0954-3
  • Cloitre, M., Khan, C., Mackintosh, M. A., Garvert, D. W., Henn-Haase, C. M., Falvey, E. C., & Saito, J. (2019). Emotion regulation mediates the relationship between ACES and physical and mental health. Psychological Trauma: theory, Research, Practice and Policy, 11(1), 82–89. https://doi.org/10.1037/tra0000374
  • Cloitre, M., Stolbach, B. C., Herman, J. L., van der Kolk, B., Pynoos, R., Wang, J., & Petkova, E. (2009). A developmental approach to complex PTSD: Childhood and adult cumulative trauma as predictors of symptom complexity. Journal of Traumatic Stress, 22(5), 399–408. https://doi.org/10.1002/jts.20444
  • Cloitre, M., Stovall-McClough, K. C., Nooner, K., Zorbas, P., Cherry, S., Jackson, C. L., Gan, W., & Petkova, E. (2010). Treatment for PTSD related to childhood abuse: A randomized controlled trial. The American Journal of Psychiatry, 167(8), 915–924. https://doi.org/10.1176/appi.ajp.2010.09081247
  • Cotter, A. (2021). Criminal victimization in Canada, 2019. Juristat, 41(1), 1–37. https://www150.statcan.gc.ca/n1/pub/85-002-x/2021001/article/00014-eng.htm
  • Coventry, P. A., Meader, N., Melton, H., Temple, M., Dale, H., Wright, K., Cloitre, M., Karatzias, T., Bisson, J., Roberts, N. P., Brown, J. V. E., Barbui, C., Churchill, R., Lovell, K., Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I., & Petticrew, M, Medical Research Council Guidance. (2008). Developing and evaluating complex interventions: The new Medical Research Council guidance. BMJ (Clinical Research ed.), 337, a1655. https://doi.org/10.1136/bmj.a1655
  • Damian, A. J., Gallo, J. J., & Mendelson, T. (2018). Barriers and facilitators for access to mental health services by traumatized youth. Children and Youth Services Review, 85, 273–278. https://doi.org/10.1016/j.childyouth.2018.01.003
  • Deady, M., Choi, I., Calvo, R. A., Glozier, N., Christensen, H., & Harvey, S. B. (2017). eHealth interventions for the prevention of depression and anxiety in the general population: A systematic review and meta-analysis. BMC Psychiatry, 17(1), 310. https://doi.org/10.1186/s12888-017-1473-1
  • Dopp, A. R., Parisi, K. E., Munson, S. A., & Lyon, A. R. (2019). A glossary of user-centered design strategies for implementation experts. Translational Behavioral Medicine, 9(6), 1057–1064. https://doi.org/10.1093/tbm/iby119
  • Erbe, D., Eichert, H. C., Riper, H., & Ebert, D. D. (2017). Blending face-to-face and Internet-based interventions for the treatment of mental disorders in adults: Systematic review. Journal of Medical Internet Research, 19(9), e306. https://doi.org/10.2196/jmir.6588
  • Ferrucci, F., Jorio, M., Marci, S., Bezenchek, A., Diella, G., Nulli, C., Miranda, F., & Castelli-Gattinara, G. (2021). A web-based application for complex health care populations: User-centered design approach. JMIR Human Factors, 8(1), e18587. https://doi.org/10.2196/18587
  • Fortney, J. C., Pyne, J. M., Kimbrell, T. A., Hudson, T. J., Robinson, D. E., Schneider, R., Moore, W. M., Custer, P. J., Grubbs, K. M., & Schnurr, P. P. (2015). Telemedicine-based collaborative care for posttraumatic stress disorder: A randomized clinical trial. JAMA Psychiatry, 72(1), 58–67. https://doi.org/10.1001/jamapsychiatry.2014.1575
  • Gaebel, W., Großimlinghaus, I., Mucic, D., Maercker, A., Zielasek, J., & Kerst, A. (2017). EPA guidance on eMental health interventions in the treatment of posttraumatic stress disorder (PTSD). European Psychiatry: The Journal of the Association of European Psychiatrists, 41(1), 140–152. https://doi.org/10.1016/j.eurpsy.2017.01.001
  • Gilmore, A. K., Wilson, S. M., Skopp, N. A., Osenbach, J. E., & Reger, G. (2017). A systematic review of technology-based interventions for co-occurring substance use and trauma symptoms. Journal of Telemedicine and Telecare, 23(8), 701–709. https://doi.org/10.1177/1357633X16664205
  • Göttgens, I., & Oertelt-Prigione, S. (2021). The application of human-centered design approaches in health research and innovation: A narrative review of current practices. JMIR mHealth and uHealth, 9(12), e28102. https://doi.org/10.2196/28102
  • Gould, C. E., Loup, J., Scales, A. N., Juang, C., Carlson, C., Ma, F., & Sakai, E. Y. (2020). Development and refinement of educational materials to help older veterans use VA mental health mobile apps. Professional Psychology, Research and Practice, 51(4), 414–423. https://doi.org/10.1037/pro0000354
  • Graziani, G., Aylward, B. S., Fung, V., & Kunkle, S. (2022). Changes in healthcare costs following engagement with a virtual mental health system: A matched cohort study of healthcare claims data. Procedia Computer Science, 206, 173–182. https://doi.org/10.1016/j.procs.2022.09.096
  • Gros, D. F., Yoder, M., Tuerk, P. W., Lozano, B. E., & Acierno, R. (2011). Exposure therapy for PTSD delivered to veterans via telehealth: Predictors of treatment completion and outcome and comparison to treatment delivered in person. Behavior Therapy, 42(2), 276–283. https://doi.org/10.1016/j.beth.2010.07.005
  • Han, H. J., Mendu, S., Jaworski, B. K., E Owen, J., & Abdullah, S. (2021). PTSDialogue: Designing a conversational agent to support individuals with Post-Traumatic Stress Disorder [Paper presentation]. Adjunct Proceedings of the 2021 ACM International Joint Conference on Pervasive and Ubiquitous Computing and Proceedings of the 2021 ACM International Symposium on Wearable Computers, September) (pp. 198–203). https://doi.org/10.1145/3460418.3479332
  • Hilty, D. M., Chan, S., Hwang, T., Wong, A., & Bauer, A. M. (2017). Advances in mobile mental health: Opportunities and implications for the spectrum of e-mental health services. mHealth, 3, 34–34. https://doi.org/10.21037/mhealth.2017.06.02
  • Hollis, C., Falconer, C. J., Martin, J. L., Whittington, C., Stockton, S., Glazebrook, C., & Davies, E. B. (2017). Annual research review: Digital health interventions for children and young people with mental health problems – a systematic and meta-review. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 58(4), 474–503. https://doi.org/10.1111/jcpp.12663
  • Hughes, K., Bellis, M. A., Hardcastle, K. A., Sethi, D., Butchart, A., Mikton, C., Jones, L., & Dunne, M. P. (2017). The effect of multiple adverse childhood experiences on health: A systematic review and meta-analysis. The Lancet. Public Health, 2(8), e356–e366. https://doi.org/10.1016/S2468-2667(17)30118-4
  • Jaspers, M. W., Steen, T., van den Bos, C., & Geenen, M. (2004). The think aloud method: A guide to user interface design. International Journal of Medical Informatics, 73(11-12), 781–795. https://doi.org/10.1016/j.ijmedinf.2004.08.003
  • Jones, C., Miguel-Cruz, A., Smith-MacDonald, L., Cruikshank, E., Baghoori, D., Kaur Chohan, A., Laidlaw, A., White, A., Cao, B., Agyapong, V., Burback, L., Winkler, O., Sevigny, P. R., Dennett, L., Ferguson-Pell, M., Greenshaw, A., & Brémault-Phillips, S. (2020). Virtual trauma-focused therapy for military members, veterans, and public safety personnel with posttraumatic stress injury: Systematic scoping review. JMIR mHealth and uHealth, 8(9), e22079. https://doi.org/10.2196/22079
  • Karyotaki, E., Riper, H., Twisk, J., Hoogendoorn, A., Kleiboer, A., Mira, A., Mackinnon, A., Meyer, B., Botella, C., Littlewood, E., Andersson, G., Christensen, H., Klein, J. P., Schröder, J., Bretón-López, J., Scheider, J., Griffiths, K., Farrer, L., Huibers, M. J. H., … Cuijpers, P. (2017). Efficacy of self-guided Internet-based cognitive behavioral therapy in the treatment of depressive symptoms: A meta-analysis of individual participant data. JAMA Psychiatry, 74(4), 351–359. https://doi.org/10.1001/jamapsychiatry.2017.0044
  • Kerst, A., Zielasek, J., & Gaebel, W. (2020). Smartphone applications for depression: A systematic literature review and a survey of health care professionals’ attitudes towards their use in clinical practice. European Archives of Psychiatry and Clinical Neuroscience, 270(2), 139–152. https://doi.org/10.1007/s00406-018-0974-3
  • Knaevelsrud, C., & Maercker, A. (2007). Internet-based treatment for PTSD reduces distress and facilitates the development of a strong therapeutic alliance: A randomized controlled clinical trial. BMC Psychiatry, 7(1), 13. https://doi.org/10.1186/1471-244X-7-13
  • Kruse, C. S., Atkins, J. M., Baker, T. D., Gonzales, E. N., Paul, J. L., & Brooks, M. (2018). Factors influencing the adoption of telemedicine for treatment of military veterans with post-traumatic stress disorder. Journal of Rehabilitation Medicine, 50(5), 385–392. https://doi.org/10.2340/16501977-2302
  • Kuhn, E., Kanuri, N., Hoffman, J. E., Garvert, D. W., Ruzek, J. I., & Taylor, C. B. (2017). A randomized controlled trial of a smartphone app for posttraumatic stress disorder symptoms. Journal of Consulting and Clinical Psychology, 85(3), 267–273. https://doi.org/10.1037/ccp0000163
  • Lewis, S. J., Arseneault, L., Caspi, A., Fisher, H. L., Matthews, T., Moffitt, T. E., Odgers, C. L., Stahl, D., Teng, J. Y., & Danese, A. (2019). The epidemiology of trauma and post-traumatic stress disorder in a representative cohort of young people in England and Wales. The Lancet. Psychiatry, 6(3), 247–256. https://doi.org/10.1016/S2215-0366(19)30031-8
  • Lewis, C., Roberts, N. P., Andrew, M., Starling, E., & Bisson, J. I. (2020). Psychological therapies for post-traumatic stress disorder in adults: Systematic review and meta-analysis. European Journal of Psychotraumatology, 11(1), 1729633. https://doi.org/10.1080/20008198.2020.1729633
  • Lewis, C., Roberts, N. P., Bethell, A., Robertson, L., & Bisson, J. I. (2018). Internet-based cognitive and behavioural therapies for post-traumatic stress disorder (PTSD) in adults. The Cochrane Database of Systematic Reviews, 12(12), CD011710. https://doi.org/10.1002/14651858.CD011710.pub2
  • Liu, C., Lee, J. H., Gupta, A. J., Tucker, A., Larkin, C., Turimumahoro, P., Katamba, A., Davis, J. L., & Dowdy, D. (2022). Cost-effectiveness analysis of human-centred design for global health interventions: A quantitative framework. BMJ Global Health, 7(3), e007912. https://doi.org/10.1136/bmjgh-2021-007912
  • Lungu, A., Wickham, R. E., Chen, S. Y., Jun, J. J., Leykin, Y., & Chen, C. E. (2022). Component analysis of a synchronous and asynchronous blended care CBT intervention for symptoms of depression and anxiety: Pragmatic retrospective study. Internet Interventions, 28, 100536. https://doi.org/10.1016/j.invent.2022.100536
  • Lyon, A. R., & Koerner, K. (2016). User-centered design for psychosocial intervention development and implementation. Clinical Psychology: A Publication of the Division of Clinical Psychology of the American Psychological Association, 23(2), 180–200. https://doi.org/10.1111/cpsp.12154
  • Maercker, A., Cloitre, M., Bachem, R., Schlumpf, Y. R., Khoury, B., Hitchcock, C., & Bohus, M. (2022). Complex post-traumatic stress disorder. Lancet (London, England), 400(10345), 60–72. https://doi.org/10.1016/S0140-6736(22)00821-2
  • Mandal, S., Wiesenfeld, B. M., Mann, D., Lawrence, K., Chunara, R., Testa, P., & Nov, O. (2022). Evidence for telemedicine’s ongoing transformation of health care delivery since the onset of COVID-19: Retrospective observational study. JMIR Formative Research, 6(10), e38661. https://doi.org/10.2196/38661
  • Mangalji, A., Chahal, P., & Cherukupalli, A. (2022). Evaluating patient perceptions of quality of care through telemedicine during the COVID-19 pandemic. BC Medical Journal, 64(6), 265–267.
  • Martínez, P., Rojas, G., Martínez, V., Lara, M. A., & Pérez, J. C. (2018). Internet-based interventions for the prevention and treatment of depression in people living in developing countries: A systematic review. Journal of Affective Disorders, 234, 193–200. https://doi.org/10.1016/j.jad.2018.02.079
  • McGrath, P., Wozney, L., Bishop, A., Curran, J., Chorney, J., & Rathore, S. (2018). Toolkit for e-mental health implementation. Mental Health Commission of Canada.
  • McLaughlin, K. A., Koenen, K. C., Hill, E. D., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013). Trauma exposure and posttraumatic stress disorder in a national sample of adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 52(8), 815–830.e14. https://doi.org/10.1016/j.jaac.2013.05.011
  • McLean, C. P., Foa, E. B., Dondanville, K. A., Haddock, C. K., Miller, M. L., Rauch, S. A. M., Yarvis, J. S., Wright, E. C., Hall-Clark, B. N., Fina, B. A., Litz, B. T., Mintz, J., Young-McCaughan, S., & Peterson, A. L, STRONG STAR Consortium. (2021). The effects of web-prolonged exposure among military personnel and veterans with posttraumatic stress disorder. Psychological Trauma: theory, Research, Practice and Policy, 13(6), 621–631. https://doi.org/10.1037/tra0000978
  • McTavish, J. R., Chandra, P. S., Stewart, D. E., Herrman, H., & MacMillan, H. L. (2022). Child maltreatment and intimate partner violence in mental health settings. International Journal of Environmental Research and Public Health, 19(23), 15672. https://doi.org/10.3390/ijerph192315672
  • Melton, H., Meader, N., Dale, H., Wright, K., Jones-Diette, J., Temple, M., Shah, I., Lovell, K., McMillan, D., Churchill, R., Barbui, C., Gilbody, S., & Coventry, P. (2020). Interventions for adults with a history of complex traumatic events: The INCiTE mixed-methods systematic review. Health Technology Assessment (Winchester, England), 24(43), 1–312. https://doi.org/10.3310/hta24430
  • Mohr, D. C., Riper, H., & Schueller, S. M. (2018). A solution-focused research approach to achieve an implementable revolution in digital mental health. JAMA Psychiatry, 75(2), 113–114. https://doi.org/10.1001/jamapsychiatry.2017.3838
  • Mongelli, F., Georgakopoulos, P., & Pato, M. T. (2020). Challenges and opportunities to meet the mental health needs of underserved and disenfranchised populations in the United States. Focus (American Psychiatric Publishing), 18(1), 16–24. https://doi.org/10.1176/appi.focus.20190028
  • Moore, G. F., Audrey, S., Barker, M., Bond, L., Bonell, C., Hardeman, W., Moore, L., O’Cathain, A., Tinati, T., Wight, D., & Baird, J. (2015). Process evaluation of complex interventions: Medical Research Council guidance. BMJ (Clinical Research ed.), 350, h1258. https://doi.org/10.1136/bmj.h1258
  • Moreno, C., Wykes, T., Galderisi, S., Nordentoft, M., Crossley, N., Jones, N., Cannon, M., Correll, C. U., Byrne, L., Carr, S., Chen, E. Y. H., Gorwood, P., Johnson, S., Kärkkäinen, H., Krystal, J. H., Lee, J., Lieberman, J., López-Jaramillo, C., Männikkö, M., … Arango, C. (2020). How mental health care should change as a consequence of the COVID-19 pandemic. The Lancet. Psychiatry, 7(9), 813–824. https://doi.org/10.1016/S2215-0366(20)30307-2
  • Morland, L. A., Mackintosh, M. A., Rosen, C. S., Willis, E., Resick, P., Chard, K., & Frueh, B. C. (2015). Telemedicine versus in-person delivery of cognitive processing therapy for women with posttraumatic stress disorder: A randomized noninferiority trail. Depression and Anxiety, 32(11), 811–820. https://doi.org/10.1002/da.22397
  • Nickerson, A., Byrow, Y., Pajak, R., McMahon, T., Bryant, R. A., Christensen, H., & Liddell, B. J. (2020). Tell Your Story’: A randomized controlled trial of an online intervention to reduce mental health stigma and increase help-seeking in refugee men with posttraumatic stress. Psychological Medicine, 50(5), 781–792. https://doi.org/10.1017/S0033291719000606
  • Olthuis, J. V., Wozney, L., Asmundson, G. J., Cramm, H., Lingley-Pottie, P., & McGrath, P. J. (2016). Distance-delivered interventions for PTSD: A systematic review and meta-analysis. Journal of Anxiety Disorders, 44, 9–26. https://doi.org/10.1016/j.janxdis.2016.09.010
  • Pace, C. S., Muzi, S., Rogier, G., Meinero, L. L., & Marcenaro, S. (2022). The Adverse Childhood Experiences - International Questionnaire (ACE-IQ) in community samples around the world: A systematic review (part I). Child Abuse & Neglect, 129, 105640. https://doi.org/10.1016/j.chiabu.2022.105640
  • Patel, S., Akhtar, A., Malins, S., Wright, N., Rowley, E., Young, E., Sampson, S., & Morriss, R. (2020). The acceptability and usability of digital health interventions for adults with depression, anxiety, and somatoform disorders: Qualitative systematic review and meta-synthesis. Journal of Medical Internet Research, 22(7), e16228. https://doi.org/10.2196/16228
  • Philippe, T. J., Sikder, N., Jackson, A., Koblanski, M. E., Liow, E., Pilarinos, A., & Vasarhelyi, K. (2022). Digital Health interventions for delivery of mental health care: Systematic and comprehensive meta-review. JMIR Mental Health, 9(5), e35159. https://doi.org/10.2196/35159
  • Rasing, S. P. A., Stikkelbroek, Y. A. J., & Bodden, D. H. M. (2019). Is digital treatment the holy grail? Literature review on computerized and blended treatment for depressive disorders in youth. International Journal of Environmental Research and Public Health, 17(1), 153. https://doi.org/10.3390/ijerph17010153
  • Rauschenberg, C., Schick, A., Goetzl, C., Roehr, S., Riedel-Heller, S. G., Koppe, G., Durstewitz, D., Krumm, S., & Reininghaus, U. (2021). Social isolation, mental health, and use of digital interventions in youth during the COVID-19 pandemic: A nationally representative survey. European Psychiatry: The Journal of the Association of European Psychiatrists, 64(1), e20. https://doi.org/10.1192/j.eurpsy.2021.17
  • Robards, F., Kang, M., Usherwood, T., & Sanci, L. (2018). How marginalized young people access, engage with, and navigate health-care systems in the digital age: Systematic review. The Journal of Adolescent Health: official Publication of the Society for Adolescent Medicine, 62(4), 365–381. https://doi.org/10.1016/j.jadohealth.2017.10.018
  • Sandre, A. R., & Newbold, K. B. (2016). Telemedicine: Bridging the gap between refugee health and health services accessibility in Hamilton, Ontario. Refuge: Canada’s Journal on Refugees, 32(3), 108–118. https://doi.org/10.25071/1920-7336.40396
  • Saunders, B. E., & Adams, Z. W. (2014). Epidemiology of traumatic experiences in childhood. Child and Adolescent Psychiatric Clinics of North America, 23(2), 167–184, vii. https://doi.org/10.1016/j.chc.2013.12.003
  • Schrader, C., & Ross, A. (2021). A review of PTSD and current treatment strategies. Missouri Medicine, 118(6), 546–551.
  • Sijbrandij, M., Kunovski, I., & Cuijpers, P. (2016). Effectiveness of Internet-delivered cognitive behavioral therapy for posttraumatic stress disorder: A systematic review and meta-analysis. Depression and Anxiety, 33(9), 783–791. https://doi.org/10.1002/da.22533
  • Simon, N., McGillivray, L., Roberts, N. P., Barawi, K., Lewis, C. E., & Bisson, J. I. (2019). Acceptability of internet-based cognitive behavioural therapy (i-CBT) for post-traumatic stress disorder (PTSD): A systematic review. European Journal of Psychotraumatology, 10(1), 1646092. https://doi.org/10.1080/20008198.2019.1646092
  • Simon, N., Robertson, L., Lewis, C., Roberts, N. P., Bethell, A., Dawson, S., & Bisson, J. I. (2021). Internet-based cognitive and behavioural therapies for post-traumatic stress disorder (PTSD) in adults. The Cochrane Database of Systematic Reviews, 5(5), CD011710. https://doi.org/10.1002/14651858.CD011710.pub3
  • Sloan, D. M., Gallagher, M. W., Feinstein, B. A., Lee, D. J., & Pruneau, G. M. (2011). Efficacy of telehealth treatments for posttraumatic stress-related symptoms: A meta-analysis. Cognitive Behaviour Therapy, 40(2), 111–125. https://doi.org/10.1080/16506073.2010.550058
  • Smith-Merry, J., Goggin, G., Campbell, A., McKenzie, K., Ridout, B., & Baylosis, C. (2019). Social connection and online engagement: Insights from interviews with users of a mental health online forum. JMIR Mental Health, 6(3), e11084. https://doi.org/10.2196/11084
  • Søgaard Neilsen, A., & Wilson, R. L. (2019). Combining e-mental health intervention development with human computer interaction (HCI) design to enhance technology-facilitated recovery for people with depression and/or anxiety conditions: An integrative literature review. International Journal of Mental Health Nursing, 28(1), 22–39. https://doi.org/10.1111/inm.12527
  • Stamenova, V., Chu, C., Pang, A., Fang, J., Shakeri, A., Cram, P., Bhattacharyya, O., Bhatia, R. S., & Tadrous, M. (2022). Virtual care use during the COVID-19 pandemic and its impact on healthcare utilization in patients with chronic disease: A population-based repeated cross-sectional study. PloS One, 17(4), e0267218. https://doi.org/10.1371/journal.pone.0267218
  • Strudwick, G., Impey, D., Torous, J., Krausz, R. M., & Wiljer, D. (2020). Advancing e-mental health in Canada: Report from a multistakeholder meeting. JMIR Mental Health, 7(4), e19360. https://doi.org/10.2196/19360
  • Sunjaya, A. P., Chris, A., & Novianti, D. (2020). Efficacy, patient-doctor relationship, costs and benefits of utilizing telepsychiatry for the management of post-traumatic stress disorder (PTSD): A systematic review. Trends in Psychiatry and Psychotherapy, 42(1), 102–110. https://doi.org/10.1590/2237-6089-2019-0024
  • Tenforde, A. S., Borgstrom, H., Polich, G., Steere, H., Davis, I. S., Cotton, K., O’Donnell, M., & Silver, J. K. (2020). Outpatient physical, occupational, and speech therapy synchronous telemedicine: A survey study of patient satisfaction with virtual visits during the COVID-19 pandemic. American Journal of Physical Medicine & Rehabilitation, 99(11), 977–981. https://doi.org/10.1097/PHM.0000000000001571
  • Thinkific. (n.d). https://www.thinkific.com/
  • Torous, J., & Keshavan, M. (2020). COVID-19, mobile health and serious mental illness. Schizophrenia Research, 218, 36–37. https://doi.org/10.1016/j.schres.2020.04.013
  • Turgoose, D., Ashwick, R., & Murphy, D. (2018). Systematic review of lessons learned from delivering tele-therapy to veterans with post-traumatic stress disorder. Journal of Telemedicine and Telecare, 24(9), 575–585. https://doi.org/10.1177/1357633X17730443
  • Valentine, L. M., Donofry, S. D., Broman, R. B., Smith, E. R., Rauch, S. A., & Sexton, M. B. (2020). Comparing PTSD treatment retention among survivors of military sexual trauma utilizing clinical video technology and in-person approaches. Journal of Telemedicine and Telecare, 26(7–8), 443–451. https://doi.org/10.1177/1357633X19832419
  • Van Ameringen, M., Turna, J., Khalesi, Z., Pullia, K., & Patterson, B. (2017). There is an app for that! The current state of mobile applications (apps) for DSM-5 obsessive-compulsive disorder, posttraumatic stress disorder, anxiety and mood disorders. Depression and Anxiety, 34(6), 526–539. https://doi.org/10.1002/da.22657
  • van Lotringen, C. M., Jeken, L., Westerhof, G. J., Ten Klooster, P. M., Kelders, S. M., & Noordzij, M. L. (2021). Responsible relations: A systematic scoping review of the therapeutic alliance in text-based digital psychotherapy. Frontiers in Digital Health, 3, 689750. https://doi.org/10.3389/fdgth.2021.689750
  • Vial, S., Boudhraâ, S., & Dumont, M. (2022). Human-centered design approaches in digital mental health interventions: Exploratory mapping review. JMIR Mental Health, 9(6), e35591. https://doi.org/10.2196/35591
  • Whaibeh, E., Mahmoud, H., & Naal, H. (2020). Telemental health in the context of a pandemic: The COVID-19 Experience. Current Treatment Options in Psychiatry, 7(2), 198–202. https://doi.org/10.1007/s40501-020-00210-2
  • Wu, M. S., Wickham, R. E., Chen, S. Y., Chen, C., & Lungu, A. (2021). Examining the impact of digital components across different phases of treatment in a blended care cognitive behavioral therapy intervention for depression and anxiety: Pragmatic retrospective study. JMIR Formative Research, 5(12), e33452. https://doi.org/10.2196/33452
  • Zhou, X., Snoswell, C. L., Harding, L. E., Bambling, M., Edirippulige, S., Bai, X., & Smith, A. C. (2020). The role of telehealth in reducing the mental health burden from COVID-19. Telemedicine Journal and e-Health: The Official Journal of the American Telemedicine Association, 26(4), 377–379. https://doi.org/10.1089/tmj.2020.0068