Skip to main content
. 2018 Dec 14;2018(12):CD011710. doi: 10.1002/14651858.CD011710.pub2

Miner 2016.

Study characteristics
Methods Randomised controlled trial
Participants Sample size: 49
Diagnosis: DSM‐IV PTSD
Method of recruitment: advertisements through fliers and websites
Method of diagnosis: PCL‐C
Trauma type: various
Age (mean): total: 45.7 (SD 13.9) years. Age range not reported by group.
Sex: 81.6% women, 18.4% men
Location: US
Comorbidities: not reported
Adjunctive therapy: not reported
Adjunctive medication: not reported
Unemployment: not reported
University education: not reported
Exclusion criteria: currently receiving treatment for PTSD
Baseline PTSD: all participants met diagnostic criteria for PTSD (no participant had a PCL score lower than the recommended range (i.e. 30–35).
Baseline PSS‐I scores (mean): Internet CBT: 63.00 (SD 11.28); wait list: 59.33 (SD 11.34)
Interventions Internet programme based on trauma‐focused CBT versus wait list
Experimental arm
Duration: 4 weeks
Treatment protocol: PTSD Coach
Participants given the app and instructed to use it however they would like for the following month. No specific training, instructions for use, or suggestions of how PTSD Coach might be helpful were provided in attempt to represent real‐world use. Participants completed the post‐condition assessment 1 month later.
Comparator arm
Duration: 4 weeks
Treatment protocol: wait list
No intervention over 1 month. Participants completed the post‐condition assessment 1 month later. Upon completion of the post‐condition assessment, participants received the PTSD Coach.
Outcomes Time points for assessment: 4 weeks
Primary outcome: PCL
Secondary outcome: acceptability, feasibility
Notes Funding source: not reported
Declarations of interest among the primary researchers: none
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "Participants were randomly assigned with an equal chance."
Comment: insufficient reporting of methods to determine risk of bias.
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias)
All outcomes High risk Impossible to blind participants or therapists.
Blinding of outcome assessment (detection bias)
All outcomes Low risk Comment: all outcomes self‐reported.
Incomplete outcome data (attrition bias)
All outcomes Low risk Quote: "The condition (PTSD Coach vs. waitlist) by time (baseline and post condition) interaction was used to estimate an effect size and assess if there was significant differential change in PCL scores using intention‐to‐treat (ITT) and completer analyses. For the ITT analysis multiple imputation with 10 imputed data sets was used to replace missing PCL values at the post‐condition (n=5; 10.2%) and follow‐up (n=9; 18.4%) assessments and ranges and averages of statistics across these imputed datasets are presented."
Comment: ITT analysis and missing data < 20%.
Selective reporting (reporting bias) Low risk Study protocol not available but it was clear that the published reports included all expected outcomes, including those that were prespecified.
Other bias Low risk Study appeared free from other sources of bias.