Evaluating the implementation of virtual Goal Management Training among Veterans with posttraumatic stress disorder

Abstract

LAY SUMMARY Posttraumatic stress disorder (PTSD) is a mental health disorder experienced by many Canadian Veterans. In addition to symptoms such as distressing memories, nightmares, and emotional distress, PTSD has been linked to changes in the brain that affect an individual’s ability to function in daily life. These changes include difficulties with memory, concentration, attention, and learning new tasks. Goal Management Training (GMT) is a therapy designed to improve these areas of brain function, and it has been adopted by the Quebec City Occupational Stress Injury (OSI) Clinic to help treat clients with PTSD and other mental health disorders. During the COVID-19 pandemic, the clinic converted GMT to an online program. The aim of this study was to examine whether the use of online GMT at the clinic was practical and effective. To do so, the authors conducted and analyzed two virtual focus groups with 11 OSI clinicians. They found that GMT seemed to improve functioning in some Veterans and that participation in GMT groups helped improve participants’ self-esteem. Offering an online GMT option may make participation easier for some Veterans, and offering both online and in-person options may help reach more clients and improve outcomes.