Evidence map›Paper›PMID 21596205›Full record

Trial reportGeneral hospital psychiatry

Enhancing the population impact of collaborative care interventions: mixed method development and implementation of stepped care targeting posttraumatic stress disorder and related comorbidities after acute trauma.

Douglas Zatzick, Frederick Rivara, Gregory Jurkovich, Joan Russo, Sarah Geiss Trusz, Jin Wang, Amy Wagner, Kari Stephens, Chris Dunn, Edwina Uehara and 4 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Innovations in Mixed Methods Evaluations.Annual review of public health · 2019
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Douglas ZatzickDepartment of Psychiatry and Behavioral Sciences, Harborview Injury Prevention and Research Center, University of Washington School of Medicine, Seattle, WA 98104, USA. dzatzick@u.washington.edu
Frederick Rivara
Gregory Jurkovich
Joan Russo
Sarah Geiss Trusz
Jin Wang
Amy Wagner
Kari Stephens
Chris Dunn
Edwina Uehara
Megan Petrie
Charles Engel
Dimitri Davydow
Wayne Katon
University of Washington · USHarborview Injury Prevention and Research Center · USPortland VA Medical Center · USUniformed Services University of the Health Sciences · US

Funding

INSTITUTE FOR TRANSLATIONAL HEALTH SCIENCE (UL1): BPCAUL1RR025014 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$51.5M
Early Combined Intervention After Traumatic InjuryR01MH073613 · NIMH · UNIVERSITY OF WASHINGTON · PI ZATZICK, DOUGLAS F · 2005 to 2010
$2.7M
Research, Mentoring & Dissemination for PTSD Intervention in Acute Care SettingsK24MH086814 · NIMH · UNIVERSITY OF WASHINGTON · PI ZATZICK, DOUGLAS F · 2010 to 2014
$867k
NCRR NIH HHS UL1 RR025014NIMH NIH HHS K24 MH086814NIMH NIH HHS MH073613NIMH NIH HHS MH086814NIMH NIH HHS R01 MH073613
6 · The paper itself

Abstract

objectiveThe objective of the study was to develop and implement a stepped collaborative care intervention targeting posttraumatic stress disorder (PTSD) and related comorbidities to enhance the population impact of early trauma-focused interventions.

methodWe describe the design and implementation of the Trauma Survivors Outcomes and Support study. An interdisciplinary treatment development team was composed of trauma surgical, clinical psychiatric and mental health services "change agents" who spanned the boundaries between frontline trauma center clinical care and acute care policy. Mixed method clinical epidemiologic and clinical ethnographic studies informed the development of PTSD screening and intervention procedures.

resultsTwo hundred seven acutely injured trauma survivors with high early PTSD symptom levels were randomized into the study. The stepped collaborative care model integrated care management (i.e., posttraumatic concern elicitation and amelioration, motivational interviewing and behavioral activation) with cognitive behavioral therapy and pharmacotherapy targeting PTSD. The model was feasibly implemented by frontline acute care masters in social work and nurse practioner providers.

conclusionsStepped care protocols targeting PTSD may enhance the population impact of early interventions developed for survivors of individual and mass trauma by extending the reach of collaborative care interventions to acute care medical settings and other nonspecialty posttraumatic contexts.

Indexed as

ComorbidityPatient Care TeamAdultAgedClinical ProtocolsCognitive Behavioral TherapyCooperative BehaviorFemaleHumansMaleMiddle AgedModels, TheoreticalStress Disorders, Post-TraumaticSurvivorsTrauma CentersWounds and Injuries

Identifiers

PMID21596205
PMCPMC3099037
OpenAlexW2069084559

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.