Trial reportJournal of general internal medicine2013
RESPECT-PTSD: re-engineering systems for the primary care treatment of PTSD, a randomized controlled trial.
Trial report in Journal of general internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00373698 (Reengineering Systems for the Primary Care Treatment of PTSD), which is not on this map. Cited by 33 papers, 5 of them syntheses that pooled 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.
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.
Reengineering Systems for the Primary Care Treatment of PTSD
Who cites it
33 citing papers in PubMed, 5 syntheses or guidelines pooled it, 77 citations in OpenAlex.
- Efficacy of interventions for posttraumatic stress disorder symptoms induced by traumatic medical events: a systematic review.Health psychology review · 2025Pooled it
- The Effectiveness of Patient-Centred Medical Home-Based Models of Care versus Standard Primary Care in Chronic Disease Management: A Systematic Review and Meta-Analysis of Randomised and Non-Randomised Controlled Trials.International journal of environmental research and public health · 2020Pooled it
- Correlates and predictors of mental health care utilization for veterans with PTSD: A systematic review.Psychological trauma : theory, research, practice and policy · 2019Pooled it
- Prevalence, Detection and Correlates of PTSD in the Primary Care Setting: A Systematic Review.Journal of clinical psychology in medical settings · 2016Pooled it
- The Prevalence of Posttraumatic Stress Disorder in Primary Care: A Systematic Review.Harvard review of psychiatryPooled it
- Pragmatic Comparative Effectiveness of Primary Care Treatments for Posttraumatic Stress Disorder: A Randomized Clinical Trial.JAMA psychiatry · 2025Trial
- Collaborative Care for Depression and Posttraumatic Stress Disorder: Evaluation of Collaborative Care Fidelity on Symptom Trajectories and Outcomes.Journal of general internal medicine · 2018Trial
- Impact of Collaborative Care for Underserved Patients with PTSD in Primary Care: a Randomized Controlled Trial.Journal of general internal medicine · 2016Trial
- Design of the Violence and Stress Assessment (ViStA) study: a randomized controlled trial of care management for PTSD among predominantly Latino patients in safety net health centers.Contemporary clinical trials · 2014Trial
- Mental health care utilization following a new positive PTSD screen in primary care in the Veterans Health Administration.Psychological services · 2026Article
- Healing the Whole: An International Review of the Collaborative Care Model between Primary Care and Psychiatry.Healthcare (Basel, Switzerland) · 2024Review
- Design of a hybrid implementation effectiveness cluster randomized controlled trial of delivering written exposure therapy for PTSD in underserved primary care settings.Contemporary clinical trials · 2024Article
- Mis-implementation of evidence-based behavioural health practices in primary care: lessons from randomised trials in Federally Qualified Health Centers.Evidence & policy : a journal of research, debate and practice · 2024Article
- Treatment of posttraumatic stress disorder with prolonged exposure for primary care (PE-PC): Effectiveness and patient and therapist factors related to symptom change and retention.Psychological services · 2023Article
- Posttraumatic Stress Disorder in Primary Care: A Study of General Practices in England.Journal of clinical psychology in medical settings · 2021Article
- Posttraumatic stress disorder collaborative care: A quality improvement study in veterans affairs primary care.Families, systems & health : the journal of collaborative family healthcare · 2021Observational
- Design of CLARO (Collaboration Leading to Addiction Treatment and Recovery from other Stresses): A randomized trial of collaborative care for opioid use disorder and co-occurring depression and/or posttraumatic stress disorder.Contemporary clinical trials · 2021Article
- Measurement Strategies for Evidence-Based Antidepressants for Posttraumatic Stress Disorder Delivery: Trends and Associations with Patient-Reported Outcomes.Administration and policy in mental health · 2021Article
- The Role of Integrated Primary Care in Increasing Access to Effective Psychotherapies in the Veterans Health Administration.Focus (American Psychiatric Publishing) · 2018Review
- A synthetic estimator for the efficacy of clinical trials with all-or-nothing compliance.Statistics in medicine · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough collaborative care is effective for treating depression and other mental disorders in primary care, there have been no randomized trials of collaborative care specifically for patients with Posttraumatic stress disorder (PTSD).
objectiveTo compare a collaborative approach, the Three Component Model (3CM), with usual care for treating PTSD in primary care.
designThe study was a two-arm, parallel randomized clinical trial. PTSD patients were recruited from five primary care clinics at four Veterans Affairs healthcare facilities and randomized to receive usual care or usual care plus 3CM. Blinded assessors collected data at baseline and 3-month and 6-month follow-up.
participantsParticipants were 195 Veterans. Their average age was 45 years, 91% were male, 58% were white, 40% served in Iraq or Afghanistan, and 42% served in Vietnam.
interventionAll participants received usual care. Participants assigned to 3CM also received telephone care management. Care managers received supervision from a psychiatrist. MAIN MEASURES: PTSD symptom severity was the primary outcome. Depression, functioning, perceived quality of care, utilization, and costs were secondary outcomes. KEY
resultsThere were no differences between 3CM and usual care in symptoms or functioning. Participants assigned to 3CM were more likely to have a mental health visit, fill an antidepressant prescription, and have adequate antidepressant refills. 3CM participants also had more mental health visits and higher outpatient pharmacy costs.
conclusionsResults suggest the need for careful examination of the way that collaborative care models are implemented for treating PTSD, and for additional supports to encourage primary care providers to manage PTSD.
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What OpenQuestion holds
Registered trials
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.