Evidence map›Paper›PMID 24904701›Full record

ArticleTranslational behavioral medicine2014

Implementing brief cognitive behavioral therapy in primary care: A pilot study.

Joseph Mignogna, Natalie E Hundt, Michael R Kauth, Mark E Kunik, Kristen H Sorocco, Aanand D Naik, Melinda A Stanley, Kaki M York, Jeffrey A Cully

Registry-linked trialAbstract read
In one paragraph

Article in Translational behavioral medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01149772 (Cognitive Behavioral Therapy in Primary Care), which is not on this map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT01149772 nacompletednot on this map

Cognitive Behavioral Therapy in Primary Care: Treating the Medically Ill

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2011 to 2014Enrolled302ConditionsChronic Obstructive Pulmonary Disease, Heart Failure, Anxiety, DepressionArmsACCESS
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

9 authors.

Joseph MignognaCenter for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center (MEDVAMC 152), 2002 Holcombe Blvd., Houston, TX 77030 USA ; Baylor College of Medicine, Houston, TX USA ; VA South Central Mental Illness Research, Education and Clinical Center, Houston, TX USA.
Natalie E HundtCenter for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center (MEDVAMC 152), 2002 Holcombe Blvd., Houston, TX 77030 USA ; Baylor College of Medicine, Houston, TX USA ; VA South Central Mental Illness Research, Education and Clinical Center, Houston, TX USA.
Michael R KauthCenter for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center (MEDVAMC 152), 2002 Holcombe Blvd., Houston, TX 77030 USA ; Baylor College of Medicine, Houston, TX USA ; VA South Central Mental Illness Research, Education and Clinical Center, Houston, TX USA.
Mark E KunikCenter for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center (MEDVAMC 152), 2002 Holcombe Blvd., Houston, TX 77030 USA ; Baylor College of Medicine, Houston, TX USA ; VA South Central Mental Illness Research, Education and Clinical Center, Houston, TX USA.
Kristen H SoroccoOklahoma Veterans Affairs Medical Center, Oklahoma City, OK USA ; University of Oklahoma Health Sciences Center, Oklahoma City, OK USA.
Aanand D NaikCenter for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center (MEDVAMC 152), 2002 Holcombe Blvd., Houston, TX 77030 USA ; Baylor College of Medicine, Houston, TX USA.
Melinda A StanleyCenter for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center (MEDVAMC 152), 2002 Holcombe Blvd., Houston, TX 77030 USA ; Baylor College of Medicine, Houston, TX USA ; VA South Central Mental Illness Research, Education and Clinical Center, Houston, TX USA.
Kaki M YorkMichael E. DeBakey VA Medical Center, Houston, TX USA.
Jeffrey A CullyCenter for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center (MEDVAMC 152), 2002 Holcombe Blvd., Houston, TX 77030 USA ; Baylor College of Medicine, Houston, TX USA ; VA South Central Mental Illness Research, Education and Clinical Center, Houston, TX USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Effective implementation strategies are needed to improve the adoption of evidence-based psychotherapy in primary care settings. This study provides pilot data on the test of an implementation strategy conducted as part of a multisite randomized controlled trial examining a brief cognitive-behavioral therapy versus usual care for medically ill patients in primary care, using a hybrid (type II) effectiveness/implementation design. The implementation strategy was multifaceted and included (1) modular-based online clinician training, (2) treatment fidelity auditing with expert feedback, and (3) internal and external facilitation to provide ongoing consultation and support of practice. Outcomes included descriptive and qualitative data on the feasibility and acceptability of the implementation strategy, as well as initial indicators of clinician adoption and treatment fidelity. Results suggest that a comprehensive implementation strategy to improve clinician adoption of a brief cognitive-behavioral therapy in primary care is feasible and effective for reaching high levels of adoption and fidelity.

Indexed as

AnxietyCognitive behavioral therapyDepressionHybrid effectiveness-implementation designsPrimary careVeterans

Identifiers

PMID24904701
PMCPMC4041920

What OpenQuestion holds

Textmetadata
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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.