ArticlePsychological services2015
Utilization of evidence-based psychotherapies in Veterans Affairs posttraumatic stress disorder outpatient clinics.
Article in Psychological services, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 49 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
49 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Determinants of Exposure Therapy Implementation in Clinical Practice for the Treatment of Anxiety, OCD, and PTSD: A Systematic Review.Clinical child and family psychology review · 2024Pooled it
- Implementation of Evidence-Based Psychotherapies for Posttraumatic Stress Disorder: A Systematic Review.Administration and policy in mental health · 2023Pooled it
- Elusive search for effective provider interventions: a systematic review of provider interventions to increase adherence to evidence-based treatment for depression.Implementation science : IS · 2018Pooled it
- Examining why therapists add sessions to the written exposure therapy protocol and whether it improves treatment outcome: A mixed-methods analysis.Psychological services · 2026Trial
- Veterans' experiences of somatic experiencing and prolonged exposure therapies for post-traumatic stress disorder: A qualitative analysis.Psychology and psychotherapy · 2025Trial
- Therapeutic alliance across trauma-focused and non-trauma-focused psychotherapies among veterans with PTSD.Psychological services · 2020Trial
- Long-term treatment gains of a brief exposure-based treatment for PTSD.Depression and anxiety · 2018Trial
- A Brief Exposure-Based Treatment vs Cognitive Processing Therapy for Posttraumatic Stress Disorder: A Randomized Noninferiority Clinical Trial.JAMA psychiatry · 2018Trial
- Improving and sustaining delivery of CPT for PTSD in mental health systems: a cluster randomized trial.Implementation science : IS · 2017Trial
- Does timing matter? Examining the impact of session timing on outcome.Journal of consulting and clinical psychology · 2016Trial
- Brief treatment for PTSD: A non-inferiority trial.Contemporary clinical trials · 2016Trial
- Cognitive-behavioral group treatment for veterans diagnosed with PTSD: Design of a hybrid efficacy-effectiveness clinical trial.Contemporary clinical trials · 2016Trial
- Expressive writing to reduce depressive and anxiety symptoms among sexual minority veterans: Study design for a pilot randomized controlled trial.Contemporary clinical trials communications · 2026Article
- Effects of six months of weekly supervision on using Prolonged Exposure Therapy for PTSD treatment in Ukraine.Research square · 2026Article
- Use of Cognitive-Behavioral Therapy in a Nation-Wide Veterans Health Administration Sample: The Role of Clinic, Therapist, and Patient Factors.Health services research · 2025Article
- Using machine learning to increase access to and engagement with trauma-focused interventions for posttraumatic stress disorder.The British journal of clinical psychology · 2025Review
- "So Many Other Things Improve" with Transdiagnostic Treatment for Sleep and Circadian Problems: Interviews with Community Providers on Treating Clients with Serious Mental Illness.Administration and policy in mental health · 2025Article
- State of the Science: Written Exposure Therapy for the Treatment of Posttraumatic Stress Disorder.Behavior therapy · 2024Review
- Patient experiences in making PTSD treatment decisions.Psychological services · 2024Article
- Mixed-methods formative evaluation of implementing an adapted suicide prevention treatment: Dialectical Behavior Therapy Skills Groups in the Veterans Health Administration.Frontiers in psychiatry · 2024Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
Abstract
In response to the growing numbers of veterans with posttraumatic stress disorder (PTSD), the Department of Veterans Affairs (VA) has sought to make evidence-based psychotherapies for PTSD available at every VA facility. We conducted a national survey of providers within VA PTSD clinical teams (PCTs) to describe utilization of prolonged exposure (PE) and cognitive processing therapy (CPT) and to identify individual and organizational factors associated with treatment uptake and adherence. Participants (N = 128) completed an electronic survey assessing reported utilization of PE and CPT treatments, adherence to treatment manuals, and characteristics of the provider and workplace environment. Participants reported conducting a weekly mean of 4.5 hours of PE, 3.9 hours of CPT (individual format), 1.3 hours of CPT (group format), and 13.4 hours of supportive care. Perceived effectiveness of PE and CPT were significantly associated with utilization of and adherence to those treatments. Reported number of hours conducting supportive care was positively associated with feeling the clinic was not sufficiently staffed (p = .05). Adherence to the PE treatment manual was positively associated with receiving emotional support from coworkers (p < .01). Provider attitudes and organizational factors such as staffing and work relationships may have an important impact on treatment selection and the quality of PTSD care provided in VA PCTs.
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