Evidence map›Paper›PMID 25431445›Full record

ArticleBehavioral sciences (Basel, Switzerland)2014

Prescribing clinicians' perspectives on evidence-based psychotherapy for posttraumatic stress disorder.

Erin R Barnett, Nancy C Bernardy, Aaron B Jenkyn, Louise E Parker, Brian C Lund, Bruce Alexander, Matthew J Friedman

Open access · goldAbstract read
In one paragraph

Article in Behavioral sciences (Basel, Switzerland), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 17 citations in OpenAlex.

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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

7 authors at 4 institutions in 1 country.

Erin R BarnettDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, 1 Rope Ferry Road, Hanover, NH 03755, USA. Erin.R.Barnett@Dartmouth.edu.
Nancy C BernardyDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, 1 Rope Ferry Road, Hanover, NH 03755, USA. Aaron.Jenkyn@va.gov.
Aaron B JenkynNational Center for Posttraumatic Stress Disorder, Veterans Affairs Medical Center, 215 North Main Street, White River Junction, VT 05009, USA. Aaron.Jenkyn@va.gov.
Louise E ParkerDepartment of Management and Marketing, College of Management, University of Massachusetts, Boston, 100 Morrissey Boulevard, Boston, MA 02125, USA. Louise.Parker@umb.edu.
Brian C LundCenter for Comprehensive Access & Delivery Research and Evaluation, Iowa City VA Health Care System, Mailstop 152, 601 Hwy 6 West, Iowa City, IA 52246, USA. Brian.Lund@va.gov.
Bruce AlexanderCenter for Comprehensive Access & Delivery Research and Evaluation, Iowa City VA Health Care System, Mailstop 152, 601 Hwy 6 West, Iowa City, IA 52246, USA. Bruce.Alexander@va.gov.
Matthew J FriedmanDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, 1 Rope Ferry Road, Hanover, NH 03755, USA. Aaron.Jenkyn@va.gov.
Dartmouth College · USIowa City VA Health Care System · USNational Center for Post Traumatic Stress Disorder · USUniversity of Massachusetts Boston · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evidence-based psychotherapies (EBP) for Posttraumatic Stress Disorder are not utilized to their full extent within the Department of Veterans Affairs (VA). VA provides care to many persons with PTSD and has been in the forefront of clinical practice guidelines and EBP training and dissemination. Yet VA continues to find EBP implementation difficult. Veterans with PTSD often initially present to prescribing clinicians, who then help make care decisions. It is therefore critical that these clinicians correctly screen and triage appropriate mental health care. The purpose of this study was to assess VA prescribing clinicians' knowledge, perceptions, and referral behaviors related to EBPs for PTSD and to identify facilitators and barriers to implementing EBPs within VA. We conducted qualitative interviews with 26 VA prescribing clinicians. Limited access to EBPs was the most commonly noted barrier. The clinicians we interviewed also held specific beliefs and behaviors that may delay or deter EBPs. Strategies to improve utilization also emerged. Findings suggest the need for increased access to EBPs, training to optimize the role of prescribing clinicians in helping Veterans with PTSD make appropriate care decisions, and specific organizational changes to facilitate access and effective referral systems for EBPs.

Identifiers

PMID25431445
PMCPMC4287697
OpenAlexW2077984888

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.