Evidence map›Paper›PMID 26327929›Full record

ArticleTranslational behavioral medicine2015

Enabling lay providers to conduct CBT for older adults: key steps for expanding treatment capacity.

Cynthia Kraus-Schuman, Nancy L Wilson, Amber B Amspoker, Paula D Wagener, Jessica S Calleo, Gretchen Diefenbach, Derek Hopko, Jeffrey A Cully, Ellen Teng, Howard M Rhoades and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Translational behavioral medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. A meta-analysis of the effect of therapist experience on outcomes for clients with internalizing disorders.Psychotherapy research : journal of the Society for Psychotherapy Research · 2019
    Pooled it
  2. Trial
  3. Predictors of CBT outcome in older adults with GAD.Journal of anxiety disorders · 2014
    Trial
  4. Article
  5. Review
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

12 authors at 7 institutions in 1 country.

Cynthia Kraus-SchumanMental Health Care Line (MHCL 116), Michael E. DeBakey Veterans Affairs Medical Center, 2002 Holcombe Blvd., Houston, TX 77030 USA ; Baylor College of Medicine, Houston, TX USA.
Nancy L WilsonHouston VA HSR&D Center for Innovation in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX USA ; Baylor College of Medicine, Houston, TX USA.
Amber B AmspokerHouston VA HSR&D Center for Innovation in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX USA ; Baylor College of Medicine, Houston, TX USA.
Paula D WagenerHouston VA HSR&D Center for Innovation in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX USA ; Baylor College of Medicine, Houston, TX USA.
Jessica S CalleoHouston VA HSR&D Center for Innovation in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX USA ; Baylor College of Medicine, Houston, TX USA.
Gretchen DiefenbachThe Institute of Living, 400 Washington St., Hartford, CT 06106 USA.
Derek HopkoDepartment of Psychology, University of Tennessee - Knoxville, 307 Austin Peay Bldg., Knoxville, TN 37996-0900 USA.
Jeffrey A CullyHouston VA HSR&D Center for Innovation in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX USA ; Baylor College of Medicine, Houston, TX USA ; VA South Central Mental Illness Research, Education and Clinical Center, Houston, TX USA.
Ellen TengMental Health Care Line (MHCL 116), Michael E. DeBakey Veterans Affairs Medical Center, 2002 Holcombe Blvd., Houston, TX 77030 USA ; Baylor College of Medicine, Houston, TX USA ; Houston VA HSR&D Center for Innovation in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX USA ; VA South Central Mental Illness Research, Education and Clinical Center, Houston, TX USA.
Howard M RhoadesHarris County Psychiatric Center, The University of Texas Health Science Center at Houston, P. O. Box 20249, Houston, TX 77225-0249 USA.
Mark E KunikHouston VA HSR&D Center for Innovation in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX USA ; Baylor College of Medicine, Houston, TX USA ; VA South Central Mental Illness Research, Education and Clinical Center, Houston, TX USA.
Melinda A StanleyHouston VA HSR&D Center for Innovation in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX USA ; Baylor College of Medicine, Houston, TX USA ; VA South Central Mental Illness Research, Education and Clinical Center, Houston, TX USA.
Mental Illness Research, Education and Clinical Centers · USMichael E. DeBakey VA Medical Center · USBaylor College of Medicine · USCenter for Innovation · USInstitute for Community Living · USThe University of Texas Health Science Center at Houston · USUniversity of Tennessee at Knoxville · US

Funding

TREATMENT OF GENERALIZED ANXIETY DISORDER IN THE ELDERLYR01MH053932 · NIMH · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI STANLEY, MELINDA A · 1996 to 2012
$5.6M
NIMH NIH HHS R01 MH053932
6 · The paper itself

Abstract

The Institute of Medicine advocates the examination of innovative models of care to expand mental health services available for older adults. This article describes training and supervision procedures in a recent clinical trial of cognitive behavioral therapy (CBT) for older adults with generalized anxiety disorder (GAD) delivered by bachelor-level lay providers (BLPs) and to Ph.D.-level expert providers (PLPs). Supervision and training differences, ratings by treatment integrity raters (TIRs), treatment characteristics, and patient perceptions between BLPs and PLPs are examined. The training and supervision procedures for BLPs led to comparable integrity ratings, patient perceptions, and treatment characteristics compared with PLPs. These results support this training protocol as a model for future implementation and effectiveness trials of CBT for late-life GAD, with treatment delivered by lay providers supervised by a licensed provider in other practice settings.

Indexed as

Lay providersOlder adultsPsychotherapy

Identifiers

PMID26327929
PMCPMC4537460
OpenAlexW2092610635

What OpenQuestion holds

Textmetadata
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.