Evidence map›Paper›PMID 26743770›Full record

ArticleThe journal of behavioral health services & research2017

Mental Health Providers' Decision-Making Around the Implementation of Evidence-Based Treatment for PTSD.

Princess E Osei-Bonsu, Rendelle E Bolton, Shannon Wiltsey Stirman, Susan V Eisen, Lawrence Herz, Maura E Pellowe

Abstract read
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In one paragraph

Article in The journal of behavioral health services & research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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.

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

22 citing papers in PubMed.

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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

6 authors.

Princess E Osei-BonsuCenter for Chronic Disease Outcomes Research (CCDOR), Minneapolis VA Health Care System, One Veterans Drive (152), Minneapolis, MN, 55417, USA. Princess.Osei-Bonsu@va.gov.
Rendelle E BoltonCenter for Healthcare Organization and Implementation Research (CHOIR), Edith Nourse Rogers Memorial Veterans Hospital, 200 Springs Road (152), Bedford, MA, 01730, USA.
Shannon Wiltsey StirmanDissemination and Training Division, National Center for PTSD, VA Palo Alto Healthcare System, Palo Alto, CA, USA.
Susan V EisenDepartment of Health Policy and Management, Boston University School of Public Health, Boston, MA, USA.
Lawrence HerzMental Health Service Line, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, USA.
Maura E PelloweMental Health Service Line, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is estimated that <15% of veterans with posttraumatic stress disorder (PTSD) have engaged in two evidence-based psychotherapies highly recommended by VA-cognitive processing therapy (CPT) and prolonged exposure (PE). CPT and PE guidelines specify which patients are appropriate, but research suggests that providers may be more selective than the guidelines. In addition, PTSD clinical guidelines encourage "shared decision-making," but there is little research on what processes providers use to make decisions about CPT/PE. Sixteen licensed psychologists and social workers from two VA medical centers working with ≥1 patient with PTSD were interviewed about patient factors considered and decision-making processes for CPT/PE use. Qualitative analyses revealed that patient readiness and comorbid conditions influenced decisions to use or refer patients with PTSD for CPT/PE. Providers reported mentally derived and instances of patient-involved decision-making around CPT/PE use. Continued efforts to assist providers in making informed and collaborative decisions about CPT/PE use are discussed.

Indexed as

Clinical Decision-MakingEvidence-Based PracticePractice Patterns, Physicians'AdultAgedCognitive Behavioral TherapyFemaleHumansImplosive TherapyMaleMental HealthMiddle AgedStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeterans

Identifiers

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.