Evidence map›Paper›PMID 27348065›Full record

ArticlePsychological trauma : theory, research, practice and policy2017

The influence of patient readiness on implementation of evidence-based PTSD treatments in Veterans Affairs residential programs.

Joan M Cook, Vanessa Simiola, Jessica L Hamblen, Nancy Bernardy, Paula P Schnurr

Abstract read
In one paragraph

Article in Psychological trauma : theory, research, practice and policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Trial
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  6. Review
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  10. Review
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  12. Articulating the Trauma-Informed Theory of Individual Health Behavior.Stress and health : journal of the International Society for the Investigation of Stress · 2022
    Article
  13. Article
  14. Article
  15. Article
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  19. Trauma-Informed Telehealth in the COVID-19 Era and Beyond.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2020
    Article
  20. Article
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

5 authors.

Joan M CookDepartment of Psychiatry, Yale School of Medicine.
Vanessa SimiolaDepartment of Psychiatry, Yale School of Medicine.
Jessica L HamblenExecutive Division, National Center for PTSD.
Nancy BernardyExecutive Division, National Center for PTSD.
Paula P SchnurrExecutive Division, National Center for PTSD.

Funding

Sustained Use of Evidence-Based PSTD Treatment in VA Residential SettingsR01MH096810 · NIMH · YALE UNIVERSITY · PI COOK, JOAN M · 2012 to 2015
$1.6M
Theory-Driven Mixed-Methods Evaluation of PTSD Treatment Implementation in VA ResRC1MH088454 · NIMH · YALE UNIVERSITY · PI COOK, JOAN M · 2009 to 2010
$918k
National Institute of Mental HealthNIMH NIH HHS R01 MH096810NIMH NIH HHS RC1 MH088454
6 · The paper itself

Abstract

objectiveMental health provider perceptions of patient readiness for trauma-focused evidence-based treatments (EBTs) for posttraumatic stress disorder (PTSD) have been found to impact outpatient care in the Department of Veterans Affairs (VA).

methodOne hundred and 72 mental health directors and providers from 36 VA residential PTSD treatment programs completed qualitative interviews regarding implementation of two EBTs, Prolonged Exposure (PE), and Cognitive Processing Therapy (CPT). Perceptions of patients' "readiness" for PE and CPT, including how to define and assess this construct and how it influences implementation of these EBTs, were discussed.

resultsPatient readiness was identified as having three components: psychological and psychiatric stability, general readiness to change, and specific skills to manage trauma-focused EBTs (e.g., distress tolerance, affect regulation skills). Providers indicated that some patients who are deemed not ready are either screened out prior to entry or helped to get ready prior to or during their residential stay. Providers expressed difficulties predicting who is actually ready and described what they saw as differences between readiness for PE as compared with CPT.

conclusionsThe concept of readiness for trauma-focused EBTs impacted admission and access to services in the programs. Future research directions, such as empirically measuring readiness and formally assessing veterans' perceptions of and willingness to participate in these EBTs, are considered. (PsycINFO Database Record

Indexed as

Residential TreatmentCognitionCognitive Behavioral TherapyComorbidityEmotional IntelligenceEvidence-Based PracticeHealth PersonnelHumansImplosive TherapyInterviews as TopicMotivationPatient Acceptance of Health CareQualitative ResearchStress Disorders, Post-TraumaticSuperior Sagittal SinusUnited States

Identifiers

PMID27348065
PMCPMC5192004

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Registered trials

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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.