Evidence map›Paper›PMID 28597238›Full record

ArticleAdministration and policy in mental health2017

Context Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration.

Nina A Sayer, Craig S Rosen, Nancy C Bernardy, Joan M Cook, Robert J Orazem, Kathleen M Chard, David C Mohr, Shannon M Kehle-Forbes, Afsoon Eftekhari, Jill Crowley and 3 more

Abstract read
In one paragraph

Article in Administration and policy in mental health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
–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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  13. Therapist perceptions of experiential training for exposure therapy.Behavioural and cognitive psychotherapy · 2023
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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

13 authors.

Nina A SayerCenter for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, One Veterans Drive, Minneapolis, MN, 55417, USA. nina.sayer@va.gov.
Craig S RosenDissemination & Training Division, National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, CA, USA.
Nancy C BernardyExecutive Division, National Center for PTSD, White River Junction, VT, USA.
Joan M CookEvaluation Division, National Center for PTSD, VA Connecticut Health Care System, West Haven, CT, USA.
Robert J OrazemCenter for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, One Veterans Drive, Minneapolis, MN, 55417, USA.
Kathleen M ChardCincinnati Department of Veterans Affairs (VA) Medical Center, Cincinnati, OH, USA.
David C MohrCenter for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA.
Shannon M Kehle-ForbesCenter for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, One Veterans Drive, Minneapolis, MN, 55417, USA.
Afsoon EftekhariDissemination & Training Division, National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, CA, USA.
Jill CrowleyDissemination & Training Division, National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, CA, USA.
Josef I RuzekDissemination & Training Division, National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, CA, USA.
Brandy N SmithDissemination & Training Division, National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, CA, USA.
Paula P SchnurrExecutive Division, National Center for PTSD, White River Junction, VT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evidence-based psychotherapies for PTSD are often underused. The objective of this mixed-method study was to identify organizational and clinic factors that promote high levels of reach of evidence-based psychotherapies for PTSD 10 years into their dissemination throughout the Veterans Health Administration. We conducted 96 individual interviews with staff from ten outpatient PTSD teams at nine sites that differed in reach of evidence-based psychotherapies for PTSD. Major themes associated with reach included clinic mission, clinic leader and staff engagement, clinic operations, staff perceptions, and the practice environment. Strategies to improve reach of evidence-based psychotherapies should attend to organizational and team-level factors.

Indexed as

Ambulatory Care FacilitiesAttitude of Health PersonnelCognitive Behavioral TherapyEnvironmentEvidence-Based MedicineHumansImplosive TherapyMental Health ServicesOrganizational CultureStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsWork EngagementEvidence-based practicesImplementationMental health servicesMixed methodsOrganizationPosttraumatic stress disorder

Identifiers

PMID28597238
PMCPMC5640758

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.