ArticleGeneral psychiatry2019
Client-level predictors of treatment engagement, outcome and dropout: moving beyond demographics.
Article in General psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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.
The trial behind it
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- The role of distress tolerance in treatment of posttraumatic stress and substance use disorders: a systematic review.Cognitive behaviour therapy · 2026Review
- Engagement in child psychiatry department appointments: An analysis of electronic medical records in one safety-net hospital in New England, USA.Journal of health services research & policy · 2025Article
- Treatment-related beliefs and reactions among trauma-focused therapy completers and discontinuers: A qualitative examination.Psychological services · 2024Article
- Marketing mental health services: a mixed-methods analysis of racially and ethnically diverse college students' engagement with and perspectives on U.S. university mental health clinics' websites.BMC health services research · 2024Article
- Leveraging observational data to identify in-session patient and therapist predictors of cognitive processing therapy response and completion.Journal of traumatic stress · 2023Article
- Divergent experiences of U.S. veterans who did and did not complete trauma-focused therapies for PTSD: A national qualitative study of treatment dropout.Behaviour research and therapy · 2022Article
- Analysis of correlated data with feedback for time-dependent covariates in psychiatry research.General psychiatry · 2020Article
- What got in the way? Caregiver-reported challenges to home practice of assigned intervention skills.Implementation research and practiceArticle
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the availability of evidence-based treatments for posttraumatic stress disorder (PTSD), significant heterogeneity in the effectiveness of PTSD treatment persists, especially in community settings. Client demographics used to understand this variability in treatment outcome and dropout have yielded mixed results. Despite increasing evidence for the importance of attending to treatment engagement in community settings, few studies have explored client-level predictors.
aimThe purpose of this study is to explore client-level predictors of treatment outcome and dropout beyond client demographics, and to identify client-level predictors of treatment engagement in community settings.
methodSecondary data analysis was conducted with data collected as part of an implementation-effectiveness hybrid study of cognitive processing therapy (CPT) for PTSD in a diverse community health centre. Providers (n=19) treated (n=52) clients as part of their routine clinical care. Non-demographic client-level predictors included barriers to treatment, quality of life, session-level language and employment history assessed at baseline. Treatment engagement included number of weeks in the study, number of sessions with repeated CPT content, number of unique CPT sessions attended, frequency of session attendance and consistency of session attendance.
resultsResults showed language as a significant predictor of treatment engagement. There were significant differences between Spanish and English-speaking clients, with the former having a tendency to repeat more session content than the latter (β=1.4 sessions,
conclusionIdentification of client-level predictors of treatment engagement, outcome and dropout is essential to optimise treatment, particularly in community settings.
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