Evidence map›Paper›PMID 33078451›Full record

ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2021

Factors Affecting Adoption of Coordinated Anxiety Learning and Management (CALM) in Veterans' Affairs Community-Based Outpatient Clinics.

Anthony H Ecker, Traci H Abraham, Lindsey A Martin, Kathy Marchant-Miros, Michael A Cucciare

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02488551 (A Computer-Assisted Cognitive Behavioral Therapy Tool to Enhance Fidelity in CBO), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 17% 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.

NCT02488551 nacompletednot on this map

A Computer-Assisted Cognitive Behavioral Therapy Tool to Enhance Fidelity in CBO

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2016 to 2019Enrolled167ConditionsDepressionArmsComputer-delivered CALM, Manual-delivered CALM
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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 at 2 institutions in 1 country.

Anthony H EckerVA South Central Mental Illness Research, Education and Clinical Center (a Virtual Center), Houston, Texas.ORCID 0000-0002-7878-2589
Traci H AbrahamVA South Central Mental Illness Research, Education and Clinical Center (a Virtual Center), Houston, Texas.
Lindsey A MartinVA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center (MEDVAMC 152), Houston, Texas.
Kathy Marchant-MirosCenter for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, Arkansas.
Michael A CucciareVA South Central Mental Illness Research, Education and Clinical Center (a Virtual Center), Houston, Texas.
Central Arkansas Veterans Healthcare System · USMichael E. DeBakey VA Medical Center · US

Funding

A Computer-Assisted Cognitive Behavioral Therapy Tool to Enhance Fidelity in CBOI01HX001133 · VA · CENTRAL ARKANSAS VETERANS HLTHCARE SYS · PI CUCCIARE, MICHAEL ANTHONY · 2015 to 2021
–
HSRD VA I01 HX001133
6 · The paper itself

Abstract

purposeMany US military veterans experience anxiety, depression, and trauma-related disorders. A major goal of the Veterans Health Administration (VHA) has been to increase access to evidence-based psychotherapies (EBPs) such as cognitive-behavioral therapy to address veterans' substantial health burden. However, despite widespread implementation of EBPs throughout the VHA, smaller clinics that often serve rural veterans face barriers to delivering these interventions. The Veterans Affairs Coordinated Anxiety Learning and Management (VA CALM) program aims to empower providers in rural areas with varying levels of training and experience in delivering EBPs to provide high-quality cognitive-behavioral therapy for anxiety, depression, and trauma-related disorders. The goal of this study was to better understand, through qualitative interviews, VHA community-based outpatient clinic providers' perspectives on implementing VA CALM.

methodsQualitative interviews with providers (N = 22) were conducted to understand implementation of VA CALM. Template analysis was used to organize and summarize responses.

findingsProviders noted several facilitators for implementing VA CALM in rural community clinics, including its perceived effectiveness, broad applicability, and structure. Barriers to implementation included scheduling problems and patient-related barriers.

conclusionsIncorporating providers' perspectives on factors that affect implementing cognitive-behavioral therapy in this setting may inform future efforts to disseminate-implement EBPs in smaller, more remote VHA clinics.

Indexed as

VeteransAmbulatory Care FacilitiesAnxietyHumansQualitative ResearchUnited StatesUnited States Department of Veterans AffairsVeterans Healthanxietydepressionqualitativeruralveterans

Identifiers

PMID33078451
PMCPMC8293288
OpenAlexW3093139775

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.