Evidence map›Paper›PMID 35099230›Full record

Trial reportPsychological services2023

Brief, modular, transdiagnostic, cognitive-behavioral intervention for anxiety in veteran primary care: Development, provider feedback, and open trial.

Robyn L Shepardson, Jennifer S Funderburk, Risa B Weisberg, Stephen A Maisto

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychological services, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 26% 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.

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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. 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

4 authors at 2 institutions in 1 country.

Robyn L ShepardsonCenter for Integrated Healthcare, Syracuse VA Medical Center.ORCID 0000-0001-6954-5920
Jennifer S FunderburkCenter for Integrated Healthcare, Syracuse VA Medical Center.
Risa B WeisbergVA Boston Healthcare System.ORCID 0000-0002-2142-7826
Stephen A MaistoCenter for Integrated Healthcare, Syracuse VA Medical Center.
SUNY Upstate Medical University · USVA Boston Healthcare System · US

Funding

Improving Primary Care Anxiety Treatment Engagement and EffectivenessIK2HX002107 · VA · SYRACUSE VA MEDICAL CENTER · PI SHEPARDSON, ROBYN LEANNE · 2018 to 2021
–
HSRD VA IK2 HX002107US Department of Veterans Affairs; Veterans Health Administration; Health Services Research and Development Service (HSR&D)
6 · The paper itself

Abstract

Anxiety is undertreated in primary care, and most treatment provided is pharmacological rather than behavioral. Integrating behavioral health providers (BHPs) using the Primary Care Behavioral Health (PCBH) model can help address this treatment gap, but brief interventions suitable for use in PCBH practice are needed. We developed a modular, cognitive-behavioral anxiety intervention, Modular Anxiety Skills Training (MAST), that is evidence-based, transdiagnostic, feasible for PCBH, and patient-centered. MAST comprises up to six 30-min sessions emphasizing skills training. This article describes the rationale for and development of MAST as well as pilot work in the Veterans Health Administration (VA) to tailor and refine MAST for delivery to Veterans in VA primary care (MAST-V) to improve feasibility for VA BHPs and acceptability to Veterans. We used a convergent mixed-methods design with concurrent data collection. In phase one, we interviewed five BHPs to obtain feedback on the treatment manual. BHPs assessed MAST-V to be highly compatible with PCBH and provided suggestions to enhance feasibility. In phase two, we conducted an open trial in which six Veterans experiencing clinically significant anxiety received and provided feedback on all nine possible modules; we also assessed changes in mental health symptoms and functioning as well as treatment satisfaction and credibility. Veterans found MAST-V to be highly acceptable, and pre-post clinical outcomes were very promising with large effect sizes. Findings from this initial pilot provide preliminary support for the feasibility, acceptability, and efficacy of MAST-V and suggest further research with a randomized clinical trial is warranted. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Indexed as

VeteransAnxietyBridged Bicyclo CompoundsCognitionFeedbackHumansPrimary Health Carebicyclo(2.2.1)hept-5-en-2-yl phenyl sulfoxideBridged Bicyclo Compounds

Identifiers

PMID35099230
PMCPMC10166236
OpenAlexW4210627801

What OpenQuestion holds

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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.