ArticleHealth services research2022
Consideration of racism experiences in the implementation of trauma-focused therapy in primary care.
Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 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
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.
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Who cites it
7 citing papers in PubMed.
- Addressing Race-Based Trauma for Black Veterans Engaged in PTSD Evidence-Based Psychotherapy.Journal of racial and ethnic health disparities · 2026Article
- In their own words: Perspectives of IPV survivors on obtaining support within the healthcare system.PloS one · 2024Article
- Advancing healthcare equity through dissemination and implementation science.Health services research · 2023Review
- Study protocol for a hybrid 1 effectiveness-implementation trial of Brief Skills Training in Affective and Interpersonal Regulation (Brief STAIR) and web-administered STAIR (webSTAIR) for posttraumatic stress disorder in integrated primary care.Contemporary clinical trials · 2023Article
- Formative evaluation prior to implementation of a brief treatment for posttraumatic stress disorder in primary care.Implementation science communications · 2023Article
- Opportunities and challenges in discussing racism during primary care visits.Health services research · 2023Article
- Consideration of racism experiences in the implementation of trauma-focused therapy in primary care.Health services research · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo understand providers' perceptions of how a patient's experience of racism may impact the successful implementation of a brief posttraumatic stress disorder (PTSD) treatment in the safety net integrated primary care setting. To conduct a developmental formative evaluation prior to a hybrid type I effectiveness-implementation trial. DATA SOURCES AND STUDY
settingFrom October 2020 to January 2021, in-depth qualitative interviews were conducted with integrated primary care stakeholders (N = 27) at the largest safety net hospital in New England, where 82% of patients identify as racial or ethnic minorities. STUDY
designInterviews with clinical stakeholders were used to (a) contextualize current patient and provider experiences and responses to racism, (b) consider how racism may impact PTSD treatment implementation, (c) gather recommendations for potential augmentation to the proposed PTSD treatment (e.g., culturally responsive delivery, cultural adaptation), and (d) gather recommendations for how to shift the integrated primary care practice to an antiracist framework. DATA COLLECTION/EXTRACTION
methodsInterview data were gathered using remote data collection methods (video conferencing). Participants were hospital employees, including psychologists, social workers, primary care physicians, community health workers, administrators, and operations managers. We used conventional content analysis. PRINCIPAL
findingsClinical stakeholders acknowledged the impact of racism, including racial stress and trauma, on patient engagement and noted the potential need to adapt PTSD treatments to enhance engagement. Clinical stakeholders also characterized the harms of racism on patients and providers and provided recommendations such as changes to staff training and hiring practices, examination of racist policies, and increases in support for providers of color.
conclusionsThis study contextualizes providers' perceptions of racism in the integrated primary care practice and provides some suggestions for shifting to an antiracist framework. Our findings also highlight how racism in health care may be a PTSD treatment implementation barrier.
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Registered trials
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