Evidence map›Paper›PMID 35964868›Full record

ArticleContemporary clinical trials2022

Improving function through primary care treatment of PTSD: The IMPACT study protocol.

Sheila A M Rauch, H Myra Kim, Ron Acierno, Carly Ragin, Bethany Wangelin, Kimberly Blitch, Wendy Muzzy, Stephanie Hart, Kara Zivin, Jeffrey Cigrang

Registry-linked trialOpen access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03581981 (Improving Function Through Primary Care Treatment of PTSD), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 28% 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.

NCT03581981 nacompletednot on this map

Improving Function Through Primary Care Treatment of PTSD

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2019 to 2022Enrolled120ConditionsPosttraumatic Stress DisorderArmsProlonged Exposure for Primary Care (PE-PC), Treatment as Usual
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trajectories of change in prolonged exposure for primary care: Who most likely benefits?Psychological trauma : theory, research, practice and policy · 2025
    Trial
  2. Trial
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

10 authors at 6 institutions in 1 country.

Sheila A M RauchAtlanta VA Medical Center, 1670 Clairmont Road, Decatur, GA 30033, United States of America; Emory University School of Medicine, 12 Executive Park, 3(rd) Floor, Atlanta, GA 30029, United States of America. Electronic address: sheila.a.m.rauch@emory.edu.
H Myra KimVA Ann Arbor Healthcare System, 2215 Fuller Road, Ann Arbor, MI 48105, United States of America; University of Michigan, Consulting for Statistics, Computing and Analytics Research, 3550 Rackham, 950 E. Washington Street, Ann Arbor, MI 48109, United States of America.
Ron AciernoRalph H. Johnson VA Medical Center, 109 Bee Street, Charleston, SC 29401, United States of America; University of Texas Health Science Center at Houston, Faillace Department of Psychiatry, Behavioral and Biomedical Sciences Building (BBSB), 1941 East Road, Houston, TX 77054, United States of America.
Carly RaginAtlanta VA Medical Center, 1670 Clairmont Road, Decatur, GA 30033, United States of America.
Bethany WangelinRalph H. Johnson VA Medical Center, 109 Bee Street, Charleston, SC 29401, United States of America; Medical University of South Carolina, Department of Psychiatry & Behavioral Sciences, 67 President Street, Charleston, SC 29425, United States of America.
Kimberly BlitchRalph H. Johnson VA Medical Center, 109 Bee Street, Charleston, SC 29401, United States of America; Medical University of South Carolina, Department of Psychiatry & Behavioral Sciences, 67 President Street, Charleston, SC 29425, United States of America.
Wendy MuzzyRalph H. Johnson VA Medical Center, 109 Bee Street, Charleston, SC 29401, United States of America; Medical University of South Carolina, Department of Psychiatry & Behavioral Sciences, 67 President Street, Charleston, SC 29425, United States of America.
Stephanie HartRalph H. Johnson VA Medical Center, 109 Bee Street, Charleston, SC 29401, United States of America; Medical University of South Carolina, Department of Psychiatry & Behavioral Sciences, 67 President Street, Charleston, SC 29425, United States of America.
Kara ZivinVA Ann Arbor Healthcare System, 2215 Fuller Road, Ann Arbor, MI 48105, United States of America; University of Michigan, Department of Psychiatry, 2800 Plymouth Road, Ann Arbor, MI 48109, United States of America.
Jeffrey CigrangWright State University, 3640 Colonel Glenn Highway, Dayton, OH 45435, United States of America.
Medical University of South Carolina · USAtlanta VA Medical Center · USUniversity of Michigan–Ann Arbor · USRalph H. Johnson VA Medical Center · USThe University of Texas Health Science Center at Houston · USWright State University · US

Funding

Improving Function Through Primary Care Treatment of PTSDI01RX002625 · VA · VETERANS HEALTH ADMINISTRATION · PI RAUCH, SHEILA A.M. · 2019 to 2022
–
RRD VA I01 RX002625
6 · The paper itself

Abstract

Despite the availability of effective psychological interventions for PTSD, access to and retention in these interventions remains problematic. Of note, the Veterans Health Administration (VHA) developed and implemented post-deployment health surveys that screen for PTSD in primary care (PC), but effective PC-based, psychological intervention treatment options have yet to be established. To address the literal physical gap between where the patients first present for care (i.e., primary care) and where they must go to receive first-line treatment for PTSD (i.e., specialty mental health), study investigators developed a 4-6 visit Prolonged Exposure for Primary Care (PE-PC) treatment that has shown efficacy in reduction of PTSD. To extend previous work to recovery-based mental health care, the Improving Function Through Primary Care Treatment of PTSD (IMPACT) study examined function as assessed by the World Health Organization Disability Assessment Schedule [WHODAS 2.0; (Axelsson, Lindsäter, Ljótsson, Andersson, & Hedman-Lagerlöf, 2017)]. Veterans presenting in VHA primary care mental health integration (PCMHI) clinics with PTSD or significant subsyndromal PTSD who met minimal inclusion and exclusion criteria were randomly assigned to PE-PC or treatment as usual (TAU). If proven effective in improving function, PE-PC would provide a new access point for high quality PTSD care and allow greater numbers of veterans to access effective PTSD treatment. Trial Registration: http://ClinicalTrials.gov: NCT03581981.

Indexed as

Implosive TherapyStress Disorders, Post-TraumaticVeteransHumansMental HealthPrimary Health CareRandomized Controlled Trials as TopicTreatment OutcomeExposure therapyPosttraumatic stress disorderPrimary careTreatment

Identifiers

PMID35964868
PMCPMC9489643
OpenAlexW4291123965

What OpenQuestion holds

Textmetadata
LicenceTDM
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.