Evidence map›Paper›PMID 36370226›Full record

ArticleAdministration and policy in mental health2023

Initiating Cognitive Processing Therapy (CPT) in Community Settings: A Qualitative Investigation of Therapist Decision-Making.

Fiona C Thomas, Taylor Loskot, Christina Mutschler, Jessica Burdo, Jansey Lagdamen, Iris Sijercic, Jeanine E M Lane, Rachel E Liebman, Erin P Finley, Candice M Monson and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Administration and policy in mental health, 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
1.3field-weighted citation impact, top 19% 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, 7 citations in OpenAlex.

  1. Article
  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

11 authors at 5 institutions in 2 countries.

Fiona C ThomasDepartment of Psychology, Toronto Metropolitan University, Toronto, Canada. Fiona.thomas@ryerson.ca.ORCID http://orcid.org/0000-0002-4430-1855
Taylor Loskot *Department of Psychiatry, US VA National Center for PTSD Dissemination and Training Division, Stanford School of Medicine, Stanford, USA.
Christina Mutschler *Department of Psychology, Toronto Metropolitan University, Toronto, Canada.
Jessica BurdoDepartment of Psychology, Toronto Metropolitan University, Toronto, Canada.
Jansey LagdamenDepartment of Psychiatry, US VA National Center for PTSD Dissemination and Training Division, Stanford School of Medicine, Stanford, USA.
Iris SijercicDepartment of Psychology, Toronto Metropolitan University, Toronto, Canada.
Jeanine E M LaneDepartment of Psychology, Toronto Metropolitan University, Toronto, Canada.
Rachel E LiebmanDepartment of Psychology, Toronto Metropolitan University, Toronto, Canada.
Erin P FinleyDepartments of Medicine and Psychiatry, UT Health San Antonio, San Antonio, TX, USA.
Candice M Monson *Department of Psychology, Toronto Metropolitan University, Toronto, Canada.
Shannon Wiltsey-Stirman *Department of Psychiatry, US VA National Center for PTSD Dissemination and Training Division, Stanford School of Medicine, Stanford, USA.
Toronto Metropolitan University · CANational Center for PTSD · USOntario Shores Centre for Mental Health Sciences · CAThe University of Texas Health Science Center at San Antonio · USUniversity Health Network · CA

Funding

Improving and Sustaining Delivery of CPT for PTSD in Mental Health SystemsR01MH106506 · NIMH · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI MONSON, CANDICE M., WILTSEY STIRMAN, SHANNON · 2016 to 2020
$3.2M
CIHR 137021NIMH NIH HHS R01 MH106506
6 · The paper itself

Abstract

Various organizations have provided treatment guidelines intended to aid therapists in deciding how to treat posttraumatic stress disorder (PTSD). Yet evidence-based psychotherapies (EBPs) for PTSD in the community may be difficult to obtain. Although strides have been made to implement EBPs for PTSD in institutional settings such as the United States Veterans Affairs, community uptake remains low. Factors surrounding clients' decisions to enroll in EBPs have been identified in some settings; however less is known regarding trained therapists' decisions related to offering trauma-focused therapies or alternative treatment options. Thus, the aim of the current study was to examine therapist motivations to initiate CPT in community settings. The present study utilizes data from a larger investigation aiming to support the sustained implementation of Cognitive Processing Therapy (CPT) in community mental health treatment settings. Enrolled therapists participated in phone interviews discussing their opinions of CPT, preferred treatments for PTSD, and process in assessing appropriate PTSD treatments for clients. Semi-structured interviews (N = 29) were transcribed and analyzed using a directed content analysis approach. Several themes emerged regarding therapists' decision-making in selecting PTSD treatments. Therapist motivations to use EBPs for PTSD, primarily CPT, were identified at the client (e.g., perceived compatibility with client-level characteristics), therapist (e.g., time limitations), and clinic levels (e.g., leadership support). The results provide insight into the complex array of factors that affect sustainability of EBPs for PTSD in community settings and inform future dissemination of EBPs, including training efforts in community settings.

Indexed as

Cognitive Behavioral TherapyStress Disorders, Post-TraumaticVeteransEvidence-Based PracticeHumansPsychotherapyUnited StatesUnited States Department of Veterans AffairsCognitive processing therapyCommunity mental healthCommunity providersDecision-makingImplementationQualitative analysis

Identifiers

PMID36370226
PMCPMC9832073
OpenAlexW4308834345

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.