Evidence map›Paper›PMID 37422365›Full record

ArticleInjury2023

Implementation of a stepped care program to address posttraumatic stress disorder and depression in a Level II trauma center.

Hannah C Espeleta, Nicole S Litvitskiy, Kristen Higgins, Leigh E Ridings, Olivia Bravoco, Seon Jones, Kenneth J Ruggiero, Tatiana Davidson

Abstract read
In one paragraph

Article in Injury, 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
–field-weighted citation impact
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.

  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

8 authors.

Hannah C EspeletaCollege of Nursing, Medical University of South Carolina, 99 Jonathan Lucas Street Charleston, SC 29425, USA. Electronic address: espeleta@musc.edu.
Nicole S LitvitskiyCollege of Nursing, Medical University of South Carolina, 99 Jonathan Lucas Street Charleston, SC 29425, USA.
Kristen HigginsCollege of Nursing, Medical University of South Carolina, 99 Jonathan Lucas Street Charleston, SC 29425, USA.
Leigh E RidingsCollege of Nursing, Medical University of South Carolina, 99 Jonathan Lucas Street Charleston, SC 29425, USA.
Olivia BravocoCollege of Nursing, Medical University of South Carolina, 99 Jonathan Lucas Street Charleston, SC 29425, USA.
Seon JonesTrident Medical Center, 9291 Medical Plaza Dr. Suite B, Charleston, SC 29406, USA.
Kenneth J RuggieroCollege of Nursing, Medical University of South Carolina, 99 Jonathan Lucas Street Charleston, SC 29425, USA.
Tatiana DavidsonCollege of Nursing, Medical University of South Carolina, 99 Jonathan Lucas Street Charleston, SC 29425, USA.

Funding

Traumatic Stress Across the Lifespan: A Biopsychosocial Training ProgramT32MH018869 · NIMH · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI CARLA KMETT DANIELSON, DEAN Gaines KILPATRICK · 1988 to 2026
$7.2M
NIMH NIH HHS T32 MH018869
6 · The paper itself

Abstract

backgroundThe Trauma Resilience and Recovery Program (TRRP) is a technology enhanced model of care that includes education, screening, and service referrals to address posttraumatic stress disorder and depression following traumatic injury. TRRP has shown high rates of engagement at a Level I trauma center, but Level II centers have fewer resources and face more challenges to addressing patients' mental health needs.

methodsWe utilized clinical administrative data to examine engagement in TRRP in a Level II trauma center with 816 adult trauma activation patients.

resultsMost patients (86%) enrolled in TRRP, but only 30% completed screens during a 30-day follow-up call. Three-quarters of patients who endorsed clinically significant symptoms accepted treatment recommendations/referrals.

conclusionsEngagement at each step of the model was lower than previously reported in a Level I center. Differences likely correspond to lower rates of mental health symptoms in the trauma patients at this setting. We discuss program adaptations that may be needed to improve patient engagement.

Indexed as

Stress Disorders, Post-TraumaticAdultDepressionHumansMental HealthReferral and ConsultationTrauma CentersEngagementLevel IIMental healthStepped-careTrauma center

Identifiers

PMID37422365
PMCPMC10528678

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.