Evidence map›Paper›PMID 37639299›Full record

ArticleJMIR medical education2023

Virtual Worlds Technology to Enhance Training for Primary Care Providers in Assessment and Management of Posttraumatic Stress Disorder Using Motivational Interviewing: Pilot Randomized Controlled Trial.

Jennifer K Manuel, Natalie Purcell, Linda Abadjian, Stephanie Cardoos, Matthew Yalch, Coleen Hill, Brittan McCarthy, Daniel Bertenthal, Sarah McGrath, Karen Seal

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR medical education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03898271 (Improving Access to Care for Warfighters), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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.

NCT03898271 nacompletednot on this map

Improving Access to Care for Warfighters: Virtual Worlds Technology to Enhance Primary Care Training in Posttraumatic Stress and Motivational Interviewing

TypeinterventionalSponsorSan Francisco Veterans Affairs Medical CenterRan2015Enrolled200ConditionsPost Traumatic Stress DisorderArmsVirtual World
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. 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

10 authors at 3 institutions in 1 country.

Jennifer K ManuelSan Francisco Veterans Affairs Health Care System, San Francisco, CA, United States.ORCID https://orcid.org/0000-0001-7457-3408
Natalie PurcellSan Francisco Veterans Affairs Health Care System, San Francisco, CA, United States.ORCID https://orcid.org/0000-0002-0582-9235
Linda AbadjianSan Francisco Veterans Affairs Health Care System, San Francisco, CA, United States.ORCID https://orcid.org/0000-0002-2170-9823
Stephanie CardoosSan Francisco Veterans Affairs Health Care System, San Francisco, CA, United States.ORCID https://orcid.org/0009-0005-5254-5197
Matthew YalchDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, United States.ORCID https://orcid.org/0000-0002-1965-0041
Coleen HillSan Francisco Veterans Affairs Health Care System, San Francisco, CA, United States.ORCID https://orcid.org/0009-0006-4962-6823
Brittan McCarthyDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, United States.ORCID https://orcid.org/0009-0001-6126-9543
Daniel BertenthalSan Francisco Veterans Affairs Health Care System, San Francisco, CA, United States.ORCID https://orcid.org/0000-0002-8469-3259
Sarah McGrathSan Francisco Veterans Affairs Health Care System, San Francisco, CA, United States.ORCID https://orcid.org/0009-0007-7901-4040
Karen SealSan Francisco Veterans Affairs Health Care System, San Francisco, CA, United States.ORCID https://orcid.org/0000-0002-6676-9117
University of California, San Francisco · USSan Francisco VA Health Care System · USPalo Alto University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany individuals with posttraumatic stress disorder (PTSD) first present to primary care rather than specialty mental health care. Primary care providers often lack the training required to assess and treat patients with PTSD. Virtual trainings have emerged as a convenient and effective way of training primary care providers in PTSD assessment and communication methods (ie, motivational interviewing [MI]).

objectiveThe aim of this study was to conduct a pilot randomized controlled trial of a synchronous Virtual Worlds (VW; a virtual world where learners were immersed as avatars) training versus an asynchronous web-based training on PTSD and MI, comparing the feasibility, acceptability, usability, and preliminary efficacy of 2 different training platforms among primary care providers.

methodsParticipating primary care providers were randomized to a VW and a web-based PTSD training. Outcomes were collected at baseline, posttraining, and 90-days follow-up. Standardized patient interviews measured participants' communication skills in assessing and managing patients with PTSD symptoms.

resultsCompared to the web-based training, the VW training platform achieved larger learning gains in MI (ie, partnership and empathy) and in discussing pharmacotherapy and psychotherapy for PTSD. Both VW and web-based trainings led to increases in PTSD knowledge and primary care providers' self-confidence.

conclusionsThe asynchronous web-based PTSD training improved PTSD-related knowledge and self-confidence but was not as effective as the VW immersive experience in teaching MI or clinical management. Because VW training is synchronous and new for many learners, it required more time, facilitation, and technical support. As computer technology improves, VW educational interventions may become more feasible, particularly in teaching clinical skills.

trial registrationClinicalTrials.gov NCT03898271; https://tinyurl.com/mu479es5.

Indexed as

acceptabilityassessmentcommunicationdisorderefficacyfeasibilitymotivational interviewingpatientposttraumatic stress disorderprimary carePTSDstresstrainingtreatmentvirtualvirtual training

Identifiers

PMID37639299
PMCPMC10495852
OpenAlexW4380990707

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.