Evidence map›Paper›PMID 37668578›Full record

ArticleJournal of consulting and clinical psychology2023

The role of therapy delivery and clinic organizational factors in explaining therapist effects for trauma-focused psychotherapies in the Veterans Health Administration.

Nina A Sayer, Shannon Wiltsey Stirman, Craig S Rosen, Shannon Kehle-Forbes, Michele R Spoont, Afsoon Eftekhari, Kathleen M Chard, Adam Kaplan, David B Nelson

Open access · hybridAbstract read
In one paragraph

Article in Journal of consulting and clinical psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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

9 authors at 3 institutions in 1 country.

Nina A SayerCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System.ORCID 0000-0002-1068-1562
Shannon Wiltsey StirmanNational Center for Posttraumatic Stress Disorder, Dissemination and Training Division, VA Palo Alto Health Care System.ORCID 0000-0001-9917-5078
Craig S RosenNational Center for Posttraumatic Stress Disorder, Dissemination and Training Division, VA Palo Alto Health Care System.
Shannon Kehle-ForbesCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System.
Michele R SpoontCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System.
Afsoon EftekhariNational Center for Posttraumatic Stress Disorder, Dissemination and Training Division, VA Palo Alto Health Care System.
Kathleen M ChardPosttraumatic Stress Disorder and Anxiety Disorder Division, Cincinnati Veterans Affairs Medical Center.
Adam KaplanCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System.
David B NelsonCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System.
Minneapolis VA Health Care System · USNational Center for Post Traumatic Stress Disorder · USVeterans Health Administration · US

Funding

Shared Contributions to Outcomes and Retention in EBPs for PTSD (SCORE PTSD)I01HX002599 · VA · MINNEAPOLIS VA MEDICAL CENTER · PI SAYER, NINA A. · 2018 to 2022
–
HSRD VA I01 HX002599
6 · The paper itself

Abstract

objectiveThis study estimated the size of therapist effects (TEs) for dropout and clinical effectiveness of two trauma-focused psychotherapies (TFPs) and evaluated whether therapy delivery and clinic organizational factors explained observed TEs.

methodParticipants were 180 therapists (54.4% psychologists, 42.2% social workers) from 137 Veterans Health Administration facilities and 1,735 patients (24.7% women; 27.2% people of color) who completed at least two TFP sessions. Outcomes were dropout (< 8 TFP sessions) and for a subsample (

resultsOver half (51.2%) of patients dropped out and those who dropped out were less likely to meet criteria for clinically meaningful improvement or recovery (

conclusionsInterventions targeting therapy delivery and clinic organization have the potential to reduce variation between therapists in TFP dropout, so that more patients stay engaged long enough to experience clinical benefit. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Indexed as

PsychotherapyStress Disorders, Post-TraumaticUnited States Department of Veterans AffairsAdultFemaleHumansMaleMiddle AgedPatient DropoutsTreatment OutcomeUnited StatesVeterans

Identifiers

PMID37668578
PMCPMC10592522
OpenAlexW4386438070

What OpenQuestion holds

Textmetadata
LicenceTDM
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.