Evidence map›Paper›PMID 38810782›Full record

Trial reportJournal of affective disorders2024

Brief modular anxiety intervention for primary care: Hybrid I pilot randomized controlled trial of feasibility, acceptability, effectiveness, and implementation potential.

Robyn L Shepardson, Risa B Weisberg, Michael Wade, Stephen A Maisto, Jennifer S Funderburk

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of affective disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

5 authors.

Robyn L ShepardsonCenter for Integrated Healthcare, Syracuse VA Medical Center. USA; Department of Psychology, Syracuse University. USA. Electronic address: Robyn.Shepardson@va.gov.
Risa B WeisbergVA, Boston Healthcare System. USA; Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine. USA; Department of Family Medicine, Alpert Medical School, Brown University. USA.
Michael WadeCenter for Integrated Healthcare, Syracuse VA Medical Center. USA.
Stephen A MaistoCenter for Integrated Healthcare, Syracuse VA Medical Center. USA; Department of Psychology, Syracuse University. USA.
Jennifer S FunderburkCenter for Integrated Healthcare, Syracuse VA Medical Center. USA; Department of Psychology, Syracuse University. USA; Department of Psychiatry, University of Rochester. USA.

Funding

Improving Primary Care Anxiety Treatment Engagement and EffectivenessIK2HX002107 · VA · SYRACUSE VA MEDICAL CENTER · PI SHEPARDSON, ROBYN LEANNE · 2018 to 2021
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HSRD VA IK2 HX002107
6 · The paper itself

Abstract

backgroundAnxiety is highly prevalent, but undertreated, in primary care. Brief, non-pharmacological interventions are needed. Modular Anxiety Skills Training (MAST), a cognitive-behavioral anxiety intervention, was developed for primary care and tailored for a Veteran sample (MAST-V). The purpose of this mixed methods pilot study was to evaluate MAST-V's feasibility, acceptability, and implementation potential, and preliminarily examine its effectiveness compared to Primary Care Behavioral Health (PCBH) usual care.

methodsThis hybrid I randomized controlled trial (conducted 2019-2021) assigned 35 primary care patients (M

resultsParticipants attended more sessions in MAST-V than usual care. After necessary adjustments to reduce session duration, MAST-V will likely fit within PCBH practice parameters. Participants in both conditions valued treatment, but treatment satisfaction, credibility, and therapeutic alliance were higher for MAST-V. Study therapists achieved high treatment fidelity and rated MAST-V as highly feasible, acceptable, and appropriate for PCBH. They identified ways to address potential barriers to implementation. MAST-V was more effective than usual care in reducing anxiety symptoms and impairment. LIMITATIONS: This was a small pilot study at a single site using study therapists. Results should be considered preliminary until replicated in a full-scale clinical trial.

conclusionsThis brief modular anxiety intervention, which was designed with implementation in mind, may help to address the anxiety treatment gap in primary care.

Indexed as

AnxietyCognitive Behavioral TherapyFeasibility StudiesPrimary Health CareAdultAnxiety DisordersFemaleHumansMaleMiddle AgedPatient Acceptance of Health CarePilot ProjectsTreatment OutcomeVeteransAnxietyCognitive-behavioral therapyIntegrated behavioral healthcareInterventionPrimary careVeterans

Identifiers

PMID38810782
PMCPMC12188310

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.