Evidence map›Paper›PMID 39514500›Full record

ArticleMedical care2024

Veterans' Experiences of and Preferences for Patient-Centered, Measurement-Based PTSD Care.

Marcela C Weber, Ashlyn M Jendro, Ellen P Fischer, Karen L Drummond, Trenton M Haltom, Natalie E Hundt, Michael A Cucciare, Jeffrey M Pyne

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Article in Medical care, 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

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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.

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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.

Marcela C WeberSouth Central Mental Illness Research, Education, & Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR.ORCID 0000-0003-1650-9074
Ashlyn M JendroSouth Central Mental Illness Research, Education, & Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR.
Ellen P FischerSouth Central Mental Illness Research, Education, & Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR.
Karen L DrummondSouth Central Mental Illness Research, Education, & Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR.
Trenton M HaltomSouth Central Mental Illness Research, Education, & Clinical Center, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX.
Natalie E HundtSouth Central Mental Illness Research, Education, & Clinical Center, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX.
Michael A CucciareSouth Central Mental Illness Research, Education, & Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR.
Jeffrey M PyneSouth Central Mental Illness Research, Education, & Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUp to 50% of veterans drop out of trauma-focused evidence-based psychotherapies (TF-EBP) without completing treatment or recovering; evidence suggests this is in part because their posttraumatic stress disorder (PTSD) care is insufficiently patient-centered. There is also evidence that measurement-based care (MBC) for mental health should be personalized to the patient, yet this is not common practice in VA PTSD care.

objectivesTo explore veterans' experiences and preferences for aligning measurement-based PTSD care with their own treatment goals.

methodQualitative interviews were conducted with veterans (n=15) with PTSD who had received at least 2 sessions of a TF-EBP. MEASURES: Survey on the administration of outcomes questionnaires and demographics and an interview about their most recent TF-EBP episode.

resultsHalf of veterans had symptom-focused goals and half did not; all had at least one treatment goal that was not symptom-focused. They typically met their goals about functioning and coping skills but not their symptom reduction goals. We found veterans overall were receptive to MBC but preferred patient-reported outcomes measures about functioning, wellbeing, coping skills, and understanding their trauma more than the commonly used PTSD symptom scale (the PCL-5).

conclusionsMany veterans in this sample disliked the PCL-5 because it reinforced their maladaptive cognitions. Such veterans might be more receptive to MBC if offered patient-report outcomes measures that better align with their functional and wellbeing goals. For many goal/outcome areas, psychometrically sound measures exist and require better implementation in PTSD care. For some areas, scale development is needed.

Indexed as

Patient-Centered CareStress Disorders, Post-TraumaticVeteransAdultAgedFemaleHumansInterviews as TopicMaleMiddle AgedPatient PreferencePsychotherapyQualitative ResearchSurveys and QuestionnairesUnited States

Identifiers

PMID39514500
PMCPMC11548821

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Registered trials

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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.