ArticlePsychological trauma : theory, research, practice and policy2025
"Voice of concern" for rural veterans with PTSD: Care managers' role engaging rural veterans in evidence-based therapies via telemedicine.
Article in Psychological trauma : theory, research, practice and policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
- A Framework for Estimating Posttreatment Moderation of Treatment-by-Dosage Effects in Individual-Patient Meta-Analysis: An Illustration Using Project Harmony.Clinical psychological science : a journal of the Association for Psychological Science · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
objectiveIn a Department of Veterans Affairs collaborative care implementation trial, care managers (CMs) focused on engaging rural Veterans diagnosed with posttraumatic stress disorder in trauma-focused psychotherapies, specifically cognitive processing therapy and prolonged exposure therapy, delivered over telehealth. As part of a summative evaluation, we interviewed Veterans about their experience, especially their interactions with their CM. Because relatively few Veterans initiated a trauma-focused psychotherapy, we specifically asked them about their conversations with CMs to better understand what worked and what did not work with regard to treatment engagement.
methodWe conducted phone interviews with a purposive sample of 43 unique Veterans between 2017 and 2019. We purposively sampled Veterans who reported changes in satisfaction with Veterans Affairs posttraumatic stress disorder services and had experiences with different care modalities and patients who declined to initiate a trauma-focused psychotherapy. Data were analyzed using deductive-inductive content analysis.
resultsOverall, Veterans perceived CMs as helpful in three ways: (a) for care coordination-especially with therapists; (b) as a "voice of concern"-for Veterans' health and daily life; and (c) as a "side counselor"-helping prepare Veterans for appointments and following up after their trauma-focused psychotherapy sessions.
conclusionsVeterans appreciated many qualities about their CM unrelated to trauma-focused psychotherapy. For those engaging in trauma-focused psychotherapy, CMs played the role of "side counselor" helping them stay engaged in care. Understanding patient perspectives about CMs' roles can help other types of providers understand how to best engage patients in trauma-focused psychotherapies. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
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Registered trials
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