Evidence map›Paper›PMID 42534052›Full record

ReviewJournal of military, veteran and family health2026

Barriers to and facilitators of measurement-based care in posttraumatic stress disorder treatment: A systematic review.

Huda F Al-Shamali, Josh Martin, Argyrios Perivolaris, Atefe Kami, Mohammed A Al-Hassan, Deniz Fikretoglu, Anne Germain, Andrew A Nicholson, Sri Krishnan, Andrew Greenshaw and 6 more

Abstract readReview
In one paragraph

Review in Journal of military, veteran and family health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Huda F Al-ShamaliInterventional Psychiatry Program, St. Michael's Hospital, Toronto, Ontario, Canada.
Josh MartinInterventional Psychiatry Program, St. Michael's Hospital, Toronto, Ontario, Canada.
Argyrios PerivolarisInterventional Psychiatry Program, St. Michael's Hospital, Toronto, Ontario, Canada.
Atefe KamiGolestan University of Medical Sciences, Gorgan, Iran.
Mohammed A Al-HassanDepartment of Medical Specialities, Psychiatry, College of Medicine, Majmaah University, Al Majmaah, Saudi Arabia.
Deniz FikretogluDefence Research and Development Canada, Toronto Research Centre, Toronto, Ontario, Canada.
Anne GermainNOCTEM Health, Inc, Pittsburgh, Pennsylvania, United States.
Andrew A NicholsonInstitute of Mental Health Research, University of Ottawa, Royal Ottawa Hospital, Ottawa, Ontario, Canada.
Sri KrishnanToronto Metropolitan University, Toronto, Ontario, Canada.
Andrew GreenshawDepartment of Psychiatry, University of Alberta, Edmonton, Alberta, Canada.
Murray W EnnsDepartment of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada.
Jitender SareenDepartment of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada.
Paul FrewenDepartment of Psychiatry, Western University, London, Ontario, Canada.
Eric VermettenDepartment of Psychiatry, Leiden University Medical Center, Leiden, the Netherlands.
Rakesh JetlyToronto Metropolitan University, Toronto, Ontario, Canada.
Venkat BhatInterventional Psychiatry Program, St. Michael's Hospital, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Measurement-based care (MBC) involves routine monitoring of patient-reported outcomes to inform clinical decision-making. Despite evidence demonstrating its effectiveness in the treatment of patients with posttraumatic stress disorder (PTSD) and other psychiatric conditions, it remains underutilized in clinical settings. This review aimed to identify the barriers to and facilitators of the use of MBC in patients with PTSD. Methods: We conducted a systematic review following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, including articles that examined barriers to and facilitators of the use of MBC in patients with PTSD. Facilitators and barriers were defined as any factors that impacted the implementation, uptake, or use of MBC. The search was conducted in December 2024 in four databases. Results: Our search identified 6,036 unique articles, of which 15 met the inclusion criteria. All 15 articles were published in the United States, and 11 studied Veteran populations. Barriers to and facilitators of MBC in PTSD varied widely between studies; commonly identified barriers included irregular completion of outcome measures, technological challenges, and poor patient understanding of MBC purpose and results. Facilitators included technological accessibility to patients and clinicians, patient consultation on the selection of outcome measures, and use of frameworks to guide implementation. Discussion: This review identified a limited number of studies examining barriers to and facilitators of MBC use and implementation for PTSD, highlighting gaps in the literature. Implementation studies are needed to explore context-specific barriers and facilitators, providing a more comprehensive understanding of MBC in PTSD care.

Indexed as

assessmentsbarriersfacilitatorsmeasurement-based careposttraumatic stress disorderrecommendations

Identifiers

PMID42534052
PMCPMC13391184

What OpenQuestion holds

Textmetadata
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.