A randomized controlled dismantling trial of post-workshop consultation strategies to increase effectiveness and fidelity to an evidence-based psychotherapy for Posttraumatic stress disorder
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Wiltsey Stirman, Shannon, et al. A Randomized Controlled Dismantling Trial of Post-workshop Consultation Strategies to Increase Effectiveness and Fidelity to an Evidence-based Psychotherapy for Posttraumatic Stress Disorder. BioMed Central Ltd, 2013. https://doi.org/10.17615/2t3s-qt64APA
Wiltsey Stirman, S., Shields, N., Deloriea, J., Landy, M., Belus, J., Maslej, M., & Monson, C. (2013). A randomized controlled dismantling trial of post-workshop consultation strategies to increase effectiveness and fidelity to an evidence-based psychotherapy for Posttraumatic stress disorder. BioMed Central Ltd. https://doi.org/10.17615/2t3s-qt64Chicago
Wiltsey Stirman, Shannon, Norman Shields, Josh Deloriea, Meredith S.H Landy, Jennifer M Belus, Marta M Maslej, and Candice M Monson. 2013. A Randomized Controlled Dismantling Trial of Post-Workshop Consultation Strategies to Increase Effectiveness and Fidelity to an Evidence-Based Psychotherapy for Posttraumatic Stress Disorder. BioMed Central Ltd. https://doi.org/10.17615/2t3s-qt64- Creator
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Wiltsey Stirman, Shannon
- Other Affiliation: Women’s Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston University, 150 South Huntington Ave (116B3), Boston, MA 02130, USA
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Shields, Norman
- Other Affiliation: Veterans Affairs Canada, Operational Stress Injuries National Network (OSINN), 305 Boul des Anciens-Combattants, Sainte-Anne-de-Bellevue, QC H9X 1Y9, Canada
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Deloriea, Josh
- Other Affiliation: Department of Psychology, Ryerson University, 350 Victoria Street, Toronto, ON M5B 2K3, Canada
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Landy, Meredith S.H.
- Other Affiliation: Department of Psychology, Ryerson University, 350 Victoria Street, Toronto, ON M5B 2K3, Canada
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Belus, Jennifer M.
- Affiliation: College of Arts and Sciences, Department of Psychology and Neuroscience
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Maslej, Marta M.
- Other Affiliation: Department of Psychology, Ryerson University, 350 Victoria Street, Toronto, ON M5B 2K3, Canada
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Monson, Candice M.
- Other Affiliation: Department of Psychology, Ryerson University, 350 Victoria Street, Toronto, ON M5B 2K3, Canada
- Abstract
- Abstract: Background: Posttraumatic Stress Disorder (PTSD) is a serious mental health condition with substantial costs to individuals and society. Among military veterans, the lifetime prevalence of PTSD has been estimated to be as high as 20%. Numerous research studies have demonstrated that short-term cognitive-behavioral psychotherapies, such as Cognitive Processing Therapy (CPT), lead to substantial and sustained improvements in PTSD symptoms. Despite known benefits, only a minority of clinicians provide these therapies. Transferring this research knowledge into clinical settings remains one of the largest hurdles to improving the health of veterans with PTSD. Attending a workshop alone is insufficient to promote adequate knowledge transfer and sustained skill; however, relatively little research has been conducted to identify effective post-training support strategies. Methods: The current study investigates whether clinicians receiving post-workshop support (six-month duration) will deliver CPT with greater fidelity (i.e., psychotherapy adherence and competence) and have improved patient outcomes compared with clinicians receiving no formal post-workshop support. The study conditions are: technology-enhanced group tele-consultation; standard group tele-consultation; and fidelity assessment with no consultation. The primary outcome is independent assessment (via audio-recordings) of the clinicians’ adherence and competence in delivering CPT. The secondary outcome is observed changes in patient symptoms during and following treatment as a function of clinician fidelity. Post-consultation interviews with clinicians will help identify facilitators and barriers to psychotherapy skill acquisition. The study results will inform how best to implement and transfer evidence-based psychotherapy (e.g., CPT) to clinical settings to attain comparable outcomes to those observed in research settings. Discussion: Findings will deepen our understanding of how much and what type of support is needed following a workshop to help clinicians become proficient in delivering a new protocol. Several influences on clinician learning and patient outcomes will be discussed. An evidence-based model of clinical consultation will be developed, with the ultimate goal of informing policy and influencing best practice in clinical consultation. Trial registration: ClinicalTrials.gov: NCT01861769
- Date of publication
- August 1, 2013
- DOI
- Identifier
- Resource type
- Article
- Rights statement
- In Copyright
- Rights holder
- Shannon Wiltsey Stirman et al.; licensee BioMed Central Ltd.
- License
- Journal title
- Implementation Science
- Journal volume
- 8
- Journal issue
- 1
- Page start
- 82
- Language
- English
- Is the article or chapter peer-reviewed?
- Yes
- ISSN
- 1748-5908
- Bibliographic citation
- Implementation Science. 2013 Aug 01;8(1):82
- Publisher
- BioMed Central Ltd
- Access right
- Open Access
- Date uploaded
- August 12, 2013
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