Post-training Beliefs, Intentions, and Use of Prolonged Exposure Therapy by Clinicians in the Veterans Health Administration.
Identifieur interne : 000D86 ( Main/Corpus ); précédent : 000D85; suivant : 000D87Post-training Beliefs, Intentions, and Use of Prolonged Exposure Therapy by Clinicians in the Veterans Health Administration.
Auteurs : J I Ruzek ; A. Eftekhari ; J. Crowley ; E. Kuhn ; B E Karlin ; C S RosenSource :
- Administration and policy in mental health [ 1573-3289 ] ; 2017.
English descriptors
- KwdEn :
- MESH :
- psychology : Veterans.
- therapy : Stress Disorders, Post-Traumatic.
- Female, Humans, Implosive Therapy, Intention, Male, United States, United States Department of Veterans Affairs.
Abstract
To examine how changes in beliefs during the training process predict adoption of prolonged exposure therapy (PE) by veterans health administration clinicians who received intensive training in this evidence-based treatment. Participants completed a 4-day PE workshop and received expert consultation as they used PE with two or more training cases. Participants were surveyed prior to the workshop, after the workshop, after case consultation (n = 1.034), and 6 months after training (n = 810). Hierarchical regression was used to assess how pre-training factors, and changes in beliefs during different stages of training incrementally predicted post-training intent to use PE and how many patients clinicians were treating with PE 6 months after training. Post-training intent to use PE was high (mean = 6.2, SD = 0.81 on a 1-7 scale), yet most participants treated only 1 or 2 patients at a time with PE. Pre-training factors predicted intent to use and actual use of PE. Changes in beliefs during the workshop had statistically significant yet modest effects on intent and use of PE. Changes in beliefs during case consultation had substantial effects on intent and actual use of PE. Pre-training factors and changes in beliefs during training (especially during case consultation) influence clinicians' adoption of PE. Use of PE was influenced not only by its perceived clinical advantages/disadvantages, but also by contextual factors (working in a PTSD specialty clinic, perceived control over one's schedule, and ability to promote PE to patients and colleagues).
DOI: 10.1007/s10488-015-0689-y
PubMed: 26487392
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pubmed:26487392Le document en format XML
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Kuhn</name><affiliation><nlm:affiliation>Dissemination and Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA, 94025, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Karlin, B E" sort="Karlin, B E" uniqKey="Karlin B" first="B E" last="Karlin">B E Karlin</name><affiliation><nlm:affiliation>Education Development Center Inc., New York, NY, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Bloomberg School of Public Health, Johns Hopkins University (Previously affiliated with Mental Health Services, U.S. Department of Veterans Affairs Central Office, Washington, DC), Baltimore, MD, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Rosen, C S" sort="Rosen, C S" uniqKey="Rosen C" first="C S" last="Rosen">C S Rosen</name><affiliation><nlm:affiliation>Dissemination and Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA, 94025, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:26487392</idno><idno type="pmid">26487392</idno><idno type="doi">10.1007/s10488-015-0689-y</idno><idno type="wicri:Area/Main/Corpus">000D86</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000D86</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Post-training Beliefs, Intentions, and Use of Prolonged Exposure Therapy by Clinicians in the Veterans Health Administration.</title><author><name sortKey="Ruzek, J I" sort="Ruzek, J I" uniqKey="Ruzek J" first="J I" last="Ruzek">J I Ruzek</name><affiliation><nlm:affiliation>Dissemination and Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA, 94025, USA. josef.ruzek@va.gov.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Palo Alto University, Palo Alto, CA, USA. josef.ruzek@va.gov.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA. josef.ruzek@va.gov.</nlm:affiliation></affiliation></author><author><name sortKey="Eftekhari, A" sort="Eftekhari, A" uniqKey="Eftekhari A" first="A" last="Eftekhari">A. Eftekhari</name><affiliation><nlm:affiliation>Dissemination and Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA, 94025, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Crowley, J" sort="Crowley, J" uniqKey="Crowley J" first="J" last="Crowley">J. Crowley</name><affiliation><nlm:affiliation>Dissemination and Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA, 94025, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Kuhn, E" sort="Kuhn, E" uniqKey="Kuhn E" first="E" last="Kuhn">E. Kuhn</name><affiliation><nlm:affiliation>Dissemination and Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA, 94025, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Karlin, B E" sort="Karlin, B E" uniqKey="Karlin B" first="B E" last="Karlin">B E Karlin</name><affiliation><nlm:affiliation>Education Development Center Inc., New York, NY, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Bloomberg School of Public Health, Johns Hopkins University (Previously affiliated with Mental Health Services, U.S. Department of Veterans Affairs Central Office, Washington, DC), Baltimore, MD, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Rosen, C S" sort="Rosen, C S" uniqKey="Rosen C" first="C S" last="Rosen">C S Rosen</name><affiliation><nlm:affiliation>Dissemination and Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA, 94025, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Administration and policy in mental health</title><idno type="eISSN">1573-3289</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Implosive Therapy (MeSH)</term><term>Intention (MeSH)</term><term>Male (MeSH)</term><term>Stress Disorders, Post-Traumatic (therapy)</term><term>United States (MeSH)</term><term>United States Department of Veterans Affairs (MeSH)</term><term>Veterans (psychology)</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Veterans</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Stress Disorders, Post-Traumatic</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Implosive Therapy</term><term>Intention</term><term>Male</term><term>United States</term><term>United States Department of Veterans Affairs</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To examine how changes in beliefs during the training process predict adoption of prolonged exposure therapy (PE) by veterans health administration clinicians who received intensive training in this evidence-based treatment. Participants completed a 4-day PE workshop and received expert consultation as they used PE with two or more training cases. Participants were surveyed prior to the workshop, after the workshop, after case consultation (n = 1.034), and 6 months after training (n = 810). Hierarchical regression was used to assess how pre-training factors, and changes in beliefs during different stages of training incrementally predicted post-training intent to use PE and how many patients clinicians were treating with PE 6 months after training. Post-training intent to use PE was high (mean = 6.2, SD = 0.81 on a 1-7 scale), yet most participants treated only 1 or 2 patients at a time with PE. Pre-training factors predicted intent to use and actual use of PE. Changes in beliefs during the workshop had statistically significant yet modest effects on intent and use of PE. Changes in beliefs during case consultation had substantial effects on intent and actual use of PE. Pre-training factors and changes in beliefs during training (especially during case consultation) influence clinicians' adoption of PE. Use of PE was influenced not only by its perceived clinical advantages/disadvantages, but also by contextual factors (working in a PTSD specialty clinic, perceived control over one's schedule, and ability to promote PE to patients and colleagues).</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26487392</PMID><DateCompleted><Year>2018</Year><Month>02</Month><Day>15</Day></DateCompleted><DateRevised><Year>2018</Year><Month>02</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1573-3289</ISSN><JournalIssue CitedMedium="Internet"><Volume>44</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Administration and policy in mental health</Title><ISOAbbreviation>Adm Policy Ment Health</ISOAbbreviation></Journal><ArticleTitle>Post-training Beliefs, Intentions, and Use of Prolonged Exposure Therapy by Clinicians in the Veterans Health Administration.</ArticleTitle><Pagination><MedlinePgn>123-132</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10488-015-0689-y</ELocationID><Abstract><AbstractText>To examine how changes in beliefs during the training process predict adoption of prolonged exposure therapy (PE) by veterans health administration clinicians who received intensive training in this evidence-based treatment. Participants completed a 4-day PE workshop and received expert consultation as they used PE with two or more training cases. Participants were surveyed prior to the workshop, after the workshop, after case consultation (n = 1.034), and 6 months after training (n = 810). Hierarchical regression was used to assess how pre-training factors, and changes in beliefs during different stages of training incrementally predicted post-training intent to use PE and how many patients clinicians were treating with PE 6 months after training. Post-training intent to use PE was high (mean = 6.2, SD = 0.81 on a 1-7 scale), yet most participants treated only 1 or 2 patients at a time with PE. Pre-training factors predicted intent to use and actual use of PE. Changes in beliefs during the workshop had statistically significant yet modest effects on intent and use of PE. Changes in beliefs during case consultation had substantial effects on intent and actual use of PE. Pre-training factors and changes in beliefs during training (especially during case consultation) influence clinicians' adoption of PE. Use of PE was influenced not only by its perceived clinical advantages/disadvantages, but also by contextual factors (working in a PTSD specialty clinic, perceived control over one's schedule, and ability to promote PE to patients and colleagues).</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ruzek</LastName><ForeName>J I</ForeName><Initials>JI</Initials><Identifier Source="ORCID">http://orcid.org/0000-0003-4099-6431</Identifier><AffiliationInfo><Affiliation>Dissemination and Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA, 94025, USA. josef.ruzek@va.gov.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Palo Alto University, Palo Alto, CA, USA. josef.ruzek@va.gov.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA. josef.ruzek@va.gov.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Eftekhari</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Dissemination and Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA, 94025, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Crowley</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Dissemination and Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA, 94025, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kuhn</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Dissemination and Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA, 94025, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Karlin</LastName><ForeName>B E</ForeName><Initials>BE</Initials><AffiliationInfo><Affiliation>Education Development Center Inc., New York, NY, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Bloomberg School of Public Health, Johns Hopkins University (Previously affiliated with Mental Health Services, U.S. Department of Veterans Affairs Central Office, Washington, DC), Baltimore, MD, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rosen</LastName><ForeName>C S</ForeName><Initials>CS</Initials><AffiliationInfo><Affiliation>Dissemination and Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA, 94025, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Adm Policy Ment Health</MedlineTA><NlmUniqueID>8914574</NlmUniqueID><ISSNLinking>0894-587X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007171" MajorTopicYN="Y">Implosive Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D033182" MajorTopicYN="Y">Intention</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013313" MajorTopicYN="N">Stress Disorders, Post-Traumatic</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N">United States</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014493" MajorTopicYN="N">United States Department of Veterans Affairs</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014728" MajorTopicYN="N">Veterans</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Implementation</Keyword><Keyword MajorTopicYN="N">Intentions</Keyword><Keyword MajorTopicYN="N">Post-training beliefs</Keyword><Keyword MajorTopicYN="N">Posttraumatic stress disorder</Keyword><Keyword MajorTopicYN="N">Training</Keyword><Keyword MajorTopicYN="N">Use of prolonged exposure therapy by clinicians in the veterans health administration</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>10</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>2</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>10</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26487392</ArticleId><ArticleId IdType="doi">10.1007/s10488-015-0689-y</ArticleId><ArticleId IdType="pii">10.1007/s10488-015-0689-y</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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