Sustaining and Improving Clinicians' Use of Evidence-Based Psychotherapy (EBP) for PTSD
| Status: | Enrolling by invitation |
|---|---|
| Conditions: | Psychiatric, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/17/2018 |
| Start Date: | May 6, 2015 |
| End Date: | January 2021 |
A Comparison of the Effects of Internet-Based Strategies to Support Mental Health Clinicians' Use of an Effective Psychotherapy for Post Traumatic Stress Disorder (PTSD) in Mental Health Systems
The purpose of the study is to compare the impact of two strategies to sustain and improve
the delivery of an evidence-based psychotherapy for PTSD, Cognitive Processing Therapy (CPT)
in three different mental health systems. These approaches are based on two different
theories of what is necessary to promote successful implementation. We will examine whether
these strategies lead to improved patient outcomes, clinician skill, proportion of clients
who receive CPT, and other outcomes that are relevant to the implementation of evidence-based
psychosocial treatments. By examining these questions in 3 different mental health systems,
we will also examine whether the implementation strategies yield different results in
different systems.
the delivery of an evidence-based psychotherapy for PTSD, Cognitive Processing Therapy (CPT)
in three different mental health systems. These approaches are based on two different
theories of what is necessary to promote successful implementation. We will examine whether
these strategies lead to improved patient outcomes, clinician skill, proportion of clients
who receive CPT, and other outcomes that are relevant to the implementation of evidence-based
psychosocial treatments. By examining these questions in 3 different mental health systems,
we will also examine whether the implementation strategies yield different results in
different systems.
This project will compare two different methods of post-training support to promote sustained
and improved CPT delivery: Fidelity-oriented learning community (FID-LC) and Continuous
Quality Improvement Learning Community (CQI-LC). Clinics in which clinicians have previously
received CPT training will be randomly assigned to one of these conditions. Outcomes will be
observed changes in patient symptoms during and following treatment, independent expert
assessment of clinician fidelity and adaptations in delivering the psychotherapy (via
audio-recordings), proportion of eligible caseloads that receive CPT, and capacity to deliver
CPT. Data will also be collected to assess clinician and setting characteristics that may
contribute to the success of each strategy. The study results will help inform how best to
support the ongoing implementation and benefits of evidence-based psychotherapy (e.g., CPT)
in routine clinical settings. This is a knowledge translation project in partnership with 3
systems; VA Canada, U.S. Veterans Health Care System and the National Centre for PTSD.
and improved CPT delivery: Fidelity-oriented learning community (FID-LC) and Continuous
Quality Improvement Learning Community (CQI-LC). Clinics in which clinicians have previously
received CPT training will be randomly assigned to one of these conditions. Outcomes will be
observed changes in patient symptoms during and following treatment, independent expert
assessment of clinician fidelity and adaptations in delivering the psychotherapy (via
audio-recordings), proportion of eligible caseloads that receive CPT, and capacity to deliver
CPT. Data will also be collected to assess clinician and setting characteristics that may
contribute to the success of each strategy. The study results will help inform how best to
support the ongoing implementation and benefits of evidence-based psychotherapy (e.g., CPT)
in routine clinical settings. This is a knowledge translation project in partnership with 3
systems; VA Canada, U.S. Veterans Health Care System and the National Centre for PTSD.
Inclusion Criteria:
- All clinicians that provide psychotherapy to patients with PTSD
- Agree to provide CPT to 6 patients over 2 years
- Consent to be randomized to one of two study conditions
- Are willing to record therapy sessions
- Continue to have computer/internet access.
- Patients will be clients of clinician participants that
1. Are 18 years or older
2. Have a diagnosis of PTSD
3. Are willing to have their sessions audiorecorded
Exclusion Criteria:
- Ineligible patient participants are those having
1. Current uncontrolled psychotic or bipolar disorder
2. Unremitted substance dependence
3. Current imminent suicidality or homicidality that requires imminent attention
4. Significant cognitive impairment
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