nach oben

Administration and Policy in Mental Health and Mental Health Services Research

Erschienen in:

01.07.2015 | Original Article

A Quantitative Test of an Implementation Framework in 38 VA Residential PTSD Programs

verfasst von: Joan M. Cook, Stephanie Dinnen, Richard Thompson, Josef Ruzek, James C. Coyne, Paula P. Schnurr

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 4/2015

Einloggen, um Zugang zu erhalten

Abstract

This study examines the implementation of two evidence-based psychotherapies, Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT), in the Department of Veterans Affairs residential Posttraumatic Stress Disorder treatment programs. Two hundred and one providers from 38 programs completed an online survey concerning implementation of PE delivered on an individual basis and CPT delivered in individual and group formats. For PE, a supportive organizational context (dedicated time and resources, and incentives and mandates) and overall positive view of the treatment were related to its implementation. For both group and individual CPT, only the supportive organizational context was significantly associated with outcome. Implications for implementation efforts are discussed.

Aarons, G. A., Ehrhart, M. G., & Farahnak, L. R. (2014). The implementation leadership scale (ILS): Development of a brief measure of unit level implementation leadership. Implementation Science, 9, 45.PubMedCentralPubMedCrossRef

Aarons, G. A., & Sawitzky, A. C. (2006). Organizational culture and climate and mental health provider attitudes toward evidence-based practice. Psychological Services, 3, 61–72.PubMedCentralPubMedCrossRef

Becker, C. B., Zayfert, C., & Anderson, E. (2004). A survey of psychologists’ attitudes towards and utilization of exposure therapy for PTSD. Behaviour Research and Therapy, 42, 277–292.PubMedCrossRef

Bernardy, N. C., Hamblen, J. L., Friedman, M. J., Ruzek, J. I., & McFall, M. E. (2011). Implementation of a Posttraumatic Stress Disorder Mentoring Program to improve treatment services. Psychological Trauma: Theory, Research, Practice, and Policy, 3, 292–299.CrossRef

Borsboom, D., Mellenbergh, G. J., & Van Heerden, J. (2003). The theoretical status of latent variables. Psychological Review, 110, 203–219.PubMedCrossRef

Cook, J. M., Biyanova, T., & Coyne, J. C. (2009a). Barriers to adoption of new treatments: An internet study of practicing community psychotherapists. Administration and Policy in Mental Health and Mental Health Services Research, 36, 83–90.PubMedCentralPubMedCrossRef

Cook, J. M., Dinnen, S., Coyne, J. C., Thompson, R., Simiola, V., Ruzek, J., et al. (2014). Evaluation of an Implementation Model: A National Investigation of VA Residential Programs. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-014-0555-3.

Cook, J. M., O’Donnell, C., Dinnen, S., Bernardy, N., Rosenheck, R., & Hoff, R. (2013). A formative evaluation of two evidence-based psychotherapies for PTSD in VA residential treatment programs. Journal of Traumatic Stress, 26, 56–63.PubMedCentralPubMedCrossRef

Cook, J. M., O’Donnell, C., Dinnen, S., Coyne, J. C., Ruzek, J. I., & Schnurr, P. (2012). Measurement of a model of implementation for health care: Toward a testable theory. Implementation Science, 7, 59–74.PubMedCentralPubMedCrossRef

Cook, J. M., Schnurr, P. P., Biyanova, T., & Coyne, J. C. (2009b). Apples don’t fall far from the trees: Influences on psychotherapists’ adoption and sustained use of new therapies. Psychiatric Services, 60, 671–676.PubMedCentralPubMedCrossRef

Department of Veterans Affairs. (2008). Uniform Mental Health Services in VA Medical Centers and Clinics (VHA Handbook 1160.01). Washington, DC: Department of Veterans Affairs.

Diamantopoulos, A., & Siguaw, J. A. (2006). Formative versus reflective indicators in organizational measure development: A comparison and empirical illustration. British Journal of Management, 17, 263–282.CrossRef

Dobson, K. S., & Singer, A. R. (2005). Definitional and practical issues in the assessment of treatment integrity. Clinical Psychology: Science and Practice, 12, 384–387.

Durlak, J. A., & DuPre, E. P. (2008). Implementation matters: A review of research on the influence of implementation on program outcomes and the factors affecting implementation. American Journal of Community Psychology, 41, 327–350.PubMedCrossRef

Eftekhari, A., Ruzek, J. I., Crowley, J. J., Rosen, C. R., Greenbaum, M. A., & Karlin, B. E. (2013). Effectiveness of national implementation of prolonged exposure therapy in VA care. JAMA Psychiatry, 70, 949–955.PubMedCrossRef

Foa, E., Hembree, E., & Rothbaum, B. O. (2007). Prolonged exposure therapy for PTSD: Emotional processing of traumatic experiences therapist guide. Oxford: Oxford University Press.

Glasgow, R. E., & Emmons, K. M. (2007). How can we increase translation of research into practice? Types of evidence needed. Annual Review of Public Health, 28, 413–433.PubMedCrossRef

Glisson, C. (2002). The organizational context of children’s mental health services. Clinical Child and Family Psychology Review, 5, 233–253.PubMedCrossRef

Gray, M. J., Elhai, J. D., & Schmidt, L. O. (2007). Trauma professionals’ attitudes toward and utilization of evidence-based practices. Behavior Modification, 31, 732–748.PubMedCrossRef

Greenhalgh, T., Glenn, R., Macfarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic literature review and recommendations for future research. Milbank Quarterly, 82, 1–35.CrossRef

Hamblen, J. L., Bernardy, N. C., Sherrieb, K, Norris, F. H., Cook, J. M., Louis, C. A., et al. (under review). VA PTSD clinic director perspectives: How readiness guides provision of evidence-based PTSD treatment.

Institute of Medicine (US). Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington DC: National Academies Press.

Jacobs, S. R., Weiner, B. J., & Bunger, A. C. (2014). Context matters: Measuring implementation climate among individuals and groups. Implementation Science, 9, 46.PubMedCentralPubMedCrossRef

Karlin, B. E., Ruzek, J. I., Chard, K. M., Eftekhari, A., Monson, C. M., Hembree, E. A., et al. (2010). Dissemination of evidence-based psychological treatments for posttraumatic stress disorder in the Veterans Health Administration. Journal of Traumatic Stress, 23, 663–673.PubMedCrossRef

Kessler, R. C. (2000). Posttraumatic stress disorder: The burden to the individual and to society. Journal of Clinical Psychiatry, 61, 4–14.PubMed

Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593–602.PubMedCrossRef

Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., et al. (1990). The national Vietnam veterans readjustment study: Tables of findings and technical appendices. New York: Brunner/Mazel.

McHugo, G., Drake, R., Whitley, R., Bond, G., Campbell, K., Rapp, C., et al. (2007). Fidelity outcomes in the national implementing evidence-based practices project. Psychiatric Services, 58, 1279–1284.PubMedCrossRef

Mott, J. M., Mondragon, S., Hundt, N., Beason-Smith, M., Grady, R. H., & Teng, E. J. (2014). Characteristics of veterans who initiate and complete Cognitive Processing Therapy and Prolonged Exposure for PTSD. Journal of Traumatic Stress, 27, 265–273.PubMedCrossRef

O’Connor, B. P. (2000). SPSS and SAS programs for determiningthe number of components using parallel analysis and Velicer’s MAP test. Behavior Research Methods, Instrumentation, and Computers, 32, 396–402.

Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88, 879.PubMedCrossRef

Proctor, E. K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services: An emerging science with conceptual, methodological, and training challenges. Administration and Policy in Mental Health and Mental Health Services Research, 36, 24–34.PubMedCrossRef

Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., et al. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38, 65–76.PubMedCentralPubMedCrossRef

Resick, P. A., & Schnicke, M. (1993). Cognitive processing therapy for rape victims: A treatment manual. Newbury Park: Sage Publications.

Rogers, E. M. (1962). Diffusion of innovations. New York: Free Press.

Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York: Free Press.

Shea, C. M., Jacobs, S. R., Esserman, D. A., Bruce, K., & Weiner, B. J. (2014). Organizational readiness for implementing change: A psychometric assessment of a new measure. Implementation Science, 9, 7.PubMedCentralPubMedCrossRef

Shiner, B., D’Avolio, L. W., Nguyen, T. M., Zayed, M. H., Young-Xu, Y., Desai, R. A., et al. (2012). Measuring use of evidence based psychotherapy for posttraumatic stress disorder. Administration and Policy in Mental Health and Mental Health Services Research, 40, 311–318.CrossRef

Solberg, L. (2009). Lessons for non-VA care delivery systems from the US Department of Veterans Affairs Quality Enhancement Research Initiative: QUERI series. Implementation Science, 4, 9.PubMedCentralPubMedCrossRef

SPSS. (2005). Linear Mixed-Effects Modeling in SPSS: An Introduction to the MIXED Procedure (Technical Report LMEMWP-0305). Chicago: SPSS.

Stith, S., Pruitt, I., Dees, J., Fronce, M., Green, N., Som, A., et al. (2006). Implementing community-based prevention programming: A review of the literature. Journal of Primary Prevention, 27, 599–617.PubMedCrossRef

Tabak, R. G., Khoong, E. C., Chambers, D. A., & Brownson, R. C. (2012). Bridging research and practice: Models for dissemination and implementation research. American Journal of Preventive Medicine, 43, 337–350.PubMedCentralPubMedCrossRef

Tanielian, T. L., & Jaycox, L. H. (Eds.). (2008). Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery. Santa Monica: Rand Corporation.

Tomoaia-Cotisel, A., Scammon, D. L., Waitzman, N. J., Cronholm, P. F., Halladay, J. R., Driscoll, D. L., et al. (2013). Context matters: The experience of 14 research teams in systematically reporting contextual factors important for practice change. Annals of Family Medicine, 11, S115–S123.PubMedCentralPubMedCrossRef

Titel: A Quantitative Test of an Implementation Framework in 38 VA Residential PTSD Programs
verfasst von: Joan M. Cook
Stephanie Dinnen
Richard Thompson
Josef Ruzek
James C. Coyne
Paula P. Schnurr
Publikationsdatum: 01.07.2015
Verlag: Springer US
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 4/2015
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-014-0590-0

Neu im Fachgebiet Psychiatrie

ADHS-Medikation erhöht das kardiovaskuläre Risiko

16.05.2024 Herzinsuffizienz Nachrichten

Erwachsene, die Medikamente gegen das Aufmerksamkeitsdefizit-Hyperaktivitätssyndrom einnehmen, laufen offenbar erhöhte Gefahr, an Herzschwäche zu erkranken oder einen Schlaganfall zu erleiden. Es scheint eine Dosis-Wirkungs-Beziehung zu bestehen.

Typ-2-Diabetes und Depression folgen oft aufeinander

14.05.2024 Typ-2-Diabetes Nachrichten

Menschen mit Typ-2-Diabetes sind überdurchschnittlich gefährdet, in den nächsten Jahren auch noch eine Depression zu entwickeln – und umgekehrt. Besonders ausgeprägt ist die Wechselbeziehung laut GKV-Daten bei jüngeren Erwachsenen.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Spezielles Sportprogramm bei einer Reihe von psychischen Erkrankungen effektiv

08.05.2024 Psychotherapie Nachrichten

Sportliche Betätigung hilft nicht nur bei Depression, sondern auch in Gruppen von Patientinnen und Patienten mit unterschiedlichen psychischen Erkrankungen, wie Insomnie, Panikattacken, Agoraphobie und posttraumatischem Belastungssyndrom. Sie alle profitieren längerfristig.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2015

Predictors of Use of Evidence-Based Practices for Children and Adolescents in Usual Care

Does Insurance Matter? Implementing Dialectical Behavior Therapy with Two Groups of Youth Engaged in Deliberate Self-harm

Users’ and Health Professionals’ Values in Relation to a Psychiatric Intervention: The Case of Psychiatric Advance Directives

Mental Health Care and Average Happiness: Strong Effect in Developed Nations

Competing Priorities: Staff Perspectives on Supporting Recovery