2019
DOI: 10.1176/appi.ps.201800361
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Predictors of Treatment Adequacy During Evidence-Based Psychotherapy for PTSD

Abstract: The U.S. Department of Veterans Affairs (VA) has placed increased emphasis on the availability and use of evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD). However, many individuals do not complete a full course of EBP. The current study aimed to quantify the percentage of veterans receiving adequate EBP in VA hospitals and identify factors related to treatment completion.

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Cited by 32 publications
(28 citation statements)
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References 46 publications
(59 reference statements)
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“…Patients who cited COVID-19 or telehealth as a reason for discontinuing therapy most often dropped out at Session 1 (n = 5) or Session 2 (n = 4), and all of these patients dropped out by Session 4. Given that these patients had not planned to enter into telehealth treatment and some had substantial technical limitations, it is striking that the dropout rate was only around 7% higher than we observed in prior training cohorts and below the 31% dropout rate found for veterans receiving trauma-focused therapies in regular VA care (Hale et al, 2019).…”
Section: Patient Retention and Treatment Characteristicscontrasting
confidence: 63%
“…Patients who cited COVID-19 or telehealth as a reason for discontinuing therapy most often dropped out at Session 1 (n = 5) or Session 2 (n = 4), and all of these patients dropped out by Session 4. Given that these patients had not planned to enter into telehealth treatment and some had substantial technical limitations, it is striking that the dropout rate was only around 7% higher than we observed in prior training cohorts and below the 31% dropout rate found for veterans receiving trauma-focused therapies in regular VA care (Hale et al, 2019).…”
Section: Patient Retention and Treatment Characteristicscontrasting
confidence: 63%
“…Consequently, efforts to optimize treatment adherence may hold promise as a pathway for maximizing the gains veterans can achieve from these treatments. Interventions to improve veteran adherence in real-world delivery of these interventions are particularly warranted, with recent findings demonstrating rates of TFT dropout exceed 60% in national VA clinic samples [ 6 , 7 ].…”
Section: Introductionmentioning
confidence: 99%
“…These problems are particularly acute in veteran and military samples, which have shown poorer outcomes in traumafocused treatment compared with civilians (Hoge & Warner, 2014;Steenkamp et al, 2015). In addition, approximately 30%-60% of veterans drop out of trauma-focused treatments prematurely (Hale et al, 2019;Kehle-Forbes et al, 2016;Meis et al, 2019).…”
mentioning
confidence: 99%