Measurement Strategies for Evidence-Based Psychotherapy for Posttraumatic Stress Disorder Delivery: Trends and Associations with Patient-Reported Outcomes

被引：16
|
作者：
Shiner, Brian [1 ,2 ,3 ]
Westgate, Christine Leonard [1 ]
Gui, Jiang [2 ]
Cornelius, Sarah [1 ]
Maguen, Shira E. [5 ,6 ]
Watts, Bradley, V [2 ,4 ]
Schnurr, Paula P. [2 ,3 ]
机构：
[1] White River Junct VA Med Ctr, 215 North Main St, White River Jct, VT 05009 USA
[2] Geisel Sch Med Dartmouth, Hanover, NH 03755 USA
[3] Natl Ctr PTSD Execut Div, White River Jct, VT 05009 USA
[4] VA Off Syst Redesign & Improvement, Washington, DC USA
[5] San Francisco VA Med Ctr, San Francisco, CA USA
[6] Univ Calif San Francisco, San Francisco, CA 94143 USA
来源：
ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2020年 / 47卷 / 03期
关键词：
Quality of healthcare; Patient reported outcomes measures; Comparative effectiveness research; Psychotherapy; Stress disorders; posttraumatic; OF-VETERANS-AFFAIRS; MENTAL-HEALTH; PROLONGED EXPOSURE; CARE; PTSD; THERAPY; QUALITY; IMPLEMENTATION; CONTINUITY; DIAGNOSIS;
D O I：
10.1007/s10488-019-01004-2
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
We sought to develop a quality standard for the delivery of psychotherapy for posttraumatic stress disorder (PTSD) that is both consistent with the underlying evidence supporting psychotherapy as a treatment for PTSD and associated with the best levels of symptom improvement. We quantified psychotherapy receipt during the initial year of PTSD treatment in a 10-year national cohort of Department of Veterans Affairs (VA) users who completed patient-reported outcome measurement as part of routine practice. We added progressively stringent measurement requirements. The most stringent requirement was associated with superior outcomes. Quality of psychotherapy for PTSD in the VA improved over time.
引用
收藏
页码：451 / 467
页数：17
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