VA Residential Provider Perceptions of Dissuading Factors to the Use of Two Evidence-Based PTSD Treatments.
VA Residential Provider Perceptions of Dissuading Factors to the Use of Two Evidence-Based PTSD Treatments.
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DOI：
10.1037/a0036183
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发表时间：
2014-04-01
期刊：
影响因子：
--
通讯作者：
Schnurr PP
中科院分区：
文献类型：
--
作者：
Cook JM;Dinnen S;Simiola V;Thompson R;Schnurr PP
来自美国退伍军人事务部38个创伤后应激障碍治疗项目的提供者(N=198)完成了关于两种循证治疗实施的定性访谈：长期暴露和认知处理治疗。作为这项调查的一部分，提供者被问及他们如何决定哪些患者适合这些治疗。许多人表示，他们没有发现任何患者因素阻止他们使用任何一种循证治疗。然而，围绕患者被认为不太适合接受治疗的原因，出现了三大类：精神合并症的存在、认知限制和患者动机水平低。有趣的是，提供者认为有限或不使用一种治疗的理由并不完全符合治疗开发商所支持的理由。指出了解决提供者关切的可能的解决方案，包括教育和动机干预。
Providers (N = 198) from 38 Department of Veterans Affairs residential posttraumatic stress disorder treatment programs across the United States completed qualitative interviews regarding implementation of 2 evidence-based treatments: prolonged exposure and cognitive processing therapy. As part of this investigation, providers were asked how they decide which patients are appropriate for these treatments. Many indicated that they did not perceive any patient factors that dissuade their use of either evidence-based treatment. However, 3 broad categories emerged surrounding reasons that patients were perceived to be less suitable candidates for the treatments: the presence of psychiatric comorbidities, cognitive limitations, and low levels of patient motivation. Interestingly, providers’ perceived reasons for limited or nonuse of a treatment did not correspond entirely to those espoused by treatment developers. Possible solutions to address provider concerns, including educational and motivational interventions, are noted.
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影响因子：
3.3
作者：
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影响因子：
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