Title |
Evaluation of an Implementation Model: A National Investigation of VA Residential Programs
|
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Published in |
Administration and Policy in Mental Health and Mental Health Services Research, May 2014
|
DOI | 10.1007/s10488-014-0555-3 |
Pubmed ID | |
Authors |
Joan M. Cook, Stephanie Dinnen, James C. Coyne, Richard Thompson, Vanessa Simiola, Josef Ruzek, Paula P. Schnurr |
Abstract |
This national investigation utilizes qualitative data to evaluate an implementation model regarding factors influencing provider use of two evidence-based treatments for posttraumatic stress disorder (PTSD). Semi-structured qualitative interviews with 198 mental health providers from 38 Department of Veterans Affairs' (VA) residential treatment programs were used to explore these issues regarding prolonged exposure (PE) and cognitive processing therapy (CPT) in VA residential PTSD programs. Several unique and some overlapping predictors emerged. Leadership was viewed as an influence on implementation for both CPT and PE, while a lack of dedicated time and resources was viewed as a deterrent for both. Compatibility of CPT with providers' existing practices and beliefs, the ability to observe noticeable patient improvement, a perceived relative advantage of CPT over alternative treatments, and the presence of a supportive peer network emerged as influential on CPT implementation. Leadership was associated with PE implementation. Implications for the design and improvement of training and implementation efforts are discussed. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Australia | 1 | 33% |
United States | 1 | 33% |
Unknown | 1 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 67% |
Scientists | 1 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 2% |
Unknown | 55 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 12 | 21% |
Student > Ph. D. Student | 10 | 18% |
Student > Doctoral Student | 5 | 9% |
Researcher | 5 | 9% |
Student > Bachelor | 5 | 9% |
Other | 6 | 11% |
Unknown | 13 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 24 | 43% |
Medicine and Dentistry | 7 | 13% |
Social Sciences | 6 | 11% |
Nursing and Health Professions | 3 | 5% |
Computer Science | 1 | 2% |
Other | 2 | 4% |
Unknown | 13 | 23% |