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1.
Adm Policy Ment Health ; 43(6): 957-977, 2016 11.
Article in English | MEDLINE | ID: mdl-27474040

ABSTRACT

Since 2006, the Veterans Health Administration (VHA) has instituted policy changes and training programs to support system-wide implementation of two evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD). To assess lessons learned from this unprecedented effort, we used PubMed and the PILOTS databases and networking with researchers to identify 32 reports on contextual influences on implementation or sustainment of EBPs for PTSD in VHA settings. Findings were initially organized using the exploration, planning, implementation, and sustainment framework (EPIS; Aarons et al. in Adm Policy Ment Health Health Serv Res 38:4-23, 2011). Results that could not be adequately captured within the EPIS framework, such as implementation outcomes and adopter beliefs about the innovation, were coded using constructs from the reach, effectiveness, adoption, implementation, maintenance (RE-AIM) framework (Glasgow et al. in Am J Public Health 89:1322-1327, 1999) and Consolidated Framework for Implementation Research (CFIR; Damschroder et al. in Implement Sci 4(1):50, 2009). We highlight key areas of progress in implementation, identify continuing challenges and research questions, and discuss implications for future efforts to promote EBPs in large health care systems.


Subject(s)
Evidence-Based Practice , Psychotherapy , Stress Disorders, Post-Traumatic/therapy , Diffusion of Innovation , Humans , United States , United States Department of Veterans Affairs
2.
J Abnorm Psychol ; 110(4): 536-43, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11727943

ABSTRACT

The authors investigated processing of threat words in motor vehicle accident survivors using a modified Stroop procedure. Three samples were included: 28 participants with comorbid posttraumatic stress disorder (PTSD) and pain, 26 participants with pain without PTSD, and 21 participants without pain or any psychiatric conditions. Four word categories were used: (a) accident words, (b) pain words, (c) positive words, and (d) neutral words. This study examined whether processing biases would occur to accident words only in participants with PTSD or if these biases would also be noted in the No PTSD/Pain sample. Additionally, this study examined whether processing biases would be noted to pain words in the 2 pain samples, irrespective of PTSD. Overall, color naming was significantly slower in the PTSD/Pain group in comparison with the other groups. As well, the PTSD/Pain sample showed significant response delays to both accident and pain-related words, whereas patients with No PTSD/Pain showed delays to pain stimuli only.


Subject(s)
Affect , Pain/psychology , Psychological Tests , Stress Disorders, Post-Traumatic/psychology , Vocabulary , Adult , Female , Humans , Male , Pain/diagnosis , Pain Measurement , Sensitivity and Specificity , Severity of Illness Index , Stress Disorders, Post-Traumatic/diagnosis , Surveys and Questionnaires
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