Improving Implementation of Evidence Based PTSD Psychotherapy for Veterans in the Community

Study Overview
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Brief Summary
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To further increase the access of evidence based psychotherapies for Veterans with Posttraumatic Stress Disorder, we propose to offer training and intensive consultation to community-based providers in Cognitive Processing Therapy for Posttraumatic Stress Disorder. However, we believe that many clinicians may not implement Cognitive Processing Therapy or take advantage of consultation after initial training. For this reason, we propose to examine the effectiveness of an enhanced training method, which would add Motivational Interviewing to the standard Cognitive Processing Therapy training. Motivational Interviewing is a form of collaborative discussion for strengthening motivation and commitment to change. We hypothesize that augmenting the standard Cognitive Processing Therapy training with these techniques will reduce providers' reluctance to fully implement the interventions.

Official Title
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Improving Implementation of Evidence Based PTSD Psychotherapy for Veterans in the Community

Conditions
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PTSD

Intervention / Treatment
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* Behavioral: Motivational Enhancement


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: at least 18 years of age currently licensed in their mental health discipline or a graduate level trainee in their mental health discipline Exclusion Criteria: Have completed a 2-day training in Cognitive Processing Therapy

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Motivational Enhancement<br>Motivational Interviewing/Enhancement is a form of collaborative discussion for strengthening motivation and commitment to change. | Behavioral: Motivational Enhancement<br>* Motivational Enhancement/Interviewing is a form of discussion that seeks to increase change behavior.<br>* Other names: Motivational Interviewing;|
| No Intervention: Standard training<br>Training as usual | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change assessed by Evidence Based Practice Attitudes Scale - 50 | Pre intervention will be evaluated immediately before the 2 day training begins and post intervention will be evaluated immediately following the training. Followup will be collected approximately 6 monte after post-intervention. | immediately pre-intervention/immediately post 2 day intervention/6 month followup | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Evidence Based Psychotherapy, Implementation, PTSD