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Contemp Clin Trials. 2017 Oct;61:48-54. doi: 10.1016/j.cct.2017.07.018. Epub 2017 Jul 21.

The implementation of prolonged exposure: Design of a multisite study evaluating the usefulness of workshop with and without consultation.

Author information

1
Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 600N, Philadelphia, PA 19104, USA. Electronic address: foa@mail.med.upenn.edu.
2
Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 600N, Philadelphia, PA 19104, USA. Electronic address: mcleanca@mail.med.upenn.edu.
3
Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 600N, Philadelphia, PA 19104, USA. Electronic address: zandberg@mail.med.upenn.edu.
4
Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 600N, Philadelphia, PA 19104, USA. Electronic address: yinyinz@mail.med.upenn.edu.
5
Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 600N, Philadelphia, PA 19104, USA. Electronic address: aasnaani@mail.med.upenn.edu.
6
Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 600N, Philadelphia, PA 19104, USA. Electronic address: kathybe@mail.med.upenn.edu.
7
Department of Psychology, Southern Methodist University, P.O. Box 750442, Dallas, TX 75275-0442, USA. Electronic address: drosenfi@mail.smu.edu.
8
Evans Army Community Hospital, 1650 Cochrane Circle, Fort Carson, Colorado Springs, CO 80913, USA. Electronic address: heather.l.campbell.civ@mail.mil.
9
Evans Army Community Hospital, 1650 Cochrane Circle, Fort Carson, Colorado Springs, CO 80913, USA. Electronic address: jeremy.c.francis4.civ@mail.mil.
10
William Beaumont Army Medical Center, 5005 N Piedras Street, Fort Bliss, El Paso, TX 79920, USA. Electronic address: brenda.s.hanson2.civ@mail.mil.
11
Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223, USA.
12
Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223, USA. Electronic address: thomas.j.patterson75.mil@mail.mil.
13
Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223, USA. Electronic address: valerie.d.scott9.mil@mail.mil.
14
Evans Army Community Hospital, 1650 Cochrane Circle, Fort Carson, Colorado Springs, CO 80913, USA. Electronic address: dr.c.weber@fccsprings.com.
15
Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223, USA. Electronic address: joseph.e.wise.mil@mail.mil.
16
William Beaumont Army Medical Center, 5005 N Piedras Street, Fort Bliss, El Paso, TX 79920, USA. Electronic address: charles.d.zamora.mil@mail.mil.
17
Department of Psychiatry, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA. Electronic address: mintz@uthscsa.edu.
18
Department of Psychiatry, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA. Electronic address: youngs1@uthscsa.edu.
19
Department of Psychiatry, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA; South Texas Veterans Health Care System, 7400 Merton Minter, San Antonio, TX 78229, USA; Department of Psychology, University of Texas at San Antonio, 1 UTSA Circle, San Antonio, TX 78249, USA. Electronic address: petersona3@uthscsa.edu.

Abstract

This randomized trial examines the dissemination and implementation of prolonged exposure (PE) therapy for posttraumatic stress symptoms in U.S. Army medical treatment facilities. The study compares two PE training models: Standard PE training, comprised of a 4-day workshop only, and Extended PE training, comprised of a 4-day workshop plus expert case consultation. Behavioral health providers (N=180) across three medium-to-large Army installations will be randomly assigned to either Standard PE training or Extended PE training. Changes in provider attitudes will be examined across groups. After completing PE training, the use of PE components with patients reporting posttraumatic stress symptoms and clinical outcomes of these participating patients (N=500) will be examined. This article describes the rationale and methods of the study. In addition, a number of methodological issues in conducting a multisite naturalistic study in the U.S. Army are discussed.

KEYWORDS:

Implementation; Military behavioral health; Prolonged exposure; Provider training; Psychotherapy uptake

PMID:
28739538
DOI:
10.1016/j.cct.2017.07.018
[Indexed for MEDLINE]

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