Treatments Veterans Health Administration PTSD Specialty Program Providers Report Their Patients Prefer

The Role of Training and Theoretical Orientation

Hector A. Garcia, Bryann R. DeBeer, Joseph Mignogna, Erin Finley Garcia

Research output: Contribution to journalArticle

Abstract

Objective: A growing empirical literature demonstrates that evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD) are effective for veterans. However, use of EBPs for PTSD in the Veterans Health Administration (VHA) remains low, and providers cite patient preference as a factor impacting EBP utilization. The purpose of this exploratory study was to assess the impact of provider factors such as theoretical orientation, occupation, graduate school training, or completion of VHA EBP training on providers' perceptions of patient preferences. Method: VHA providers in PTSD clinical teams were invited to participate in a national survey (n = 229, response rate 28%) assessing provider demographics and perceived patient preferences. Results: Having a cognitive- behavioral therapy (CBT) orientation emerged as a robust predictor of reporting that veterans tend to choose EBPs and a non-CBT orientation that patients choose "other" therapies. VHA EBP training also impacted therapists' report of patient preference for an EBP. Conclusions: Results suggest that theoretical orientation and VHA EBP training meaningfully impact how providers perceive patient preference for EBP. Efforts to increase EBP engagement among veteran patients may benefit from enhancing both therapist and patient education, as well as shared decision-making skills among non-CBT-oriented providers.

Original languageEnglish (US)
JournalPsychological Trauma: Theory, Research, Practice, and Policy
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Veterans Health
United States Department of Veterans Affairs
Post-Traumatic Stress Disorders
Psychotherapy
Patient Preference
Veterans
Therapeutics
Cognitive Therapy
Patient Education
Occupations
Decision Making
Demography

Keywords

  • Evidence-based psychotherapies
  • Implementation
  • PTSD
  • Treatment decision making
  • Treatment utilization
  • Veteran

ASJC Scopus subject areas

  • Social Psychology
  • Clinical Psychology

Cite this

Treatments Veterans Health Administration PTSD Specialty Program Providers Report Their Patients Prefer : The Role of Training and Theoretical Orientation. / Garcia, Hector A.; DeBeer, Bryann R.; Mignogna, Joseph; Finley Garcia, Erin.

In: Psychological Trauma: Theory, Research, Practice, and Policy, 01.01.2019.

Research output: Contribution to journalArticle

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