140 lines
4.5 KiB
YAML
140 lines
4.5 KiB
YAML
|
abstract: 'Posttraumatic stress disorder (PTSD) is a common problem in primary
|
||
|
|
|
||
|
|
care. Although effective treatments are available, little is known about
|
||
|
|
|
||
|
|
whether such treatments are effective within the context of Federally
|
||
|
|
|
||
|
|
Qualified Health Centers (FQHCs) that serve as national ``safety
|
||
|
|
|
||
|
|
nets{''''} for providing primary care for low income and underinsured
|
||
|
|
|
||
|
|
patients. The Violence and Stress Assessment (ViStA) study is the first
|
||
|
|
|
||
|
|
randomized controlled trial (RCT) to test the impact of a care
|
||
|
|
|
||
|
|
management intervention for treating PTSD in FQHCs. To develop a PTSD
|
||
|
|
|
||
|
|
management intervention appropriate for lower resource FQHCs and the
|
||
|
|
|
||
|
|
predominantly Latino patients they serve, formative work was conducted
|
||
|
|
|
||
|
|
through a collaborative effort between researchers and an FQHC
|
||
|
|
|
||
|
|
practice-based research network. This article describes how FQHC
|
||
|
|
|
||
|
|
stakeholders were convened to review, assess, and prioritize
|
||
|
|
|
||
|
|
evidence-based strategies for addressing patient, clinician, and
|
||
|
|
|
||
|
|
system-level barriers to care. This multi-component care management
|
||
|
|
|
||
|
|
intervention incorporates diagnosis with feedback, patient education and
|
||
|
|
|
||
|
|
activation; navigation and linkage to community resources; clinician
|
||
|
|
|
||
|
|
education and medication guidance; and structured cross-disciplinary
|
||
|
|
|
||
|
|
communication and continuity of care, all facilitated by care managers
|
||
|
|
|
||
|
|
with FQHC experience. We also describe the evaluation design of this
|
||
|
|
|
||
|
|
five-year RCT and the characteristics of the 404 English or Spanish
|
||
|
|
|
||
|
|
speaking patients enrolled in the study and randomized to either the
|
||
|
|
|
||
|
|
intervention or to usual care. Patients are assessed at baseline, six
|
||
|
|
|
||
|
|
months, and 12 months to examine intervention effectiveness on PTSD,
|
||
|
|
|
||
|
|
other mental health symptoms, health-related quality-of-life, health
|
||
|
|
|
||
|
|
care service use; and perceived barriers to care and satisfaction with
|
||
|
|
|
||
|
|
care. (C) 2014 Elsevier Inc. All rights reserved.'
|
||
|
|
affiliation: 'Meredith, LS (Corresponding Author), RAND Corp, 1776 Main St,M3W, Santa
|
||
|
|
Monica, CA 90407 USA.
|
||
|
|
|
||
|
|
Meredith, Lisa S.; Eisenman, David P.; Wong, Eunice C.; Han, Bing, RAND Corp, Santa
|
||
|
|
Monica, CA 90407 USA.
|
||
|
|
|
||
|
|
Meredith, Lisa S., VA HSR\&D Ctr Study Healthcare Provider Behav, North Hills, CA
|
||
|
|
91343 USA.
|
||
|
|
|
||
|
|
Eisenman, David P., Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Div
|
||
|
|
Gen Internal Med \& Hlth Serv Res, Los Angeles, CA 90095 USA.
|
||
|
|
|
||
|
|
Green, Bonnie L.; Kaltman, Stacey, Georgetown Univ, Sch Med, Dept Psychiat, Washington,
|
||
|
|
DC 20007 USA.
|
||
|
|
|
||
|
|
Cassells, Andrea; Tobin, Jonathan N., Clin Directors Network, New York, NY 10018
|
||
|
|
USA.
|
||
|
|
|
||
|
|
Tobin, Jonathan N., Yeshiva Univ, Albert Einstein Coll Med, Dept Epidemiol \& Populat
|
||
|
|
Hlth, Bronx, NY 10461 USA.
|
||
|
|
|
||
|
|
Tobin, Jonathan N., Rockefeller Univ, Ctr Clin \& Translat Sci, New York, NY 10065
|
||
|
|
USA.'
|
||
|
|
author: Meredith, Lisa S. and Eisenman, David P. and Green, Bonnie L. and Kaltman,
|
||
|
|
Stacey and Wong, Eunice C. and Han, Bing and Cassells, Andrea and Tobin, Jonathan
|
||
|
|
N.
|
||
|
|
author-email: lisa\_meredith@rand.org
|
||
|
|
author_list:
|
||
|
|
- family: Meredith
|
||
|
|
given: Lisa S.
|
||
|
|
- family: Eisenman
|
||
|
|
given: David P.
|
||
|
|
- family: Green
|
||
|
|
given: Bonnie L.
|
||
|
|
- family: Kaltman
|
||
|
|
given: Stacey
|
||
|
|
- family: Wong
|
||
|
|
given: Eunice C.
|
||
|
|
- family: Han
|
||
|
|
given: Bing
|
||
|
|
- family: Cassells
|
||
|
|
given: Andrea
|
||
|
|
- family: Tobin
|
||
|
|
given: Jonathan N.
|
||
|
|
da: '2023-09-28'
|
||
|
|
doi: 10.1016/j.cct.2014.04.005
|
||
|
|
eissn: 1559-2030
|
||
|
|
files: []
|
||
|
|
issn: 1551-7144
|
||
|
|
journal: CONTEMPORARY CLINICAL TRIALS
|
||
|
|
keywords: 'Post-traumatic stress disorder; Care management; Safety net Federally
|
||
|
|
|
||
|
|
Qualified Health Centers (FQHCs); Hispanic/Latino; Primary care;
|
||
|
|
|
||
|
|
Integrating primary care and mental health'
|
||
|
|
keywords-plus: 'NATIONAL COMORBIDITY SURVEY; QUALITY IMPROVEMENT PROGRAMS;
|
||
|
|
|
||
|
|
CONNOR-DAVIDSON RESILIENCE; INTIMATE PARTNER VIOLENCE; ABUSE
|
||
|
|
|
||
|
|
SCREENING-TEST; SCALE CD-RISC; ANXIETY DISORDERS; PSYCHIATRIC-DISORDERS;
|
||
|
|
|
||
|
|
SOCIAL-CONSEQUENCES; DRUG-ABUSE'
|
||
|
|
language: English
|
||
|
|
month: JUL
|
||
|
|
number: '2'
|
||
|
|
number-of-cited-references: '99'
|
||
|
|
orcid-numbers: 'Tobin, Jonathan/0000-0003-4722-539X
|
||
|
|
|
||
|
|
Kaltman, Stacey/0000-0002-5805-5536'
|
||
|
|
pages: 163-172
|
||
|
|
papis_id: 51ebcab0c04968c379ae0cb47b2c38c2
|
||
|
|
ref: Meredith2014designviolence
|
||
|
|
researcherid-numbers: 'Tobin, Jonathan N./R-2413-2019
|
||
|
|
|
||
|
|
'
|
||
|
|
times-cited: '12'
|
||
|
|
title: 'Design of the Violence and Stress Assessment (ViStA) study: A randomized controlled
|
||
|
|
trial of care management for PTSD among predominantly Latino patients in safety
|
||
|
|
net health centers'
|
||
|
|
type: Article
|
||
|
|
unique-id: WOS:000340301400002
|
||
|
|
usage-count-last-180-days: '0'
|
||
|
|
usage-count-since-2013: '28'
|
||
|
|
volume: '38'
|
||
|
|
web-of-science-categories: Medicine, Research \& Experimental; Pharmacology \& Pharmacy
|
||
|
|
year: '2014'
|