2023-09-28 14:46:10 +00:00
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abstract: 'Posttraumatic stress disorder (PTSD) is a common problem in primary
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care. Although effective treatments are available, little is known about
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whether such treatments are effective within the context of Federally
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Qualified Health Centers (FQHCs) that serve as national ``safety
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nets{''''} for providing primary care for low income and underinsured
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patients. The Violence and Stress Assessment (ViStA) study is the first
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randomized controlled trial (RCT) to test the impact of a care
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management intervention for treating PTSD in FQHCs. To develop a PTSD
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management intervention appropriate for lower resource FQHCs and the
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predominantly Latino patients they serve, formative work was conducted
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through a collaborative effort between researchers and an FQHC
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practice-based research network. This article describes how FQHC
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stakeholders were convened to review, assess, and prioritize
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evidence-based strategies for addressing patient, clinician, and
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system-level barriers to care. This multi-component care management
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intervention incorporates diagnosis with feedback, patient education and
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activation; navigation and linkage to community resources; clinician
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education and medication guidance; and structured cross-disciplinary
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communication and continuity of care, all facilitated by care managers
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with FQHC experience. We also describe the evaluation design of this
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five-year RCT and the characteristics of the 404 English or Spanish
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speaking patients enrolled in the study and randomized to either the
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intervention or to usual care. Patients are assessed at baseline, six
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months, and 12 months to examine intervention effectiveness on PTSD,
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other mental health symptoms, health-related quality-of-life, health
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care service use; and perceived barriers to care and satisfaction with
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care. (C) 2014 Elsevier Inc. All rights reserved.'
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affiliation: 'Meredith, LS (Corresponding Author), RAND Corp, 1776 Main St,M3W, Santa
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Monica, CA 90407 USA.
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Meredith, Lisa S.; Eisenman, David P.; Wong, Eunice C.; Han, Bing, RAND Corp, Santa
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Monica, CA 90407 USA.
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Meredith, Lisa S., VA HSR\&D Ctr Study Healthcare Provider Behav, North Hills, CA
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91343 USA.
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Eisenman, David P., Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Div
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Gen Internal Med \& Hlth Serv Res, Los Angeles, CA 90095 USA.
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Green, Bonnie L.; Kaltman, Stacey, Georgetown Univ, Sch Med, Dept Psychiat, Washington,
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DC 20007 USA.
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Cassells, Andrea; Tobin, Jonathan N., Clin Directors Network, New York, NY 10018
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USA.
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Tobin, Jonathan N., Yeshiva Univ, Albert Einstein Coll Med, Dept Epidemiol \& Populat
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Hlth, Bronx, NY 10461 USA.
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Tobin, Jonathan N., Rockefeller Univ, Ctr Clin \& Translat Sci, New York, NY 10065
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USA.'
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author: Meredith, Lisa S. and Eisenman, David P. and Green, Bonnie L. and Kaltman,
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Stacey and Wong, Eunice C. and Han, Bing and Cassells, Andrea and Tobin, Jonathan
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N.
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author-email: lisa\_meredith@rand.org
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author_list:
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- family: Meredith
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given: Lisa S.
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- family: Eisenman
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given: David P.
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- family: Green
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given: Bonnie L.
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- family: Kaltman
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given: Stacey
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- family: Wong
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given: Eunice C.
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- family: Han
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given: Bing
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- family: Cassells
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given: Andrea
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- family: Tobin
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given: Jonathan N.
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da: '2023-09-28'
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doi: 10.1016/j.cct.2014.04.005
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eissn: 1559-2030
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files: []
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issn: 1551-7144
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journal: CONTEMPORARY CLINICAL TRIALS
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keywords: 'Post-traumatic stress disorder; Care management; Safety net Federally
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Qualified Health Centers (FQHCs); Hispanic/Latino; Primary care;
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Integrating primary care and mental health'
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keywords-plus: 'NATIONAL COMORBIDITY SURVEY; QUALITY IMPROVEMENT PROGRAMS;
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CONNOR-DAVIDSON RESILIENCE; INTIMATE PARTNER VIOLENCE; ABUSE
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SCREENING-TEST; SCALE CD-RISC; ANXIETY DISORDERS; PSYCHIATRIC-DISORDERS;
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SOCIAL-CONSEQUENCES; DRUG-ABUSE'
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language: English
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month: JUL
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number: '2'
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number-of-cited-references: '99'
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orcid-numbers: 'Tobin, Jonathan/0000-0003-4722-539X
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Kaltman, Stacey/0000-0002-5805-5536'
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pages: 163-172
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papis_id: 51ebcab0c04968c379ae0cb47b2c38c2
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ref: Meredith2014designviolence
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researcherid-numbers: 'Tobin, Jonathan N./R-2413-2019
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'
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times-cited: '12'
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title: 'Design of the Violence and Stress Assessment (ViStA) study: A randomized controlled
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trial of care management for PTSD among predominantly Latino patients in safety
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net health centers'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000340301400002
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usage-count-last-180-days: '0'
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usage-count-since-2013: '28'
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volume: '38'
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web-of-science-categories: Medicine, Research \& Experimental; Pharmacology \& Pharmacy
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year: '2014'
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