2020
Implementation Patterns of Two Evidence‐Based Psychotherapies in Veterans Affairs Residential Posttraumatic Stress Disorder Programs: A Five‐Point Longitudinal National Investigation
Cook JM, Simiola V, Thompson R, Mackintosh M, Rosen C, Sayer N, Schnurr PP. Implementation Patterns of Two Evidence‐Based Psychotherapies in Veterans Affairs Residential Posttraumatic Stress Disorder Programs: A Five‐Point Longitudinal National Investigation. Journal Of Traumatic Stress 2020, 33: 432-442. PMID: 32583606, PMCID: PMC7719091, DOI: 10.1002/jts.22557.Peer-Reviewed Original ResearchConceptsEvidence-based psychotherapiesDisorder treatment programsCognitive processing therapyMore patientsCertain patientsDisorders ProgramPosttraumatic Stress Disorder (CR for PTSD) programTreatment programStudy periodAssessment pointsIndividual basisImplementation sciencePatientsResidential settingsOne-fifthPresent studyNational investigationTime 5Qualitative interviewsTime 3Most programsResource-intensive natureUse of PEPsychotherapyTherapyProvider General Attitudes Versus Specific Perceptions of Evidence-Based Psychotherapies for PTSD
Cook JM, Thompson R, Simiola V, Stirman S, Schnurr PP. Provider General Attitudes Versus Specific Perceptions of Evidence-Based Psychotherapies for PTSD. Psychological Services 2020, 17: 46-53. PMID: 30265069, PMCID: PMC6437015, DOI: 10.1037/ser0000280.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude of Health PersonnelCognitive Behavioral TherapyEvidence-Based PracticeFemaleHealth Knowledge, Attitudes, PracticeHumansImplosive TherapyMaleMiddle AgedPsychotherapy, GroupResidential TreatmentStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsConceptsCognitive processing therapyEvidence-based psychotherapiesPosttraumatic stress disorderResidential PTSD programsGeneral attitudesUse of PERole of attitudesSpecific perceptionsPTSD programStress disorderTreatment developersSelf-reported useExposure componentPositive perceptionsTreatment providersPerceptionOnline surveyAttitudesPsychotherapyDelivery-related variablesProlonged exposurePotential predictorsGroup basisPredictorsSkills
2019
Provider Perspectives on Choosing Prolonged Exposure of Cognitive Processing Therapy for PTSD: A National Investigation of VA Residential Treatment Providers
Simiola V, Ellis AE, Thompson R, Schnurr PP, Cook JM. Provider Perspectives on Choosing Prolonged Exposure of Cognitive Processing Therapy for PTSD: A National Investigation of VA Residential Treatment Providers. Practice Innovations 2019, 4: 194-203. PMID: 33134522, PMCID: PMC7597679, DOI: 10.1037/pri0000091.Peer-Reviewed Original ResearchEvidence-based psychotherapiesCognitive processing therapyIndex traumaVeterans Affairs residential treatment programsTraumatic stress symptomsPosttraumatic stress disorderResidential treatment providersResidential treatment programMental health providersMixed-methods investigationStress disorderStress symptomsImprovement of trainingTreatment programTreatment providersPrevious trainingNational investigationHealth providersVeteransTrainingPTSDClinical practiceMemoryPsychotherapyProvider perspectivesAdoption by VA Residential Programs of Two Evidence-Based Psychotherapies for PTSD: Effect on Patient Outcomes
Cook JM, Schnurr PP, Simiola V, Thompson R, Hoff R, Harpaz-Rotem I. Adoption by VA Residential Programs of Two Evidence-Based Psychotherapies for PTSD: Effect on Patient Outcomes. Psychiatric Services 2019, 70: 553-560. PMID: 30966944, PMCID: PMC6690369, DOI: 10.1176/appi.ps.201800338.Peer-Reviewed Original ResearchMeSH KeywordsAdultCognitive Behavioral TherapyComorbidityDepressionFemaleHumansImplosive TherapyMaleMiddle AgedOutcome and Process Assessment, Health CarePsychological DistressResidential TreatmentStress Disorders, Post-TraumaticSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPosttraumatic stress disorderCognitive processing therapyEvidence-based psychotherapiesVeterans Affairs residential treatment programsAdoption groupsAlcohol useResidential treatment programSample of veteransGroup × time interactionPTSD symptomsStress disorderGroup formatProgram intakeResidential programs× time interactionDepression symptomsTreatment programPsychotherapyBasis of responsesPatient outcomesTime interactionProgram dischargeQualitative interviewsMonths postdischargeVeterans
2018
Which patients initiate cognitive processing therapy and prolonged exposure in department of veterans affairs PTSD clinics?
Rosen CS, Bernardy NC, Chard KM, Clothier B, Cook JM, Crowley J, Eftekhari A, Kehle-Forbes SM, Mohr DC, Noorbaloochi S, Orazem RJ, Ruzek JI, Schnurr PP, Smith BN, Sayer NA. Which patients initiate cognitive processing therapy and prolonged exposure in department of veterans affairs PTSD clinics? Journal Of Anxiety Disorders 2018, 62: 53-60. PMID: 30550959, DOI: 10.1016/j.janxdis.2018.11.003.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory CareAmbulatory Care FacilitiesCognitionCognitive Behavioral TherapyComorbidityFacilities and Services UtilizationFemaleHumansImplosive TherapyMaleMiddle AgedPatient Acceptance of Health CareStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsCognitive processing therapyCo-occurring psychiatric diagnosesVeterans AffairsVeterans Affairs PTSD clinicVA administrative dataVA Medical CenterService-connected disabilityMore comorbiditiesMost patientsVA clinicsSpecialty clinicPsychiatric hospitalizationPTSD clinicMedical CenterPsychiatric diagnosisPatientsExposure therapyClinicTherapyClinical suitabilityEthnic differencesFurther studiesAdministrative dataPTSDDepartmentUse of Reflective Journaling to Understand Decision Making Regarding Two Evidence-Based Psychotherapies for PTSD: Practice Implications
Cook JM, Simiola V, McCarthy E, Ellis A, Stirman S. Use of Reflective Journaling to Understand Decision Making Regarding Two Evidence-Based Psychotherapies for PTSD: Practice Implications. Practice Innovations 2018, 3: 153-167. PMID: 30906873, PMCID: PMC6426332, DOI: 10.1037/pri0000070.Peer-Reviewed Original ResearchEvidence-based psychotherapiesCognitive processing therapyPosttraumatic stress disorderStress disorderVeterans Affairs residential treatment programsChronic posttraumatic stress disorderResidential treatment programTreatment developersLongitudinal investigationResidential treatmentPsychosocial needsTreatment programLife circumstancesPractice implicationsReflective journalsReflective journalingPsychotherapyDecision-making processFront-line providersJournalingEBP implementationPTSDMain themesDisordersPsychotherapistsMeasuring Use of Evidence-Based Psychotherapy for PTSD in VA Residential Treatment Settings with Clinician Survey and Electronic Medical Record Templates
Shiner B, Leonard Westgate C, Simiola V, Thompson R, Schnurr PP, Cook JM. Measuring Use of Evidence-Based Psychotherapy for PTSD in VA Residential Treatment Settings with Clinician Survey and Electronic Medical Record Templates. Military Medicine 2018, 183: e539-e546. PMID: 29547909, PMCID: PMC6115864, DOI: 10.1093/milmed/usy008.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedElectronic Health RecordsEvidence-Based PracticeFemaleHumansMaleMiddle AgedPatient Acceptance of Health CarePsychotherapyResidential FacilitiesRetrospective StudiesStress Disorders, Post-TraumaticSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransConceptsResidential PTSD programsEvidence-based psychotherapiesPTSD programEBP deliveryElectronic medical recordsTherapist factorsCognitive processing therapyNegative predictorResidential treatment settingsPatient factorsEMR templateIndividual formatGroup formatMultiple patient factorsProportion of patientsPatient-level predictorsMultivariable logistic regressionPTSDPatient-level dataPositive predictorTherapistsDisorders ProgramRobust standard error estimationElectronic medical record templatesTreatment settingsVA Residential Treatment Providers’ Use of Two Evidence-Based Psychotherapies for PTSD: Global Endorsement Versus Specific Components
Thompson R, Simiola V, Schnurr PP, Stirman SW, Cook JM. VA Residential Treatment Providers’ Use of Two Evidence-Based Psychotherapies for PTSD: Global Endorsement Versus Specific Components. Psychological Trauma Theory Research Practice And Policy 2018, 10: 131-139. PMID: 27893265, PMCID: PMC5446934, DOI: 10.1037/tra0000220.Peer-Reviewed Original Research
2017
The Influence of Patient Readiness on Implementation of Evidence-Based PTSD Treatments in Veterans Affairs Residential Programs
Cook JM, Simiola V, Hamblen JL, Bernardy N, Schnurr PP. The Influence of Patient Readiness on Implementation of Evidence-Based PTSD Treatments in Veterans Affairs Residential Programs. Psychological Trauma Theory Research Practice And Policy 2017, 9: 51-58. PMID: 27348065, PMCID: PMC5192004, DOI: 10.1037/tra0000162.Peer-Reviewed Original ResearchMeSH KeywordsCognitionCognitive Behavioral TherapyComorbidityEmotional IntelligenceEvidence-Based PracticeHealth PersonnelHumansImplosive TherapyInterviews as TopicMotivationPatient Acceptance of Health CareQualitative ResearchResidential TreatmentStress Disorders, Post-TraumaticSuperior Sagittal SinusUnited StatesUnited States Department of Veterans AffairsVeteransConceptsTrauma-focused evidence-based treatmentsCognitive processing therapyEvidence-based treatmentsPosttraumatic stress disorderResidential PTSD treatment programPTSD treatment programConcept of readinessMental health providers' perceptionsStress disorderGeneral readinessFuture research directionsVeterans' perceptionsTreatment programSpecific skillsPerceptionPatient readinessVeterans AffairsProlonged exposureResidential stayPsychiatric stabilityQualitative interviewsReadinessHealth providers' perceptionsResearch directionsMental health directorsImproving and sustaining delivery of CPT for PTSD in mental health systems: a cluster randomized trial
Wiltsey Stirman S, Finley EP, Shields N, Cook J, Haine-Schlagel R, Burgess JF, Dimeff L, Koerner K, Suvak M, Gutner CA, Gagnon D, Masina T, Beristianos M, Mallard K, Ramirez V, Monson C. Improving and sustaining delivery of CPT for PTSD in mental health systems: a cluster randomized trial. Implementation Science 2017, 12: 32. PMID: 28264720, PMCID: PMC5339953, DOI: 10.1186/s13012-017-0544-5.Peer-Reviewed Original ResearchConceptsEvidence-based psychotherapiesMental health systemCognitive processing therapyTreatment protocolHealth systemRoutine care settingsFull treatment protocolCohort of cliniciansMental health clinicsQuality of lifePosttraumatic stress disorderPTSD symptom changeEligible patientsClinical outcomesHealthcare utilizationHealth clinicsCare settingsSymptom changeClinical settingStress disorderMental healthPhysical healthTeam of investigatorsContinuous quality improvementHealthcare system
2015
VA PTSD Clinic Director Perspectives: How Perceptions of Readiness Influence Delivery of Evidence-Based PTSD Treatment
Hamblen J, Bernardy N, Sherrieb K, Norris F, Cook J, Louis C, Schnurr P. VA PTSD Clinic Director Perspectives: How Perceptions of Readiness Influence Delivery of Evidence-Based PTSD Treatment. Professional Psychology Research And Practice 2015, 46: 90-96. DOI: 10.1037/a0038535.Peer-Reviewed Original ResearchTrauma-focused evidence-based treatmentsEvidence-based treatmentsEvidence-based PTSD treatmentsCognitive processing therapyImplementation of EBTsConcept of readinessPTSD treatmentPreparatory groupFuture research directionsOutpatient programVeterans AffairsQualitative interviewsResearch directionsVA Medical CenterVeteransProgram developmentRepresentative sampleReadinessSymptom managementMedical CenterTreatment planPerceptionSkillsTreatmentProgram
2014
Perceived Characteristics of Intervention Scale
Cook JM, Thompson R, Schnurr PP. Perceived Characteristics of Intervention Scale. Assessment 2014, 22: 704-714. PMID: 25520213, DOI: 10.1177/1073191114561254.Peer-Reviewed Original ResearchConceptsResidential treatment providersEvidence-based treatmentsCognitive processing therapyPerceived CharacteristicsPosttraumatic stress disorderIntervention ScaleEvidence-based psychotherapiesCharacteristics of interventionsStress disorderPreliminary supportSelf-reported useAssessment measuresTreatment providersHealth care providers' viewsReliable measureCare providers' viewsOnline surveyPerceptionProviders' perceptionsProviders' viewsInterventionMeasuresPsychotherapyPCISProlonged exposureA Quantitative Test of an Implementation Framework in 38 VA Residential PTSD Programs
Cook JM, Dinnen S, Thompson R, Ruzek J, Coyne JC, Schnurr PP. A Quantitative Test of an Implementation Framework in 38 VA Residential PTSD Programs. Administration And Policy In Mental Health And Mental Health Services Research 2014, 42: 462-473. PMID: 25199813, PMCID: PMC4362884, DOI: 10.1007/s10488-014-0590-0.Peer-Reviewed Original ResearchConceptsCognitive processing therapySupportive organizational contextIndividual cognitive processing therapyOrganizational contextResidential PTSD programsEvidence-based psychotherapiesDisorder treatment programsPTSD programOverall positive viewGroup formatTreatment programPositive viewOnline surveyProlonged exposurePsychotherapyContextIndividual basisProgramIndividualsImplicationsImplementation effortsQuantitative testEvaluation of an Implementation Model: A National Investigation of VA Residential Programs
Cook JM, Dinnen S, Coyne JC, Thompson R, Simiola V, Ruzek J, Schnurr PP. Evaluation of an Implementation Model: A National Investigation of VA Residential Programs. Administration And Policy In Mental Health And Mental Health Services Research 2014, 42: 147-156. PMID: 24817625, PMCID: PMC4240747, DOI: 10.1007/s10488-014-0555-3.Peer-Reviewed Original ResearchConceptsCognitive processing therapyPosttraumatic stress disorderResidential PTSD programsResidential treatment programSupportive peer networksEvidence-based treatmentsMental health providersPTSD programStress disorderSemi-structured qualitative interviewsNational investigationImprovement of trainingResidential programsCPT implementationTreatment programVeterans AffairsQualitative interviewsProlonged exposureHealth providersQualitative dataLeadershipPatient improvementAlternative treatmentProvider useBeliefsVA Residential Provider Perceptions of Dissuading Factors to the Use of Two Evidence-Based PTSD Treatments
Cook JM, Dinnen S, Simiola V, Thompson R, Schnurr PP. VA Residential Provider Perceptions of Dissuading Factors to the Use of Two Evidence-Based PTSD Treatments. Professional Psychology Research And Practice 2014, 45: 136-142. PMID: 25309031, PMCID: PMC4193802, DOI: 10.1037/a0036183.Peer-Reviewed Original ResearchEvidence-based treatmentsEvidence-based PTSD treatmentsCognitive processing therapyDisorder treatment programsPTSD treatmentMotivational interventionCognitive limitationsTreatment developersTreatment programPsychiatric comorbidityPatient motivationQualitative interviewsPatient factorsProvider concernsProviders' perceptionsBroad categoriesMotivationPerceptionLow levelsTreatmentPatientsInterventionInterviewsProvidersComorbiditiesChanges in Implementation of Two Evidence‐Based Psychotherapies for PTSD in VA Residential Treatment Programs: A National Investigation
Cook JM, Dinnen S, Thompson R, Simiola V, Schnurr PP. Changes in Implementation of Two Evidence‐Based Psychotherapies for PTSD in VA Residential Treatment Programs: A National Investigation. Journal Of Traumatic Stress 2014, 27: 137-143. PMID: 24668757, PMCID: PMC4036220, DOI: 10.1002/jts.21902.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedCognitive Behavioral TherapyEducation, ContinuingEvidence-Based PracticeHealth Care SurveysHealth PersonnelHumansImplosive TherapyInterviews as TopicLength of StayMaleMiddle AgedOutcome and Process Assessment, Health CareQualitative ResearchResidential TreatmentStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsEvidence-based treatmentsCognitive processing therapyPosttraumatic stress disorderResidential treatment programTreatment programImplementation of EBTsVeterans Affairs residential treatment programsEvidence-based psychotherapiesUse of CPTInitial implementation effortsNatural courseEligible providersStress disorderNumber of providersPES useTime pointsLevel of trainingBaselineTherapyProvidersNational investigationNational trainersSignificant numberCase consultation
2013
A Formative Evaluation of Two Evidence‐Based Psychotherapies for PTSD in VA Residential Treatment Programs
Cook JM, O'Donnell C, Dinnen S, Bernardy N, Rosenheck R, Hoff R. A Formative Evaluation of Two Evidence‐Based Psychotherapies for PTSD in VA Residential Treatment Programs. Journal Of Traumatic Stress 2013, 26: 56-63. PMID: 23417875, PMCID: PMC3652649, DOI: 10.1002/jts.21769.Peer-Reviewed Original ResearchConceptsCognitive processing therapyPosttraumatic stress disorderEvidence-based treatmentsResidential treatment programVeterans Affairs residential treatment programsTreatment programResidential treatment providersEvidence-based psychotherapiesEssential common elementsFace qualitative interviewsManualized treatmentStress disorderIndependent psychologistClinical programsProgrammatic servicesTreatment providersSubstantial proportionDissemination initiativesNational trainersTherapySemistructured interviewsFormative evaluationFull protocolTreatmentQualitative interviews