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 ResearchMeSH KeywordsCognitive Behavioral TherapyHumansImplosive TherapyLongitudinal StudiesQualitative ResearchResidential TreatmentStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsEvidence-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
Adoption 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 dataPTSDDepartmentMeasuring 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 ResearchMeSH KeywordsCognitive Behavioral TherapyDelivery of Health CareEvidence-Based PracticeFemaleHealth PersonnelHumansImplosive TherapyLongitudinal StudiesMaleResidential TreatmentSelf ReportStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans Affairs
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 directorsContext Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration
Sayer NA, Rosen CS, Bernardy NC, Cook JM, Orazem RJ, Chard KM, Mohr DC, Kehle-Forbes SM, Eftekhari A, Crowley J, Ruzek JI, Smith BN, Schnurr PP. Context Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration. Administration And Policy In Mental Health And Mental Health Services Research 2017, 44: 904-918. PMID: 28597238, PMCID: PMC5640758, DOI: 10.1007/s10488-017-0809-y.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory Care FacilitiesAttitude of Health PersonnelCognitive Behavioral TherapyEnvironmentEvidence-Based MedicineHumansImplosive TherapyMental Health ServicesOrganizational CultureStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsWork EngagementImproving 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 ResearchMeSH KeywordsCanadaCognitive Behavioral TherapyHealth Plan ImplementationHumansStress Disorders, Post-TraumaticTexasUnited StatesUnited States Department of Veterans AffairsVeteransConceptsEvidence-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
2016
A Review of Studies on the System-Wide Implementation of Evidence-Based Psychotherapies for Posttraumatic Stress Disorder in the Veterans Health Administration
Rosen C, Matthieu M, Wiltsey Stirman S, Cook J, Landes S, Bernardy N, Chard K, Crowley J, Eftekhari A, Finley E, Hamblen J, Harik J, Kehle-Forbes S, Meis L, Osei-Bonsu P, Rodriguez A, Ruggiero K, Ruzek J, Smith B, Trent L, Watts B. A Review of Studies on the System-Wide Implementation of Evidence-Based Psychotherapies for Posttraumatic Stress Disorder in the Veterans Health Administration. Administration And Policy In Mental Health And Mental Health Services Research 2016, 43: 957-977. PMID: 27474040, DOI: 10.1007/s10488-016-0755-0.Peer-Reviewed Original ResearchMeSH KeywordsDiffusion of InnovationEvidence-Based PracticeHumansPsychotherapyStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsConceptsEvidence-based psychotherapiesVeterans Health AdministrationPosttraumatic stress disorderSystem-wide implementationHealth AdministrationStress disorderLarge health care systemHealth care systemVHA settingsConsolidated FrameworkCare systemImplementation researchImplementation outcomesSustainment (EPIS) frameworkAdministrationEPIS frameworkPilot databaseDisordersReview of studiesMaintenance frameworkTraining programFuture effortsPsychotherapyPubMed
2015
Mental Health Treatment for Older Veterans Newly Diagnosed with PTSD: A National Investigation
Smith NB, Cook JM, Pietrzak R, Hoff R, Harpaz-Rotem I. Mental Health Treatment for Older Veterans Newly Diagnosed with PTSD: A National Investigation. American Journal Of Geriatric Psychiatry 2015, 24: 201-212. PMID: 25772341, DOI: 10.1016/j.jagp.2015.02.001.Peer-Reviewed Original ResearchConceptsMental health treatmentPosttraumatic stress disorderOlder veteransVA healthcare systemHealth treatmentClinical characteristicsDecreased oddsNational administrative data setVeterans AffairsMental health service utilizationAppropriate mental health treatmentOdds of treatmentMental health visitsHealth service utilizationHealthcare systemPharmacy recordsHealth visitsCox regressionPsychiatric comorbidityPsychotherapy visitsService utilizationLarge cohortMedical appointmentsAdministrative data setsNew diagnosis
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 ResearchMeSH KeywordsAttitude of Health PersonnelCognitive Behavioral TherapyEvidence-Based PracticeFemaleHumansImplosive TherapyMaleMiddle AgedModels, StatisticalPsychometricsStress Disorders, Post-TraumaticSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsConceptsResidential 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 ResearchMeSH KeywordsCognitive Behavioral TherapyEvidence-Based PracticeFactor Analysis, StatisticalHumansImplosive TherapyOrganizational CultureProgram EvaluationResidential TreatmentStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsConceptsCognitive 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 ResearchMeSH KeywordsAttitude of Health PersonnelCognitive Behavioral TherapyEvidence-Based PracticeHumansImplosive TherapyLeadershipQualitative ResearchResidential TreatmentStress Disorders, Post-TraumaticTime FactorsUnited StatesUnited States Department of Veterans AffairsConceptsCognitive 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 useBeliefsChanges 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
Iraq and Afghanistan Veterans: National Findings from VA Residential Treatment Programs
Cook JM, Dinnen S, O'Donnell C, Bernardy N, Rosenheck R, Hoff R. Iraq and Afghanistan Veterans: National Findings from VA Residential Treatment Programs. Psychiatry 2013, 76: 18-31. PMID: 23458113, PMCID: PMC3661276, DOI: 10.1521/psyc.2013.76.1.18.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdolescentAdultAfghan Campaign 2001-Age FactorsAttitude of Health PersonnelBrain InjuriesComorbidityHumansIraq War, 2003-2011MaleMilitary PersonnelPatient Acceptance of Health CareProgram EvaluationQualitative ResearchQuality ImprovementResidential TreatmentStress Disorders, Post-TraumaticSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsResidential treatment programPosttraumatic stress disorderTreatment programVeterans Affairs residential treatment programsNon-VA health care systemsIndividual health care providersHealth care providersActive duty personnelHealth care systemQuality improvement effortsVA managersIntensive treatmentCare providersSymptom presentationClinical issuesClinical implicationsAfghanistan veteransStress disorderCare systemDuty personnelPTSD symptomatologyNational findingsVeteransReadjustment problemsProviders
2011
How do components of evidence-based psychological treatment cluster in practice? A survey and cluster analysis
Gifford EV, Tavakoli S, Weingardt KR, Finney JW, Pierson HM, Rosen CS, Hagedorn HJ, Cook JM, Curran GM. How do components of evidence-based psychological treatment cluster in practice? A survey and cluster analysis. Journal Of Substance Use And Addiction Treatment 2011, 42: 45-55. PMID: 21943809, DOI: 10.1016/j.jsat.2011.07.008.Peer-Reviewed Original ResearchMeSH KeywordsAdultCluster AnalysisCognitive Behavioral TherapyEvidence-Based MedicineFemaleHealth Care SurveysHumansInternetInterview, PsychologicalMaleMiddle AgedMotivationPsychotherapySubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsConceptsEvidence-based psychological treatmentsCognitive behavioral therapyEvidence-based practice disseminationTreatment integrity measuresCommunity Reinforcement ApproachEvidence-based treatmentsPsychological treatmentCouple therapyTreatment engagementContingency managementAbstinence initiationTreatment orientationReinforcement approachIntegrity measuresEvidence-based practiceRecovery maintenanceClusters of interventionsWeb-based surveySurvey itemsStructured familiesEmpathyInterventionCluster analysisMeasuresEndorsement
2006
Dissemination and Feasibility of a Cognitive-Behavioral Treatment for Substance Use Disorders and Posttraumatic Stress Disorder in the Veterans Administration
Cook JM, Walser RD, Kane V, Ruzek JI, Woody G. Dissemination and Feasibility of a Cognitive-Behavioral Treatment for Substance Use Disorders and Posttraumatic Stress Disorder in the Veterans Administration. Journal Of Psychoactive Drugs 2006, 38: 89-92. PMID: 16681179, DOI: 10.1080/02791072.2006.10399831.Peer-Reviewed Original ResearchMeSH KeywordsBehavior TherapyHumansSafetyStress Disorders, Post-TraumaticSubstance-Related DisordersTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsConceptsPosttraumatic stress disorderCognitive-behavioral treatmentSeeking SafetySubstance use disordersStress disorderInitial efficacy dataUse disordersSignificant symptom reductionSUD-PTSDComorbid substance use disorderUncontrolled pilot studySymptom reductionEfficacy dataInteractive trainingDissemination effortsVA settingsFront-line cliniciansGroup practice modelClinician trainingDisordersVeteransTrainingRoutine treatmentFuture disseminationSafety treatments
2005
Assessment of Trauma Exposure and Post-Traumatic Stress in Long-Term Care Veterans: Preliminary Data on Psychometrics and Post-Traumatic Stress Disorder Prevalence
Cook JM, Elhai JD, Cassidy EL, Ruzek JI, Ram GD, Sheikh JI. Assessment of Trauma Exposure and Post-Traumatic Stress in Long-Term Care Veterans: Preliminary Data on Psychometrics and Post-Traumatic Stress Disorder Prevalence. Military Medicine 2005, 170: 862-866. PMID: 16435760, DOI: 10.7205/milmed.170.10.862.Peer-Reviewed Original ResearchMeSH KeywordsAgedHumansLong-Term CareMaleMiddle AgedPrevalencePsychometricsRisk AssessmentRisk FactorsStress Disorders, Post-TraumaticTime FactorsUnited StatesUnited States Department of Veterans AffairsVeteransWarfareWounds and InjuriesConceptsLong-term care settingsPost-traumatic stress disorder prevalenceCombat Exposure ScalePTSD ChecklistTrauma exposureCare settingsDisorder prevalenceMini-Mental Status ExaminationPreliminary dataPTSD diagnostic criteriaHigh prevalenceDiagnostic criteriaM-PTSDStatus ExaminationPost-traumatic stressPTSD ScaleMost veteransPrevalenceExposure ScaleVeteransExposureAdequate reliabilitySignificant intercorrelationsSettingModerate proportion