A Theory of Planned Behavior Scale for Adherence to Trauma‐Focused Posttraumatic Stress Disorder Treatments

Meis, Laura; Noorbaloochi, Siamak; Campbell, Emily M Hagel; Erickson, Emily P G; Velasquez, Tina; Leverty, David; Thompson, Katherine H.; Erbes, Christopher R.

doi:10.1002/jts.22620

Cited by 8 publications

(11 citation statements)

References 32 publications

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“…The scale assesses expectations regarding the likely consequences of treatment participation (behavioral beliefs) and the value of those consequences (outcome evaluations), including treatment expectancies and treatment credibility. The scale has adequate factorial validity and correlates with behavioral intentions, TFT treatment dropout, therapeutic alliance, practical treatment barriers, and symptoms of PTSD (present sample, ␣ ϭ .88; Meis et al, 2018).…”

Section: Methodsmentioning

confidence: 90%

“…Attitudes about trauma-focused treatment. Veterans received a six-item scale assessing patient attitudes about the value of participation in TFTs (six items; Meis et al, 2018), consistent with the attitude construct within the theory of planned behavior (TPB, Ajzen, 1991). The scale assesses expectations regarding the likely consequences of treatment participation (behavioral beliefs) and the value of those consequences (outcome evaluations), including treatment expectancies and treatment credibility.…”

Section: Methodsmentioning

confidence: 99%

“…Perceived behavioral control over participation. We administered a five-item scale assessing perceived behavioral control over TFT participation, consistent with the perceived behavioral control (PBC) construct within the TBP (Meis et al, 2018). The scale assesses the degree of control individuals believe they have over TFT participation, including the concepts of self-efficacy and readiness (Ajzen, 2002).…”

Section: Methodsmentioning

confidence: 99%

“…Has this person ever encouraged you to face things that make you anxious or uncomfortable (yes/no)? Psychometric examination of these items indicated they are likely best examined as separate predictors (Meis et al, 2018).…”

Section: Materials Support System Factorsmentioning

confidence: 99%

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Sticking it out in trauma-focused treatment for PTSD: It takes a village.

Meis¹,

Noorbaloochi²,

Campbell³

et al. 2019

Journal of Consulting and Clinical Psychology

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Objective-One in three veterans will dropout from trauma-focused treatments for PTSD. Social environments may be particularly important to influencing treatment retention. We examined the role of two support system factors in predicting treatment dropout: social control (direct efforts by loved ones to encourage veterans to participate in treatment and face distress) and symptom accommodation (changes in loved ones' behavior to reduce veterans' PTSD-related distress).Method-Veterans and a loved one were surveyed across four VA hospitals. All veterans were initiating Prolonged Exposure therapy or Cognitive Processing Therapy (n = 272 dyads). Dropout was coded through review of VA hospital records.Results-Regression analyses controlled for traditional, individual-focused factors likely to influence treatment dropout. We found that, even after accounting for these factors, veterans who reported their loved ones encouraged them to face distress were twice as likely to remain in PTSD treatment than veterans who denied such encouragement.Conclusions-Clinicians initiating trauma-focused treatments with veterans should routinely assess how open veterans' support systems are to encouraging veterans to face their distress. Outreach to support networks is warranted to ensure loved ones back the underlying philosophy of trauma-focused treatments.

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Section: Methodsmentioning

confidence: 90%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Materials Support System Factorsmentioning

confidence: 99%

See 2 more Smart Citations

Sticking it out in trauma-focused treatment for PTSD: It takes a village.

Meis¹,

Noorbaloochi²,

Campbell³

et al. 2019

Journal of Consulting and Clinical Psychology

Self Cite

View full text Add to dashboard Cite

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“…The TPB proposes that behavior change can be predicted through intentions for engaging in the behavior, attitudes about the behavior, perceived behavioral control (which includes the concepts of self-efficacy and readiness, [ 44 ]), and subjective norms for the behavior. These are assessed through a suite of scales that adapts the TPB to engagement in TFTs [ 45 ]. Scales include dyad member’s attitudes about treatment (i.e., Treatment Makes Sense and Treatment Fits Needs scales), perceived behavioral control over treatment participation (Participation Control), and perceived subjective norms for treatment participation (Subjective Norms).…”

Section: Methodsmentioning

confidence: 99%

Can families help veterans get more from PTSD treatment? A randomized clinical trial examining Prolonged Exposure with and without family involvement

Meis

Glynn

Spoont

et al. 2022

Trials

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Background Posttraumatic stress disorder occurs in as many as one in five combat veterans and is associated with a host of negative, long-term consequences to the individual, their families, and society at large. Trauma-focused treatments, such as Prolonged Exposure, result in clinically significant symptom relief for many. Adherence to these treatments (i.e., session attendance and homework compliance) is vital to ensuring recovery but can be challenging for patients. Engaging families in veterans’ treatment could prove to be an effective strategy for promoting treatment adherence while also addressing long-standing calls for better family inclusion in treatment for posttraumatic stress disorder. This paper describes the methods of a pragmatic randomized controlled trial designed to evaluate if family inclusion in Prolonged Exposure can improve treatment adherence. Methods One hundred fifty-six veterans, with clinically significant symptoms of posttraumatic stress disorder, will be randomized to receive either standard Prolonged Exposure or Prolonged Exposure enhanced through family inclusion (Family-Supported Prolonged Exposure) across three different VA facilities. Our primary outcomes are session attendance and homework compliance. Secondary outcomes include posttraumatic stress disorder symptom severity, depression, quality of life, and relationship functioning. The study includes a concurrent process evaluation to identify potential implementation facilitators and barriers to family involvement in Prolonged Exposure within VA. Discussion While the importance of family involvement in posttraumatic stress disorder treatment is non-controversial, there is no evidence base supporting best practices on how to integrate families into PE or any other individually focused trauma-focused treatments for posttraumatic stress disorder. This study is an important step in addressing this gap, contributing to the literature for both retention and family involvement in trauma-focused treatments. Trial registration ClinicalTrials.govNCT03256227. Registered on August 21, 2017.

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