Desired Involvement in Treatment Decisions Among Adults with PTSD Symptoms

Harik, Juliette M.; Hundt, Natalie E.; Bernardy, Nancy C.; Norman, Sonya B.; Hamblen, Jessica L.

doi:10.1002/jts.22102

Cited by 13 publications

(14 citation statements)

References 43 publications

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“…Study participants ( N = 301) responded to online survey items that assessed demographics, treatment history, and preferences for treatment characteristics; these data have been published previously (Harik, Hundt, Bernardy, Norman, & Hamblen, 2016; Harik, Matteo, Hermann, & Hamblen, 2017). Using a computer‐generated 1:1 randomization procedure, participants were then randomly assigned to review descriptions of five first‐line PTSD interventions (PE, CPT, EMDR, SSRIs/SNRIs, and stress inoculation training [SIT]) either by reading sequential text descriptions of each treatment or by reviewing a comparison chart that included side‐by‐side information about each intervention.…”

Section: Methodsmentioning

confidence: 99%

Retracted: The Impact of Treatment Description Format on Patient Preferences for Posttraumatic Stress Disorder Treatment

Harik

Grubbs

Hamblen

2020

Journal of Traumatic Stress

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The present study examined how the format in which treatment information is presented impacts individuals’ preferences for posttraumatic stress disorder (PTSD) treatments. Adults who screened positive for PTSD (N = 301) were randomized into groups to learn about five first‐line treatments; participants either read sequential text descriptions or reviewed a comparison chart that presented side‐by‐side information. Participants rated treatment acceptability, rank ordered treatments from most to least preferred, and indicated their confidence in this ranking. Compared with participants in the text group, those in the chart group assigned more favorable acceptability ratings to prolonged exposure therapy (PE) and more moderate ratings to medications. Cognitive processing therapy was the most common first‐choice treatment (43.6%). Forced‐choice treatment rankings were similar across conditions, although participants in the chart group ranked PE more favorably than those in the text group, odds ratio (OR) = 0.54, 95% CI [0.35, 0.82], p = .004. Confidence in treatment rankings did not differ across conditions. The results suggest that perceptions of treatment acceptability can be influenced by the format in which treatment information is presented. In settings where the goal is to increase treatment acceptability, side‐by‐side formats may offer an advantage over sequential descriptions of each treatment.

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Section: Methodsmentioning

confidence: 99%

Retracted: The Impact of Treatment Description Format on Patient Preferences for Posttraumatic Stress Disorder Treatment

Harik

Grubbs

Hamblen

2020

Journal of Traumatic Stress

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“…The US Department of Veterans Affairs and US Department of Defense (2017) published clinical practice guidelines for the management of PTSD and acute stress disorder that encourages clinicians to use MW-centered and shared-decision making approaches that prioritize the MW's capabilities, needs, goals, and preferences. The findings of Harik et al (2016) support such guidelines; they found that individuals with symptoms of PTSD want to be involved in decisions regarding their care. It is concerning that the VHA is not able to adhere to these guidelines specific to MWs' overwhelming preference to receive treatment from a fellow MW.…”

Section: Retaining Eligible Mwsmentioning

confidence: 73%

Expanded Roles and Recommendations for Stakeholders to Successfully Reintegrate Modern Warriors and Mitigate Suicide Risk

et al. 2020

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This article draws upon the legends of warriors from ancient Greece and other traditions to illuminate the journey of Modern Warriors (MWs) who have served in the United States military over the last century. It then turns to stakeholders that can assist current MWs in their reintegration to civilian life and mitigate suicide risk. Until this point, without an existing and coordinated local, federal, non-profit, and private system, rates of suicide for post-9/11 MWs after leaving the military have greatly increased, especially for young and women MWs. This is due in part to the military satisfying many of MWs' needs by providing units, leaders, and a mission during the Departure and Initiation stages of the MW journey. However, as MWs exit the military and face the difficult task of reintegration, the absence of units, leaders, and mission leads to deteriorating psychological health and increasing suicide risk. Written primarily by post-9/11 MWs, this article proposes recommendations for stakeholders to better reintegrate MWs and mitigate suicide risk. The authors strive to develop a system that satisfies MWs' reintegration needs and enables MWs to be well positioned to continue their next 'mission'-to serve and improve society.

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“…With increased exposure to information about the treatments on the Clinical Practice Guideline site, individuals may feel more empowered to request the treatments that have the strongest research support, although this remains to be tested. In an online study of adults who screened positively for PTSD, participants were asked how much control over PTSD treatment decisions they would prefer: 23.6% reported wanting to make the decision themselves, and 44.2% reported wanting to make the final decision after taking the doctor’s opinion into account (Harik, Hundt, Bernardy, Norman, & Hamblen, 2016). If more than 60% of individuals with PTSD report wanting to ultimately choose their treatment, it seems that treatment providers should want to help them at least make informed treatment decisions.…”

Section: Discussionmentioning

confidence: 99%

Improving the Reach of Clinical Practice Guidelines: An Experimental Investigation of Message Framing on User Engagement

Werntz

Bufka

Adams

et al. 2020

Clinical Psychological Science

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Despite strong evidence for the efficacy of treatments for posttraumatic stress disorder (PTSD), most affected individuals are not receiving these treatments, in part because they may not know that evidence-based treatments exist. The American Psychological Association published a website to disseminate information about its Clinical Practice Guideline for treating PTSD. In Study 1, Google Optimize was used in a field study to examine whether altering the subheadings to three of the website pages would increase site visitor engagement. On the main page and on the page with treatment descriptions, no subheading alterations improved engagement. On the Patients and Families page, the subheading “say goodbye to symptoms” improved engagement on three outcome variables, including clicking a link to find a psychologist (although there were a small number of clicks). In a preregistered conceptual replication in a sample not actively seeking information about the PTSD guideline ( N = 578), the results were not replicable. Results highlight challenges of disseminating information about evidence-based treatment.

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Desired Involvement in Treatment Decisions Among Adults with PTSD Symptoms

Cited by 13 publications

References 43 publications

Retracted: The Impact of Treatment Description Format on Patient Preferences for Posttraumatic Stress Disorder Treatment

Retracted: The Impact of Treatment Description Format on Patient Preferences for Posttraumatic Stress Disorder Treatment

Expanded Roles and Recommendations for Stakeholders to Successfully Reintegrate Modern Warriors and Mitigate Suicide Risk

Improving the Reach of Clinical Practice Guidelines: An Experimental Investigation of Message Framing on User Engagement

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