Drivers of Preference for Evidence-Based PTSD Treatment: A Qualitative Assessment

Autor:	Juliette M. Harik, Bella Etingen, Kathleen M. Grubbs
Rok vydání:	2020
Předmět:	Adult Male 050103 clinical psychology Evidence-based practice medicine.medical_treatment media_common.quotation_subject MEDLINE Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Perception Eye movement desensitization and reprocessing medicine Humans 0501 psychology and cognitive sciences Qualitative Research media_common 05 social sciences Public Health Environmental and Occupational Health Patient Preference General Medicine Antidepressive Agents Preference 030227 psychiatry Psychotherapy Evidence-Based Practice Cognitive processing therapy Female Thematic analysis Psychology Qualitative research Clinical psychology
Zdroj:	Military Medicine. 185:303-310
ISSN:	1930-613X 0026-4075
DOI:	10.1093/milmed/usz220
Popis:	Introduction Mental health treatment utilization among persons with posttraumatic stress disorder (PTSD) tends to be low but may be improved by aligning treatment with patient preferences. Our objective was to characterize the reasons that drive a person’s selection of a specific evidence-based PTSD treatment. Materials and Methods Data were collected using an online survey of adults who screened positive for PTSD. Participants viewed descriptions of five evidence-based PTSD treatments (cognitive processing therapy, prolonged exposure, eye movement desensitization and reprocessing, stress inoculation training, antidepressant medication) and identified their most preferred treatment. Participants then explained why they selected their top choice. These free-text responses (n = 249) were analyzed using thematic coding and constant comparative methods. Results Identified themes included (1) perceived effectiveness, (2) perceived suitability, (3) requirements of participation, (4) familiarity with the modality, (5) perception of the option as ‘better than alternatives,’ (6) perception of the option as ‘not harmful,’ (7) accessibility, and (8) delivery format. Differences in themes were also examined by treatment modality. Conclusions By highlighting which pieces of information may be most important to detail when presenting different treatment options, these results can help guide treatment planning conversations, as well as the development of shared decision-making tools.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::75b34730f236f8133dae4b892b0b0f36 https://doi.org/10.1093/milmed/usz220 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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