Sustaining and Improving Clinicians' Use of Evidence-Based Psychotherapy (EBP) for PTSD

Summary

The purpose of the study is to compare the impact of two strategies to sustain and improve the delivery of an evidence-based psychotherapy for PTSD, Cognitive Processing Therapy (CPT) in three different mental health systems. These approaches are based on two different theories of what is necessary to promote successful implementation. We will examine whether these strategies lead to improved patient outcomes, clinician skill, proportion of clients who receive CPT, and other outcomes that are relevant to the implementation of evidence-based psychosocial treatments. By examining these questions in 3 different mental health systems, we will also examine whether the implementation strategies yield different results in different systems.

Conditions

• Post Traumatic Stress Disorder

Interventions

BEHAVIORAL

Quality Improvement Learning Community

Consultation with CPT experts to effectively use evidence-based psychotherapy.

BEHAVIORAL

Fidelity-oriented Learning Community

The Fidelity-oriented Learning Community arm will receive fidelity consultation (adherence and competence) feedback by a CPT expert via online meetings.

Sponsors & Collaborators

• Stanford University

  collaborator OTHER

• Canadian Institutes of Health Research (CIHR)

  collaborator OTHER_GOV

• National Institute of Mental Health (NIMH)

  collaborator NIH

• Palo Alto Veterans Institute for Research

  collaborator OTHER

• National Center for PTSD

  collaborator FED

• Toronto Metropolitan University

  lead OTHER

Principal Investigators

• Candice Monson, PhD · Toronto Metropolitan University

• Shannon Wiltsey Stirman, PhD · National Center for PTSD

• Norman Shields, PhD · Royal Canadian Mounted Police

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2015-05-06

Primary Completion

2022-12-31

Completion

2024-06-30

Countries

• United States
• Canada

Study Locations