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首页> 外文期刊>Psychological trauma: theory, research, practice and policy >Treatments Veterans Health Administration PTSD Specialty Program Providers Report Their Patients Prefer: The Role of Training and Theoretical Orientation
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Treatments Veterans Health Administration PTSD Specialty Program Providers Report Their Patients Prefer: The Role of Training and Theoretical Orientation

机译：护理退伍军人健康管理点击专业课程提供商报告其患者更喜欢：培训和理论取向的作用

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Objective: A growing empirical literature demonstrates that evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD) are effective for veterans. However. use of EBPs for PTSD in the Veterans Health Administration (VHA) remains low, and providers cite patient preference as a factor impacting EBP utilization. The purpose of this exploratory study was to assess the impact of provider factors such as theoretical orientation, occupation, graduate school training, or completion of VHA EBP training on providers' perceptions of patient preferences. Method: VHA providers in PTSD clinical teams were invited to participate in a national survey (n = 229, response rate 28%) assessing provider demographics and perceived patient preferences. Results: Having a cognitive-behavioral therapy (CBT) orientation emerged as a robust predictor of reporting that veterans tend to choose EBPs and a non-CBT orientation that patients choose "other" therapies. VHA EBP training also impacted therapists' report of patient preference for an EBP. Conclusions: Results suggest that theoretical orientation and VHA EBP training meaningfully impact how providers perceive patient preference for EBP. Efforts to increase EBP engagement among veteran patients may benefit from enhancing both therapist and patient education, as well as shared decision-making skills among non-CBT-oriented providers.
机译：目的：越来越多的经验文献表明，针对老师的后压力障碍（PTSD）的证据为基础的心理治疗（EBP）是对退伍军人有效的。然而。在退伍军人健康管理局（VHA）中使用EBPS在PTSD中仍然低，提供者将患者偏好引用为影响EBP利用的因素。该探索性研究的目的是评估提供者因素，如理论取向，职业，研究生培训或VHA EBP培训的培训，对提供者偏好的看法的影响。方法：邀请受灾临床团队的VHA提供商参加国家调查（N = 229，响应率28％）评估提供商人口统计学和感知患者偏好。结果：具有认知行为治疗（CBT）定位作为报告的强大预测因素，即退伍军人倾向于选择EBP和非CBT方向，患者选择“其他”疗法。 VHA EBP培训也影响了治疗师对EBP的患者偏好的报告。结论：结果表明理论取向和VHA EBP培训有意义地影响提供者如何感知EBP的患者偏好。在退伍军人患者之间增加EBP参与的努力可能会受益于加强治疗师和患者教育，以及非CBT导向提供商之间的共同决策技能。

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