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Cited by 14Posttraumatic Stress Disorder ResearchHealth Policy Implementation SciencePsychotherapy Techniques and Applications

The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.

Use of reflective journaling to understand decision making regarding two evidence-based psychotherapies for PTSD: Practice implications.

Open access
Cook, Joan M., Simiola, Vanessa, McCarthy, Elissa, Ellis, Amy, Stirman, Shannon Wiltsey·2018·Practice Innovations
DOI 10.1037/pri0000070PMC PMC6426332
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Abstract

As part of a longitudinal investigation on implementation of 2 evidence-based psychotherapies (EBPs) for posttraumatic stress disorder, psychotherapists from 38 Department of Veterans Affairs residential treatment programs across the United States were asked to complete reflective journals every 4 months for a 1-year time period in regard to their successes and challenges in using prolonged exposure and cognitive processing therapy. This paper provides content analysis on the reflective journals of 24 of these providers. Five main themes were identified: EBPs are great but not sufficient for patients in residential treatment with chronic posttraumatic stress disorder and complicated life circumstances, and thus, more treatment is necessary after discharge. Modifications were made or thought needed for optimal outcome and successful delivery of these 2 EBPs; some providers blended aspects of prolonged exposure and cognitive processing therapy; what happens when providers and patients do not agree on choice of which EBP to first implement; and provider concerns on when to discontinue an EBP. Reflective journaling appears to be a promising way for trainers and treatment developers to gather important information about the clinical application and decision-making process for front-line providers, which may offer insight into how to improve EBP implementation and sustainability. Incorporating reflective journaling and strategies for accomplishing this into training, supervision, and consultation may also be 1 strategy for increasing feedback, expanding implementation, and informing ways to increase sustainability of EBPs in populations with multiple clinical and psychosocial needs.

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  • Providers of psychosocial interventions frequently modify interventions for a variety of reasons, including perceived client preferences, providers' preferences or self-efficacy, and efforts to maintain a good therapeutic alliance.

    “Providers of psychosocial interventions frequently modify interventions for a variety of reasons, including perceived client preferences, providers’ preferences or self-efficacy [54], and efforts to maintain a good therapeutic alliance [55–58].”

    From The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions (2019) · cites this paper as [57]

    The Results section ('Modifications Made for Perceived Better Outcomes or Successful Delivery'; page unavailable) reports that providers modified PTSD psychotherapy protocols based on clinical judgment and perceived patient needs. The Results also describe providers' and patients' preferences when choosing a treatment, but do not establish provider self-efficacy as a reason for modifying one. The therapeutic-alliance clause is attributed to other citations, not this paper. (LLM, conf=0.84)

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Metadata

Authors
Cook, J. M., Simiola, V., McCarthy, E., Ellis, A., & Stirman, S. W.
Affiliations
  • Yale University (US)
  • Kaiser Permanente (US)
  • National Center for Post Traumatic Stress Disorder (US)
  • Carlos Albizu University (PR)
  • Stanford Medicine (US)
ORCID
Venue
Practice Innovations
Publisher
American Psychological Association (APA)
Published
2018-09
Volume
3
Issue
3
Pages
153-167
ISSN
  • 2377-889X (ISSN-L)
  • 2377-8903
DOI
10.1037/pri0000070
PMC
PMC6426332
OpenAlex
W2883639318
Cited by
14
References
4
Citations by year
2025: 5 · 2022: 5 · 2021: 1 · 2020: 1 · 2019: 2
FWCI
1.18
Type
journal article
Language
en
Open access
Licence
Locations
  • Practice Innovations (publishedVersion, other-oa)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (R01MH096810)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
reflective journals, evidence-based psychotherapy, post-traumatic stress disorder, prolonged exposure therapy, cognitive processing therapy, evidence-based practice implementation, residential treatment, veterans, provider decision-making, treatment modification, treatment sustainability, clinical supervision

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