Implementation of CPT for PTSD in Diverse Communities

Implementation of Cognitive Processing Therapy (CPT) for Posttraumatic Stress Disorder (PTSD) in Diverse Communities

Aim: To identify, assess, and address organizational context and provider-level barriers and facilitators of implementation of Evidence-based treatments (EBTs) using a mixed-methods approach in a diverse community mental health center (CMHC), Massachusetts General Hospital Chelsea Health Clinic (MGH Chelsea).

Hypothesis: Anticipated barriers may include, but are not limited to, organizational climate, heavy case-loads, community mental health workers (CMHW) beliefs about EBTs, and provider motivation to learn EBT.

Study Overview

• Status: Completed
• Conditions: Stress Disorders, Post-Traumatic
• Intervention / Treatment: Other: Provider training: Cognitive Processing Therapy (CPT)

• Study Type: Observational
• Enrollment (Actual): 107

Contacts and Locations

Study Locations

• United States
  • Massachusetts
    • Chelsea, Massachusetts, United States, 02114
      • Massachusetts General Hospital Chelsea Health Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

We will be working with community mental health workers and stakeholders at a community clinic, MGH Chelsea.

Description

Inclusion Criteria:

• Be over 18 years of age
• Speak English
• Be employed at least part time at MGH
• Willing to have focus group/interview audiotaped and transcribed for data analysis

Exclusion Criteria:

• inability to meet the above inclusion criteria

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
CBT Training	Other: Provider training: Cognitive Processing Therapy (CPT)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
EBPAS-50	Evidence Based Practice Attitudes Scale (EBPAS-50) is a brief, validated measure of clinician attitudes towards evidence based treatments (EBTs) containing four subscales: 1) Appeal measures whether the provider would adopt a new practice if it is intuitively appealing, or is being used by colleagues who are happy with it; 2)Requirement measures whether provider would adopt a practice if it is required by an agency, supervisor, or state; 3)Openness measures whether the provider is generally open to trying new interventions and would be willing to try or use new types of therapy, and 4)Divergence measures whether the provider perceives research-based interventions as not clinically useful or less important than clinical experience.	up to 5 years
ORC	Organizational Readiness for Change (ORC) measures organizational climate. The ORC is defined as the organizational and staff factors related to adoption of new technologies. ORC is conceptualized as a set of factors that are necessary for sustained change. These factors include motivation, resources, staff attributes, and organizational climate. Readiness for change has been associated with successful dissemination.	up to 5 years
OSC	The Organizational Social Context (OSC) measures the following domains: structure, culture, psychological and organizational climate, and work attitudes. The OSC measurement system is a validated measure guided by a model of social context that composes both organizational(structure and culture) and individual (work attitudes and behavior) level constructs, including individual and shared perceptions (psychological and organizational climate) that are believed to mediate the impact of the organization on the individual. The OSC measurement system includes 105 items that form 16 first order factors and seven second order factors confirmed in national samples of social and mental health service organizations. These factors are grouped by the domains of structure, culture, psychological and organizational climate, and work attitudes.	up to 5 years

Collaborators and Investigators

• Sponsor: Massachusetts General Hospital
• Collaborators: National Institute of Mental Health (NIMH)

Study record dates

Study Major Dates

• Study Start: October 1, 2012
• Primary Completion (Actual): October 1, 2016
• Study Completion (Actual): October 1, 2016

Study Registration Dates

• First Submitted: October 3, 2012
• First Submitted That Met QC Criteria: October 4, 2012
• First Posted (Estimate): October 5, 2012

Study Record Updates

• Last Update Posted (Actual): March 8, 2019
• Last Update Submitted That Met QC Criteria: March 6, 2019
• Last Verified: March 1, 2019

More Information

Terms related to this study

• Keywords: PTSD; Community; Latino; EBT; EST
• Additional Relevant MeSH Terms: Mental Disorders; Trauma and Stressor Related Disorders; Stress Disorders, Traumatic; Stress Disorders, Post-Traumatic
• Other Study ID Numbers: 1K23MH096029-01A1 (U.S. NIH Grant/Contract)