Evaluation of an Implementation Model: A National Investigation of VA Residential Programs

Joan M. Cook*, Stephanie Dinnen, James C. Coyne, Richard Thompson, Vanessa Simiola, Josef Ruzek, Paula P. Schnurr

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

20 Citations (Scopus)

Abstract

This national investigation utilizes qualitative data to evaluate an implementation model regarding factors influencing provider use of two evidence-based treatments for posttraumatic stress disorder (PTSD). Semi-structured qualitative interviews with 198 mental health providers from 38 Department of Veterans Affairs' (VA) residential treatment programs were used to explore these issues regarding prolonged exposure (PE) and cognitive processing therapy (CPT) in VA residential PTSD programs. Several unique and some overlapping predictors emerged. Leadership was viewed as an influence on implementation for both CPT and PE, while a lack of dedicated time and resources was viewed as a deterrent for both. Compatibility of CPT with providers' existing practices and beliefs, the ability to observe noticeable patient improvement, a perceived relative advantage of CPT over alternative treatments, and the presence of a supportive peer network emerged as influential on CPT implementation. Leadership was associated with PE implementation. Implications for the design and improvement of training and implementation efforts are discussed.

Original languageEnglish
Pages (from-to)147-156
Number of pages10
JournalAdministration and Policy in Mental Health
Volume42
Issue number2
DOIs
Publication statusPublished - Mar-2015

Keywords

  • Implementation
  • Evidence-based practice
  • Posttraumatic stress disorders
  • POSTTRAUMATIC-STRESS-DISORDER
  • HEALTH-SERVICES RESEARCH
  • QUALITATIVE-ANALYSIS
  • PERSPECTIVES
  • ATTITUDES
  • DISSEMINATION
  • DIFFUSION
  • BARRIERS
  • SCIENCE

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