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HSR&D Study


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IIR 07-266
 
 
Decision Aid in Veterans with Post Traumatic Stress Disorder
Bradley V. Watts MD MPH
VA Medical & Regional Office Center, White River
White River Junction, VT
Funding Period: July 2008 - June 2011

BACKGROUND/RATIONALE:
It is desirable for care to be based on evidence of effectiveness and in conjunction with patients desires. There is evidence that the treatment of PTSD meets neither of these goals. Decision aids are designed to assist patients make better informed decisions about their treatment that is consistent with their own values. In addition, by informing patients which treatments work the use of decision aids holds great promise to increase the provision of evidence-based treatments for PTSD. Decision aids have been applied to many medical conditions, but not to mental health conditions. This project will provide the best evidence regarding decision aids effectiveness in PTSD.

OBJECTIVE(S):
Our objectives are to examine the effects of a decision aid on veterans with PTSD presenting for care. There are several important parts of that objective: (1) Will use of the decision aid cause patients to make better quality decisions about PTSD treatment? (2) Will use of the decision aid result to more satisfied and more adherent patients? (3) Will use of the decision aid result lead more evidence-based treatments?

METHODS:
This study is randomized clinical trial comparing 66 patients who view a decision aid just after presenting for care with 66 patients receiving the usual treatment provided. The intervention group will view a decision aid for PTSD just before their initial evaluation. Patients knowledge, satisfaction, and certainty with their decision will be measured just after the evaluation for both groups. Patients will then be followed for six months to access their use of evidence-based treatments and overall PTSD symptoms.


FINDINGS/RESULTS:
No results at this time.

IMPACT:
Our study will provide important insight into the effectiveness of a patient decision aid in veterans with post traumatic stress disorder (PTSD). We anticipate that the decision aid will lead to veterans making better decision regarding their PTSD, and that it will increase the utilization of evidence-based treatments. This intervention could supply VA providers with an important tool for the treatment of PTSD.

PUBLICATIONS:
None at this time.


DRA: none
DRE: none
Keywords: none
MeSH Terms: none