title: Patient-clinician agreement on treatment type and helpfulness: results from a WTC rescue and recovery worker cohort.
abstract: OBJECTIVE
  This study assessed patient and clinician agreement about treatment type and its association with treatment helpfulness among World Trade Center rescue and recovery workers.
  
  
  METHODS
  A total of 187 outpatients and 280 clinicians completed a survey, which gathered information on patient characteristics, treatment types, and treatment helpfulness. Kappa statistics and sensitivity and specificity analyses were used, and the association between patient-clinician agreement and reported treatment benefit was determined.
  
  
  RESULTS
  Patient-clinician agreement was highest for group therapy, medication management, eye movement desensitization and reprocessing, and couples therapy. Agreement about medication management, individual psychotherapy, and workers' compensation evaluation was associated with higher reported treatment benefits.
  
  
  CONCLUSIONS
  Findings support the hypothesis that agreement regarding treatment type is associated with higher reported benefit and extend findings of previous studies to a linguistically diverse, naturalistic sample exposed to a disaster trauma. Results also highlight the need for better understanding of eclectic therapies offered in real-world clinical practice.
authors.forename: John
authors.initials: J
authors.lastname: Leikauf
authors.forename: Clyde B
authors.initials: CB
authors.lastname: Schechter
authors.forename: Kathryn
authors.initials: K
authors.lastname: Marrone
authors.forename: Fatih
authors.initials: F
authors.lastname: Ozbay
authors.forename: Alison
authors.initials: A
authors.lastname: Rapoport
authors.forename: Vanshdeep
authors.initials: V
authors.lastname: Sharma
authors.forename: Craig L
authors.initials: CL
authors.lastname: Katz
mesh_terms: D000328:Adult; D016000:Cluster Analysis; D060731:Emergency Responders / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005260:Female; D019538:Health Care Surveys / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D010817:Physician-Patient Relations; D011613:Psychotherapy / Q000379:methods; D012680:Sensitivity and Specificity; D047851:September 11 Terrorist Attacks / Q000523:psychology*; D016896:Treatment Outcome