A Patient-Centered Decision-Support Tool Informed by History of Interpersonal Violence: "Will This Treatment Work for Me?".
The Probability of Treatment Benefit (PTB) chart is a decision-support tool that quantifies, in absolute terms, the probability that an individual patient will benefit from a psychological treatment based on the individual's pre-treatment characteristics. The demand for such a tool has increased with the growing emphasis on personalized medicine and the need for selecting a treatment from an expanding list of evidence-based models. This method has the potential to provide clinicians and mental health consumers with a practical and interpretable means of comparing treatment options for individuals whose benefit from a particular treatment may differ substantially. We provide a practice update and demonstrate how to develop a PTB chart using data from a randomized controlled trial examining the efficacy of two approaches for treating posttraumatic stress disorder based on patients' pre-treatment exposure to multiple types of interpersonal violence. Step-by-step instructions for applying the PTB method are provided.
University of Connecticut, School of Medicine, Farmington, CT, USA dgrasso@uchc.edu.
Damion J
DJ
Grasso
University of Connecticut, School of Medicine, Farmington, CT, USA.
Julian D
JD
Ford
University of Pittsburgh, PA, USA.
Oliver
O
Lindhiem
D003657:Decision Making; D003661:Decision Support Techniques; D005260:Female; D006801:Humans; D000066511:Intimate Partner Violence / Q000517:prevention & control*; D008297:Male; D010358:Patient Participation / Q000706:statistics & numerical data*; D018802:Patient-Centered Care / Q000379:methods*; D011369:Professional-Patient Relations; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*
decision-support tool; patient-centered treatment; treatment benefit