Clinicians' Perception of Patient Readiness for Treatment: An Emerging Theme in Implementation Science?
Despite a training program to help veterans administration (VA) clinicians implement evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD), uptake has been limited. To understand clinicians' implementation challenges, we performed thematic analysis of semi-structured telephone interviews guided by the Promoting Action on Research Implementation in Health Services framework. Our sample included 22 psychotherapists in VA PTSD clinics in one region. We identified a theme not captured by our implementation framework: clinicians' perceptions about their patients' readiness for treatment. Clinician perception of patient readiness may be important to the uptake of EBPs and should be considered in mental health implementation work.
White River Junction VA Medical Center, 215 N. Main Street (10A4B1), White River Junction, VT, 05009, USA. lisa.zubkoff@dartmouth.edu.|Geisel School of Medicine at Dartmouth, Hanover, NH, USA. lisa.zubkoff@dartmouth.edu.|VA National Center for Patient Safety, White River Junction, VT, USA. lisa.zubkoff@dartmouth.edu.
Lisa
L
Zubkoff
Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Elizabeth
E
Carpenter-Song
White River Junction VA Medical Center, 215 N. Main Street (10A4B1), White River Junction, VT, 05009, USA.|Geisel School of Medicine at Dartmouth, Hanover, NH, USA.|VA National Center for Patient Safety, White River Junction, VT, USA.
Brian
B
Shiner
White River Junction VA Medical Center, 215 N. Main Street (10A4B1), White River Junction, VT, 05009, USA.
Julia M
JM
Ronconi
White River Junction VA Medical Center, 215 N. Main Street (10A4B1), White River Junction, VT, 05009, USA.|Geisel School of Medicine at Dartmouth, Hanover, NH, USA.|VA National Center for Patient Safety, White River Junction, VT, USA.
Bradley V
BV
Watts
D001291:Attitude of Health Personnel; D055317:Evidence-Based Practice; D006801:Humans; D009042:Motivation; D062405:Motivational Interviewing; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic; D011613:Psychotherapy; D036301:Qualitative Research; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D014481:United States; D014493:United States Department of Veterans Affairs
Implementation; Posttraumatic stress disorder; Psychotherapy; Qualitative research