title: Likelihood of Attending Treatment for Anxiety Among Veteran Primary Care Patients: Patient Preferences for Treatment Attributes.
abstract: Anxiety is common, but under-treated, in primary care. Behavioral health providers embedded in primary care can help address this treatment gap. Guidance on anxiety treatment preferences would help inform tailoring of clinical practice and new interventions to be more patient-centered and increase treatment engagement. We surveyed 144 non-treatment seeking Veteran primary care patients (82.6 % male, 85.4 % White, age M = 59.8 years, SD = 13.9) reporting current anxiety symptoms (M = 13.87, SD = 3.66, on the Generalized Anxiety Disorder-7 Questionnaire) on their likelihood of attending anxiety treatment featuring various levels of 11 attributes (modality, type, location, format, provider, visit frequency, visit length, treatment duration, type of psychotherapy, symptom focus, and topic/skill). Participants indicated clear preferences for individual, face-to-face treatment in primary care, occurring once a month for at least 30 min and lasting at least three sessions. They also tended to prefer a stress management approach focused on trouble sleeping or fatigue, but all topics/skills were rated equivalently. For most attributes, the highest rated options were consistent with characteristics of integrated care. Implications for research and practice are discussed.
authors.affiliation: Center for Integrated Healthcare, Syracuse VA Medical Center, 800 Irving Avenue (116C), Syracuse, NY, 13210, USA. Robyn.Shepardson@va.gov.|Department of Psychology, Syracuse University, Syracuse, NY, USA. Robyn.Shepardson@va.gov.
authors.forename: Robyn L
authors.initials: RL
authors.lastname: Shepardson
authors.affiliation: Center for Integrated Healthcare, Syracuse VA Medical Center, 800 Irving Avenue (116C), Syracuse, NY, 13210, USA.|Department of Psychology, Syracuse University, Syracuse, NY, USA.|Department of Psychiatry, University of Rochester, Rochester, NY, USA.
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Funderburk
mesh_terms: D001007:Anxiety; D001008:Anxiety Disorders / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D057240:Patient Preference; D011320:Primary Health Care; D014728:Veterans
keywords: Anxiety; Integrated primary care; Mental health services; Patient preferences; Veterans