title: VA residential treatment providers' use of two evidence-based psychotherapies for PTSD: Global endorsement versus specific components.
abstract: OBJECTIVE
  Despite a growing body of knowledge about the dissemination of evidence-based psychotherapies (EBPs), their actual use in clinical settings is not well understood. The purpose of the current study was to compare self-reported component use with global use for 2 EBPs for posttraumatic stress disorder (PTSD), prolonged exposure (PE), and cognitive processing therapy (CPT).
  
  
  METHODS
  Around 174 providers from 38 VA PTSD residential treatment programs were asked about both global use and component use of PE and CPT.
  
  
  RESULTS
  Among frequent users of these EBPs, component use was generally high, especially for low-intensity and nonspecific components. For each form of treatment, there were a small number of providers who reported using the treatment frequently but did not use most of the key components of the treatment.
  
  
  CONCLUSIONS
  These findings highlight the importance of understanding the modifications that providers make to EBPs and suggest the importance of flexibility within fidelity to these treatments. (PsycINFO Database Record
authors.affiliation: Department of Psychiatry, University of Illinois at Chicago.
authors.forename: Richard
authors.initials: R
authors.lastname: Thompson
authors.affiliation: Department of Psychiatry, Yale School of Medicine.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Simiola
authors.affiliation: Department of Psychiatry, National Center for PTSD.
authors.forename: Paula P
authors.initials: PP
authors.lastname: Schnurr
authors.affiliation: Department of Psychiatry, National Center for PTSD.
authors.forename: Shannon Wiltsey
authors.initials: SW
authors.lastname: Stirman
authors.affiliation: Department of Psychiatry, Yale School of Medicine.
authors.forename: Joan M
authors.initials: JM
authors.lastname: Cook
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000379:methods; D003695:Delivery of Health Care; D055317:Evidence-Based Practice; D005260:Female; D006282:Health Personnel; D006801:Humans; D007171:Implosive Therapy / Q000379:methods; D008137:Longitudinal Studies; D008297:Male; D012114:Residential Treatment / Q000379:methods; D057566:Self Report; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D014481:United States; D014493:United States Department of Veterans Affairs