Brief cognitive behavioral therapy in primary care: a hybrid type 2 patient-randomized effectiveness-implementation design

Implementation Science

Volumn 7, Issue 1, 2012, Pages

  Cully, Jeffrey A ^a,b,c   Armento, Maria E A ^a,c   Mott, Juliette ^a,b,c   Nadorff, Michael R ^a,c   Naik, Aanand D ^a,c   Stanley, Melinda A ^a,b,c   Sorocco, Kristen H ^d,e   Kunik, Mark E ^a,b,c   Petersen, Nancy J ^a,c   Kauth, Michael R ^a,b,c  

^a MICHAEL E DEBAKEY VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b Education and Clinical Center (a virtual center)   (United States)

^c BAYLOR COLLEGE OF MEDICINE   (United States)

^d VETERANS AFFAIRS MEDICAL CENTER   (United States)

^e UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER   (United States)

Author keywords

Anxiety; Cognitive behavioral therapy; Depression; Hybrid effectiveness implementation designs; Mental health; Primary care; Veterans

Indexed keywords

ARTICLE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL PROTOCOL; COGNITIVE THERAPY; EVIDENCE BASED MEDICINE; GOVERNMENT; HEART FAILURE; HUMAN; MENTAL HEALTH SERVICE; METHODOLOGY; ORGANIZATION AND MANAGEMENT; PRIMARY HEALTH CARE; PSYCHOLOGICAL ASPECT; RANDOMIZED CONTROLLED TRIAL (TOPIC); TREATMENT OUTCOME; UNITED STATES;

CLINICAL PROTOCOLS; COGNITIVE THERAPY; EVIDENCE-BASED MEDICINE; HEART FAILURE; HUMANS; MENTAL HEALTH SERVICES; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PRIMARY HEALTH CARE; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; RANDOMIZED CONTROLLED TRIALS AS TOPIC; RESEARCH DESIGN; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS;

EID: 84863586050     PISSN: None     EISSN: 17485908     Source Type: Journal    
DOI: 10.1186/1748-5908-7-64     Document Type: Article

References (70)

1. Clark DM, Salkovskis PM, Hackmann A, Middleton H, Anastasiades P, Gelder M. A comparison of cognitive therapy, applied relaxation and imipramine in the treatment of panic disorder. Br J Psychiatry 1994, 164:759-769. 10.1192/bjp.164.6.759, 7952982.
2. Gloaguen V, Cottraux J, Cucherat M, Blackburn IM. A meta-analysis of the effects of cognitive therapy in depressed patients. J Affect Disord 1998, 49:59-72. 10.1016/S0165-0327(97)00199-7, 9574861.
3. Stanley MA, Beck JG, Novy DM, Averill PM, Swann AC, Diefenbach GJ, et al. Cognitive-behavioral treatment of late-life generalized anxiety disorder. J Consult Clin Psychol 2003, 71:309-319. Retrieved from PM:12699025.
4. Wenzel A, Brown GK, Karlin BE. Cognitive behavioral therapy for depression in veterans and military service members: therapist manual 2011, Washington, D.C.: U.S. Department of Veterans Affairs.
5. Whitfield G, Williams C. The evidence base for cognitive-behavioural therapy in depression: delivery in busy clinical settings. Adv Psychiatr Treat 2003, 9:21-30. Retrieved from http://apt.rcpsych.org/content/9/1/21.abstract.
6. Cuijpers P, van Straten A, van Schaik A, Andersson G. Psychological treatment of depression in primary care: a meta-analysis. B J Gen Pract 2009, 59:e51-e60.
7. Wolf NJ, Hopko DR. Psychosocial and pharmacological interventions for depressed adults in primary care: A critical review. Clin Psychol Rev 2008, 28:131-161. Retrieved from http://www.sciencedirect.com/science/article/pii/S0272735807000785, 10.1016/j.cpr.2007.04.004, 17555857.
8. Cully J, Tolpin L, Jimenez D, Kunik M, Petersen L. Psychotherapy in the Veterans Health Administration: missed opportunities?. Psychol Serv 2008, 55:320-331.
9. Glasgow RE, Lichtenstein E, Marcus AC. Why don't we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. Am J Public Health 2003, 93:1261-1267. 10.2105/AJPH.93.8.1261, 1447950, 12893608.
10. Alexander CL, Arnkoff DB, Glass CR. Bringing psychotherapy to primary care: innovations and challenges. Clin Psychol 2010, 17:191-214. Retrieved from http://dx.doi.org/10.1111/j.1468-2850.2010.01211.x.
11. Funderburk JS, Sugarman DE, Labbe AK, Rodrigues A, Maisto SA, Nelson B. Behavioral health interventions being implemented in a VA primary care system. J Clin Psychol Med Settings 2011, 18:22-29. Retrieved from http://www.springerlink.com/index/10.1007/s10880-011-9230-y, 10.1007/s10880-011-9230-y, 21350951.
12. Veterans Health Administration Uniform mental health services in VA medical centers and clinics (VHA Handbook 1160.01) 2008, Washington, DC: Department of Veterans Affairs, Veterans Health Administration.
13. Karlin BE, Ruzek JI, Chard KM, Eftekhari A, Monson CM, Hembree EA, Resick PA, Foa EB. Dissemination of evidence-based psychological treatments for posttraumatic stress disorder in the Veterans Health Administration. J Trauma Stress 2010, 23:663-673. Retrieved from http://dx.doi.org/10.1002/jts.20588, 10.1002/jts.20588, 21171126.
14. McHugh RK, Barlow DH. The dissemination and implementation of evidence-based psychological treatments. A review of current efforts. Am Psychol 2010, 65:73-84.
15. Unützer J, Katon W, Sullivan M, Miranda J. Treating depressed older adults in primary care: narrowing the gap between efficacy and effectiveness. Milbank Q 1999, 77:225-256. 10.1111/1468-0009.00132, 2751121, 10392163.
16. Bower P, Gilbody S. Managing common mental health disorders in primary care: conceptual models and evidence base. BMJ 2005, 330(7495):839-842. 10.1136/bmj.330.7495.839, 556082, 15817554.
17. Nieuwsma JA, Trivedi RB, McDuffie J, Kronish I, Benjamin D, Williams JW. Brief psychotherapy for depression in primary care: a systematic review of the evidence (VA-ESP Project #09-010) 2011, Washington, DC: Department of Veterans Affairs, Veterans Health Administration.
18. Cape J, Whittington C, Buszewicz M, Wallace P, Underwood L. Brief psychological therapies for anxiety and depression in primary care: meta-analysis and meta-regression. BMC Med 2010, 8:38. 10.1186/1741-7015-8-38, 2908553, 20579335.
19. Cully JA, Stanley MA, Deswal A, Hanania NA, Phillips LL, Kunik ME. Cognitive-behavioral therapy for chronic cardiopulmonary conditions: Moving beyond mental health outcomes. Prim Care Companion J Clin Psychiatry 2010, 12(4):e1-e6.
20. Bartels SJ, Coakley EH, Zubritsky C, Ware JH, Miles KM, Areán PA, Chen H, Oslin DW, Llorente MD, Costantino G, Quijano L, McIntyre JS, Linkins KW, Oxman TE, Maxwell J, Levkoff SE, . PRISM-E Investigators Improving access to geriatric mental health services: a randomized trial comparing treatment engagement with integrated versus enhanced referral care for depression, anxiety, and at-risk alcohol use. Am J Psychiatry 2004, 161:1455-1462. 10.1176/appi.ajp.161.8.1455, 15285973, PRISM-E Investigators.
21. Lester H, Tritter JQ, Sorohan H. Patients' and health professionals' views on primary care for people with serious mental illness: focus group study. BMJ 2005, 330:1122. 10.1136/bmj.38440.418426.8F, 557894, 15843427.
22. Robinson P, Reiter J. Behavioral consultation and primary care: a guide to integrating services 2007, New York: Springer.
23. Robinson P. Adapting empirically supported treatments to the primary care setting: a template for success. Behavioral Integrative Care: Treatments That Work in the Primary Care Setting 2005, 53-71. New York: Brunner-Routledge, O'Donahue W, Byrd M, Cummings N, Henderson D.
24. Roy-Byrne P, Craske MG, Sullivan G, Rose RD, Edlund MJ, Lang AJ, Bystritsky A, Welch SS, Chavira DA, Golinelli D, Campbell Sills L, Sherbourne C, Stein MB. Delivery of evidence-based treatment for multiple anxiety disorders in primary care. JAMA 2010, 303:1921-1928. Retrieved from http://jama.ama-assn.org/content/303/19/1921.abstract, 10.1001/jama.2010.608, 2928714, 20483968.
25. Roy-Byrne PP, Craske MG, Stein MB, Sullivan G, Bystritsky A, Katon W, Golinelli D, Sherbourne CD. A randomized effectiveness trial of cognitive-behavioral therapy and medication for primary care panic disorder. Arch Gen Psychiatry 2005, 62:290-298. Retrieved from http://archpsyc.ama-assn.org/cgi/content/abstract/62/3/290, 10.1001/archpsyc.62.3.290, 1237029, 15753242.
26. Stanley MA, Wilson NL, Novy DM, Rhoades HM, Wagener PD, Greisinger AJ, Cully JA, Kunik ME. Cognitive behavior therapy for generalized anxiety disorder among older adults in primary care. JAMA 2009, 301:1460-1467. Retrieved from http://jama.ama-assn.org/content/301/14/1460.abstract, 10.1001/jama.2009.458, 3328789, 19351943.
27. Willemse GRWM, Smit F, Cuijpers P, Tiemens BG. Minimal-contact psychotherapy for sub-threshold depression in primary care. Br J Psychiatry 2004, 185:416-421. Retrieved from http://bjp.rcpsych.org/content/185/5/416.abstract, 10.1192/bjp.185.5.416, 15516551.
28. Institute of Medicine Crossing the quality chasm: a new health system for the 21st century 2001, Washington, D.C.: National Academies Press, Institute of Medicine.
29. Flay BR. Efficacy and effectiveness trials (and other phases of research) in the development of health promotion programs. Prev Med 1986, 15:451-474. 10.1016/0091-7435(86)90024-1, 3534875.
30. Wells KB. Treatment research at the crossroads: the scientific interface of clinical trials and effectiveness research. Am J Psychiatry 1999, 156:5-10.
31. Curran GM, Bauer M, Mittman B, Pyne JM, Stetler C. Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health Impact. Med Care 2012, 50:217-226. 10.1097/MLR.0b013e3182408812, 22310560.
32. Farris RP, Will JC, Khaviou O, Finkelstein EA. Beyond effectiveness: evaluating the public health impact of the WISEWOMAN program. Am J Public Health 2007, 97(4):641-647. 10.2105/AJPH.2005.072264, 1829343, 17329665.
33. Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health 1999, 89:1322-1327. 10.2105/AJPH.89.9.1322, 1508772, 10474547.
34. Glasgow RE, McKay HG, Piette JD, Reynolds KD. The RE-AIM framework for evaluating interventions: what can it tell us about approaches to chronic illness management?. Patient Educ Couns 2001, 44:119-127. Retrieved from PM:11479052, 10.1016/S0738-3991(00)00186-5, 11479052.
35. Hallfors D, Cho H. Moving behavioral science from efficacy to effectiveness. Int J Behav Consult Ther 2007, 3:236-250.
36. Jenkinson KA, Naughton G, Benson AC. The GLAMA (Girls! Lead! Achieve! Mentor! Activate!) physical activity and peer leadership intervention pilot project: a process evaluation using the Re-AIM framework. BMC Publ Health 2012, 12:55.
37. Jemal A, Ward E, Hao Y, Thun M. Trends in the leading causes of death in the United States, 1970-2002. JAMA 2005, 294:1255-1259. 10.1001/jama.294.10.1255, 16160134.
38. O'Connell JB. The economic burden of heart failure. Clin Cardiol 2000, 23(3Suppl):III6-III10.
39. World Health Organization: Chronic Respiratory Disease. Burden of COPD 2012, Available at http://www.who.int/respiratory/copd/burden/en/index.html. Accessed 4/9/12.
40. Cully JA, Graham DP, Stanley MA, Ferguson CJ, Sharafkhaneh A, Souchek J, Kunik ME. Quality of life in patients with chronic obstructive pulmonary disease and comorbid anxiety or depression. Psychosomatics 2006, 47:312-319. 10.1176/appi.psy.47.4.312, 16844889.
41. Cully J, Jimenez D, LeDoux T, Deswal A. Recognition and treatment of depression and anxiety symptoms in heart failure. Prim Care Companion J Clin Psychiatry 2009, 11:103-109. 10.4088/PCC.08m00700, 2708006, 19617942.
42. Kunik ME, Roundy K, Veazey C, Souchek J, Richardson P, Wray NP, Stanley MA. Surprisingly high prevalence of anxiety and depression in chronic breathing disorders. Chest 2005, 127:1205-1211. 10.1378/chest.127.4.1205, 15821196.
43. Cully JA, Johnson M, Moffett M, Khan M, Deswal A. Depression and anxiety in ambulatory patients with heart failure. Psychosomatics 2009, 50:592-598.
44. DeRubeis RJ, Crits-Christoph P. Empirically supported individual and group psychological treatments for adult mental disorders. J Consult Clin Psychol 1998, 66:37-52.
45. Cully JA, Teten AT, Benge J, Sorocco K, Kauth M. Multidisciplinary cognitive behavioral therapy training for the VA primary care setting. Prim Care Companion J Clin Psychiatry 2010, 12(3):e1-e8.
46. Kauth MR, Sullivan G, Blevins D, Cully JA, Landes RD, Said Q, Teasdale TA. Employing external facilitation to implement cognitive behavioral therapy in VA clinics: a pilot study. Implement Sci 2010, 5:75. 10.1186/1748-5908-5-75, 2964555, 20942951.
47. Kunik ME, Veazey C, Cully JA, Souchek J, Graham DP, Hopko D, Carter R, Sharafkhaneh A, Goepfert EJ, Wray N, Stanley MA. COPD education and cognitive behavioral therapy group treatment for clinically significant symptoms of depression and anxiety in COPD patients: a randomized controlled trial. Psychol Med 2008, 38:385-396.
48. Lustman PJ, Griffith LS, Freedland KE, Kissel SS, Clouse RE. Cognitive behavior therapy for depression in type 2 diabetes mellitus. A randomized, controlled trial. Ann Intern Med 1998, 129:613-621.
49. Mignogna JM, Cully JA. Depression and anxiety in patients with COPD: a focus on psychological treatments in ambulatory care settings. Curr Respir Med Rev 2012, 8:137-144.
50. Cully JA, Paukert A, Falco J, Stanley MA. Cognitive-behavioral therapy: innovations for cardiopulmonary patients with depression and anxiety. Cogn Behav Pract 2009, 16:394-407.
51. Sheehan DV, Lecrubier Y, Sheehan KH, Janavs J, Weiller E. Comparison of the Mini International Neuropsychiatric Interview (MINI) with the SCID-P and the CIDI: a validity study. Psychopharmacol Bull 1995, 31:616.
52. Schnurr PP, Friedman MJ, Engel CC, Foa EB, Shea MT, Resick PM, James KE, Chow BK. Issues in the design of multisite clinical trials of psychotherapy: VA Cooperative Study No. 494 as an example. Contemp Clin Trials 2005, 26:626-636. 10.1016/j.cct.2005.09.001, 16236558.
53. Dumville JC, Hahn S, Miles JNV, Torgerson DJ. The use of unequal randomization ratios in clinical trials: a review. Contemp Clin Trials 2007, 27:1-12.
54. Guyatt GH, Berman LB, Townsend M, Pugsley SO, Chambers LW. A measure of quality of life for clinical trials in chronic lung disease. Thorax 1987, 42:773-778. 10.1136/thx.42.10.773, 460950, 3321537.
55. Green CP, Porter CB, Bresnahan DR, Spertus JA. Development and evaluation of the Kansas City Cardiomyopathy Questionnaire: a new health status measure for heart failure. J Am Coll Cardiol 2000, 35:1245-1255. 10.1016/S0735-1097(00)00531-3, 10758967.
56. Beck AT, Steer RA. Beck anxiety inventory: manual 1990, San Antonio: Harcourt Assessment, Inc..
57. Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHW primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA 1999, 282:1734-1744.
58. Oslin DW, Ross J, Sayers S, Murphy J, Kane V, Katz IR. Screening, assessment and management of depression in VA primary care clinics. J Gen Intern Med 2006, 21:46-50. 10.1111/j.1525-1497.2005.0267.x, 1484620, 16423122.
59. Patton MQ. Qualitative evaluation and research methods 2002, Thousand Oaks: Sage, 3.
60. Lincoln YS, Guba G. Naturalistic inquiry 1985, Beverly Hills: Sage.
61. Gubrium JF, Holstein JA. Handbook of interview research 2002, Thousand Oaks: Sage.
62. Miles MB, Huberman AM. Qualitative data analysis 1994, Thousand Oaks: Sage, 2.
63. Kitson A, Rycroft-Maline J, Harvey G, McCormack B, Seers K, Titchen A. Evaluating the successful implementation of evidence into practice using the PARIHS framework: theoretical and practical challenges. Implement Sci 2008, 3(1):1. 10.1186/1748-5908-3-1, 2235887, 18179688.
64. Stetler CB, Damschroder LJ, Helfrich CE, Hagedorn HJ. A guide for applying a revised version of the PARIHS framework for implementation. Implement Sci 2011, 6:99. 10.1186/1748-5908-6-99, 3184083, 21878092.
65. Klinkman MS. Competing demands in psychosocial care: a model for the identification and treatment of depressive disorders in primary care. Gen Hosp Psychiatry 1997, 19:98-111. 10.1016/S0163-8343(96)00145-4, 9097064.
66. Cully JA, Curry AD, Ryan SR, Malik A, Zeno D, Willcockson I. Develoment of a computer-aided training program for brief cognitive-behavioral therapy in primary care. Acad Psychiatry 2011, in press.
67. Jamtvedt G, Young JM, Kristoffersen DT, O'Brien MA, Oxman AD. Audit and feedback: effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2006, (2):CD000259.
68. Cully JA, Mignogna J, Stanley MA, Davila J, Wear J, Amico KR, Giordano TP. Development and pilot testing of a standardized training program for a patient-mentoring intervention to increase adherence to outpatient HIV care. AIDS Patient Care STDS 2012, 26(3):165-172. 10.1089/apc.2011.0248, 22248331.
69. Kauth M, Sullivan G, Cully JA, Blevins D. Facilitating mental health practice changes: a practical guide for developing implementation plans. Prof Psychol Res Pr 2011, 8:36-47.
70. Naik AD, Isaac TT, Street RL, Kunik ME. Understanding the quality chasm for hypertension control in diabetes: a structured review of " comaneuvers" used in clinical trials. J Am Board Fam Med 2007, 20:469-478. 10.3122/jabfm.2007.05.070026, 2844720, 17823464.