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Measuring use of evidence based psychotherapy for posttraumatic stress disorder.
Shiner, Brian; D'Avolio, Leonard W; Nguyen, Thien M; Zayed, Maha H; Young-Xu, Yinong; Desai, Rani A; Schnurr, Paula P; Fiore, Louis D; Watts, Bradley V.
Afiliación
  • Shiner B; VA Medical Center, White River Junction, VT, USA. brian.shiner@va.gov
Adm Policy Ment Health ; 40(4): 311-8, 2013 Jul.
Article en En | MEDLINE | ID: mdl-22535469
To improve methods of estimating use of evidence-based psychotherapy for posttraumatic stress disorder in the Veteran's health administration, we evaluated administrative data and note text for patients newly enrolling in six VHA outpatient PTSD clinics in New England during the 2010 fiscal year (n = 1,924). Using natural language processing, we developed machine learning algorithms that mimic human raters in classifying note text. We met our targets for algorithm performance as measured by precision, recall, and F-measure. We found that 6.3 % of our study population received at least one session of evidence-based psychotherapy during the initial 6 months of treatment. Evidence-based psychotherapies appear to be infrequently utilized in VHA outpatient PTSD clinics in New England. Our method could support efforts to improve use of these treatments.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Psicoterapia / Trastornos por Estrés Postraumático / Medicina Basada en la Evidencia Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Adm Policy Ment Health Asunto de la revista: PSICOLOGIA / SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2013 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Psicoterapia / Trastornos por Estrés Postraumático / Medicina Basada en la Evidencia Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Adm Policy Ment Health Asunto de la revista: PSICOLOGIA / SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2013 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos