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Implementation of CPT for PTSD in Diverse Communities

This study is ongoing, but not recruiting participants.
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party):
Luana Marques, Massachusetts General Hospital Identifier:
First received: October 3, 2012
Last updated: April 7, 2015
Last verified: April 2015

Aim: To identify, assess, and address organizational context and provider-level barriers and facilitators of implementation of Evidence-based treatments (EBTs) using a mixed-methods approach in a diverse community mental health center (CMHC), Massachusetts General Hospital Chelsea Health Clinic (MGH Chelsea).

Hypothesis: Anticipated barriers may include, but are not limited to, organizational climate, heavy case-loads, community mental health workers (CMHW) beliefs about EBTs, and provider motivation to learn EBT.

Condition Intervention
Stress Disorders, Post-Traumatic
Other: Provider training: Cognitive Processing Therapy (CPT)

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Implementation of Cognitive Processing Therapy (CPT) for Posttraumatic Stress Disorder (PTSD) in Diverse Communities

Resource links provided by NLM:

Further study details as provided by Massachusetts General Hospital:

Primary Outcome Measures:
  • EBPAS-50 [ Time Frame: up to 5 years ]
    Evidence Based Practice Attitudes Scale (EBPAS-50) is a brief, validated measure of clinician attitudes towards evidence based treatments (EBTs) containing four subscales: 1) Appeal measures whether the provider would adopt a new practice if it is intuitively appealing, or is being used by colleagues who are happy with it; 2)Requirement measures whether provider would adopt a practice if it is required by an agency, supervisor, or state; 3)Openness measures whether the provider is generally open to trying new interventions and would be willing to try or use new types of therapy, and 4)Divergence measures whether the provider perceives research-based interventions as not clinically useful or less important than clinical experience.

  • ORC [ Time Frame: up to 5 years ]
    Organizational Readiness for Change (ORC) measures organizational climate. The ORC is defined as the organizational and staff factors related to adoption of new technologies. ORC is conceptualized as a set of factors that are necessary for sustained change. These factors include motivation, resources, staff attributes, and organizational climate. Readiness for change has been associated with successful dissemination.

  • OSC [ Time Frame: up to 5 years ]
    The Organizational Social Context (OSC) measures the following domains: structure, culture, psychological and organizational climate, and work attitudes. The OSC measurement system is a validated measure guided by a model of social context that composes both organizational(structure and culture) and individual (work attitudes and behavior) level constructs, including individual and shared perceptions (psychological and organizational climate) that are believed to mediate the impact of the organization on the individual. The OSC measurement system includes 105 items that form 16 first order factors and seven second order factors confirmed in national samples of social and mental health service organizations. These factors are grouped by the domains of structure, culture, psychological and organizational climate, and work attitudes.

Enrollment: 32
Study Start Date: October 2012
Estimated Study Completion Date: July 2017
Estimated Primary Completion Date: August 2016 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
CBT Training Other: Provider training: Cognitive Processing Therapy (CPT)


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
We will be working with community mental health workers and stakeholders at a community clinic, MGH Chelsea.

Inclusion Criteria:

  • Be over 18 years of age
  • Speak English
  • Be employed at least part time at MGH
  • Willing to have focus group/interview audiotaped and transcribed for data analysis

Exclusion Criteria:

  • inability to meet the above inclusion criteria
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01702168

United States, Massachusetts
Massachusetts General Hospital Chelsea Health Center
Chelsea, Massachusetts, United States, 02114
Sponsors and Collaborators
Massachusetts General Hospital
National Institute of Mental Health (NIMH)
  More Information

Responsible Party: Luana Marques, Assistant in Psychology, Massachusetts General Hospital Identifier: NCT01702168     History of Changes
Other Study ID Numbers: 1K23MH096029-01A1 ( US NIH Grant/Contract Award Number )
Study First Received: October 3, 2012
Last Updated: April 7, 2015

Keywords provided by Massachusetts General Hospital:

Additional relevant MeSH terms:
Stress Disorders, Traumatic
Stress Disorders, Post-Traumatic
Trauma and Stressor Related Disorders
Mental Disorders processed this record on April 28, 2017