Impact of Evidence-Based Standardized Assessment on the Disability Clinical Interview for Diagnosis of Service-Connected PTSD: A Cluster-Randomized Trial
Posttraumatic stress disorder (PTSD) is one of the fastest growing compensated medical conditions. The present study compared usual disability examiner practices for PTSD with a standardized assessment that incorporates evidence‐based assessments. The design was a multicenter, cluster randomized, pa...
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| Veröffentlicht in: | Journal of traumatic stress 2012-12, Vol.25 (6), p.607-615 |
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| container_title | Journal of traumatic stress |
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| creator | Speroff, Theodore Sinnott, Patricia L. Marx, Brian Owen, Richard R. Jackson, James C. Greevy, Robert Sayer, Nina Murdoch, Maureen Shane, Andrea C. Smith, Jeffrey Alvarez, JoAnn Nwosu, Samuel K. Keane, Terence Weathers, Frank Schnurr, Paula P. Friedman, Matthew J. |
| description | Posttraumatic stress disorder (PTSD) is one of the fastest growing compensated medical conditions. The present study compared usual disability examiner practices for PTSD with a standardized assessment that incorporates evidence‐based assessments. The design was a multicenter, cluster randomized, parallel‐group study involving 33 clinical examiners and 384 veterans at 6 Veterans Affairs medical centers. The standardized group incorporated the Clinician Administered PTSD Scale and the World Health Organization Disability Assessment Schedule‐II into their assessment interview. The main outcome measures were completeness and accuracy of PTSD diagnosis and completeness of functional assessment. The standardized assessments were 85% complete for diagnosis compared to 30% for nonstandardized assessments (p < .001), and, for functional impairment, 76% versus 3% (p < .001). The findings demonstrate that the quality of PTSD disability examination would be improved by using evidence‐based assessment. |
| doi_str_mv | 10.1002/jts.21759 |
| format | Article |
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The present study compared usual disability examiner practices for PTSD with a standardized assessment that incorporates evidence‐based assessments. The design was a multicenter, cluster randomized, parallel‐group study involving 33 clinical examiners and 384 veterans at 6 Veterans Affairs medical centers. The standardized group incorporated the Clinician Administered PTSD Scale and the World Health Organization Disability Assessment Schedule‐II into their assessment interview. The main outcome measures were completeness and accuracy of PTSD diagnosis and completeness of functional assessment. The standardized assessments were 85% complete for diagnosis compared to 30% for nonstandardized assessments (p < .001), and, for functional impairment, 76% versus 3% (p < .001). The findings demonstrate that the quality of PTSD disability examination would be improved by using evidence‐based assessment.</description><identifier>ISSN: 0894-9867</identifier><identifier>EISSN: 1573-6598</identifier><identifier>DOI: 10.1002/jts.21759</identifier><identifier>PMID: 23225029</identifier><language>eng</language><publisher>Hoboken, NJ: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Anxiety disorders. Neuroses ; Biological and medical sciences ; Cluster analysis ; Disability Evaluation ; Disabled Persons ; Evidence-Based Medicine - methods ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Occupational Diseases - diagnosis ; Post traumatic stress disorder ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology ; Psychopathology. 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The present study compared usual disability examiner practices for PTSD with a standardized assessment that incorporates evidence‐based assessments. The design was a multicenter, cluster randomized, parallel‐group study involving 33 clinical examiners and 384 veterans at 6 Veterans Affairs medical centers. The standardized group incorporated the Clinician Administered PTSD Scale and the World Health Organization Disability Assessment Schedule‐II into their assessment interview. The main outcome measures were completeness and accuracy of PTSD diagnosis and completeness of functional assessment. The standardized assessments were 85% complete for diagnosis compared to 30% for nonstandardized assessments (p < .001), and, for functional impairment, 76% versus 3% (p < .001). 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The present study compared usual disability examiner practices for PTSD with a standardized assessment that incorporates evidence‐based assessments. The design was a multicenter, cluster randomized, parallel‐group study involving 33 clinical examiners and 384 veterans at 6 Veterans Affairs medical centers. The standardized group incorporated the Clinician Administered PTSD Scale and the World Health Organization Disability Assessment Schedule‐II into their assessment interview. The main outcome measures were completeness and accuracy of PTSD diagnosis and completeness of functional assessment. The standardized assessments were 85% complete for diagnosis compared to 30% for nonstandardized assessments (p < .001), and, for functional impairment, 76% versus 3% (p < .001). The findings demonstrate that the quality of PTSD disability examination would be improved by using evidence‐based assessment.</abstract><cop>Hoboken, NJ</cop><pub>Blackwell Publishing Ltd</pub><pmid>23225029</pmid><doi>10.1002/jts.21759</doi><tpages>9</tpages></addata></record> |
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| ispartof | Journal of traumatic stress, 2012-12, Vol.25 (6), p.607-615 |
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| subjects | Adolescent Adult Adult and adolescent clinical studies Anxiety disorders. Neuroses Biological and medical sciences Cluster analysis Disability Evaluation Disabled Persons Evidence-Based Medicine - methods Female Humans Male Medical sciences Middle Aged Occupational Diseases - diagnosis Post traumatic stress disorder Psychology. Psychoanalysis. Psychiatry Psychopathology Psychopathology. Psychiatry Severity of Illness Index Stress Disorders, Post-Traumatic - diagnosis United States Veterans Young Adult |
| title | Impact of Evidence-Based Standardized Assessment on the Disability Clinical Interview for Diagnosis of Service-Connected PTSD: A Cluster-Randomized Trial |
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