FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4289647002> ?p ?o ?g. }

• W4289647002 endingPage "263348952211167" @default.
• W4289647002 startingPage "263348952211167" @default.
• W4289647002 abstract "Background Telemedicine outreach for posttraumatic stress disorder (TOP) is a virtual evidence-based practice (EBP) involving telephone care management and telepsychology that engages rural patients in trauma-focused psychotherapy. This evaluation examined implementation and intervention costs attributable to deploying TOP from a health system perspective. Methods Costs were ascertained as part of a stepped wedge cluster randomized trial at five sites within the Veterans Affairs (VA) Healthcare System. All sites initially received a standard implementation strategy, which included internal facilitation, dissemination of an internal facilitators operational guide, funded care manager, care managing training, and technical support. A subset of clinics that failed to meet performance metrics were subsequently randomized to enhanced implementation, which added external facilitation that focused on incorporating TOP clinical processes into existing clinic workflow. We measured site-level implementation activities using project records and structured activity logs tracking personnel-level time devoted to all implementation activities. We monetized time devoted to implementation activities by applying an opportunity cost approach. Intervention costs were measured as accounting-based costs for telepsychiatry/telepsychology and care manager visits, ascertained using VA administrative data. We conducted descriptive analyses of strategy-specific implementation costs across five sites. Descriptive analyses were conducted instead of population-level cost-effectiveness analysis because previous research found enhanced implementation was not more successful than the standard implementation in improving uptake of TOP. Results Over the 40-month study period, four of five sites received enhanced implementation. Mean site-level implementation cost per month was $919 (SD = $238) during standard implementation and increased to $1,651 (SD = $460) during enhanced implementation. Mean site-level intervention cost per patient-month was $46 (SD = $28) during standard implementation and $31 (SD = $21) during enhanced implementation. Conclusions Project findings inform the expected cost of implementing TOP, which represents one factor health systems should consider in the decision to broadly adopt this EBP. Plain Language Summary: What is already known about the topic: Trauma-focused psychotherapy delivered through telemedicine has been demonstrated as an effective approach for the treatment of post-traumatic stress disorder (PTSD). However, uptake of this evidence-based approach by integrated health systems such as the Veterans Affairs (VA) Health Care System is low. What does this paper add: This paper presents new findings on the costs of two implementation approaches designed to increase adoption telemedicine outreach for PTSD from a health system perspective. What are the implications for practice, research, and policy: Cost estimates from this paper can be used by health systems to inform the relative value of candidate implementation strategies to increase adoption of evidence-based treatments for PTSD or other mental health conditions." @default.
• W4289647002 created "2022-08-03" @default.
• W4289647002 creator A5003345824 @default.
• W4289647002 creator A5011759337 @default.
• W4289647002 creator A5015226921 @default.
• W4289647002 creator A5017813377 @default.
• W4289647002 creator A5028674947 @default.
• W4289647002 creator A5053050182 @default.
• W4289647002 creator A5069196645 @default.
• W4289647002 creator A5069645766 @default.
• W4289647002 creator A5081259110 @default.
• W4289647002 date "2022-01-01" @default.
• W4289647002 modified "2023-10-14" @default.
• W4289647002 title "Economic costs of implementing evidence-based telemedicine outreach for posttraumatic stress disorder in VA" @default.
• W4289647002 cites W1481786079 @default.
• W4289647002 cites W1820895509 @default.
• W4289647002 cites W1900041560 @default.
• W4289647002 cites W1966091649 @default.
• W4289647002 cites W1972388887 @default.
• W4289647002 cites W1974268725 @default.
• W4289647002 cites W1975220827 @default.
• W4289647002 cites W1987067288 @default.
• W4289647002 cites W2015083215 @default.
• W4289647002 cites W2035798031 @default.
• W4289647002 cites W2046318721 @default.
• W4289647002 cites W2047720152 @default.
• W4289647002 cites W2071453859 @default.
• W4289647002 cites W2088121544 @default.
• W4289647002 cites W2088885347 @default.
• W4289647002 cites W2096342874 @default.
• W4289647002 cites W2098317829 @default.
• W4289647002 cites W2120608709 @default.
• W4289647002 cites W2127248042 @default.
• W4289647002 cites W2130517010 @default.
• W4289647002 cites W2136578951 @default.
• W4289647002 cites W2137904243 @default.
• W4289647002 cites W2160387619 @default.
• W4289647002 cites W2183110699 @default.
• W4289647002 cites W2187253811 @default.
• W4289647002 cites W2334201740 @default.
• W4289647002 cites W2517202283 @default.
• W4289647002 cites W2556613236 @default.
• W4289647002 cites W2581848244 @default.
• W4289647002 cites W2777799639 @default.
• W4289647002 cites W2794062059 @default.
• W4289647002 cites W2901313188 @default.
• W4289647002 cites W2903489897 @default.
• W4289647002 cites W2907196679 @default.
• W4289647002 cites W3105619170 @default.
• W4289647002 cites W4221119261 @default.
• W4289647002 doi "https://doi.org/10.1177/26334895221116771" @default.
• W4289647002 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37091111" @default.
• W4289647002 hasPublicationYear "2022" @default.
• W4289647002 type Work @default.
• W4289647002 citedByCount "1" @default.
• W4289647002 countsByYear W42896470022022 @default.
• W4289647002 crossrefType "journal-article" @default.
• W4289647002 hasAuthorship W4289647002A5003345824 @default.
• W4289647002 hasAuthorship W4289647002A5011759337 @default.
• W4289647002 hasAuthorship W4289647002A5015226921 @default.
• W4289647002 hasAuthorship W4289647002A5017813377 @default.
• W4289647002 hasAuthorship W4289647002A5028674947 @default.
• W4289647002 hasAuthorship W4289647002A5053050182 @default.
• W4289647002 hasAuthorship W4289647002A5069196645 @default.
• W4289647002 hasAuthorship W4289647002A5069645766 @default.
• W4289647002 hasAuthorship W4289647002A5081259110 @default.
• W4289647002 hasBestOaLocation W42896470021 @default.
• W4289647002 hasConcept C105795698 @default.
• W4289647002 hasConcept C126322002 @default.
• W4289647002 hasConcept C127413603 @default.
• W4289647002 hasConcept C141071460 @default.
• W4289647002 hasConcept C144024400 @default.
• W4289647002 hasConcept C15744967 @default.
• W4289647002 hasConcept C159110408 @default.
• W4289647002 hasConcept C160735492 @default.
• W4289647002 hasConcept C162324750 @default.
• W4289647002 hasConcept C168563851 @default.
• W4289647002 hasConcept C177212765 @default.
• W4289647002 hasConcept C17744445 @default.
• W4289647002 hasConcept C190248442 @default.
• W4289647002 hasConcept C199539241 @default.
• W4289647002 hasConcept C21547014 @default.
• W4289647002 hasConcept C2775969662 @default.
• W4289647002 hasConcept C2776716344 @default.
• W4289647002 hasConcept C2779363792 @default.
• W4289647002 hasConcept C2779891985 @default.
• W4289647002 hasConcept C2781400479 @default.
• W4289647002 hasConcept C33923547 @default.
• W4289647002 hasConcept C36289849 @default.
• W4289647002 hasConcept C39896193 @default.
• W4289647002 hasConcept C41008148 @default.
• W4289647002 hasConcept C50522688 @default.
• W4289647002 hasConcept C542102704 @default.
• W4289647002 hasConcept C545542383 @default.
• W4289647002 hasConcept C71924100 @default.
• W4289647002 hasConcept C74196892 @default.
• W4289647002 hasConcept C77088390 @default.
• W4289647002 hasConceptScore W4289647002C105795698 @default.

• next