Study aim | Participants | Eligibility criteria |
---|---|---|
Aim 1: modify the CALM tool | Mental health providers (n = 8) | Inclusion criteria -works in a VISN 16 CBOC |
Veterans (n = 8) | Inclusion criteria -diagnosed with GAD, PD, SAD, and PTSD with or without depression within the last year -had at least two mental health visits at a VISN 16 CBOC in the prior year | |
CBT experts (n = 4) | Inclusion criteria -VA or non-VA are eligible | |
- Experts in the implementation of EBPs within VA (n = 4) | Inclusion criteria -VA employee involved in national “rollouts” of EBPs | |
Aim 2: hybrid type III effectiveness-implementation study | - Mental health providers (n = 34) | Inclusion criteria: -willing to receive a 3-day CBT training -has an office with a computer -willing to be audiotaped and participate in clinical supervision -willing to be randomized to CALM tool or manual version of CALM |
Veterans (n = 340) | Inclusion criteria: -patient of a participating provider -plan to continue to receive mental health care -diagnosed with PD, SAD, GAD, or PTSD with or without depression -want to receive CBT -willing to have therapy sessions audiotaped -willing to participate in clinical assessments Exclusion criteria: -no evidence of a significant cognitive impairment -not actively suicidal -no comorbid substance use disorders, schizophrenia, or bipolar disorder -not completed a course of CBT or cognitive processing therapy | |
Aim 3: implementation needs assessment | Mental health providers (n = 34) | Inclusion criteria: -must have participated in aim 2 -CBOCs with mental health providers participating in aim 2 |
- CBOC directors |