{"id":"https://openalex.org/W2948448399","doi":null,"title":"Provider-Identified Implementation Barriers to Providing Cognitive Processing Therapy in VA: A Review of the Literature and Changes Over Time","display_name":"Provider-Identified Implementation Barriers to Providing Cognitive Processing Therapy in VA: A Review of the Literature and Changes Over Time","publication_year":2019,"publication_date":"2019-01-01","ids":{"openalex":"https://openalex.org/W2948448399","mag":"2948448399"},"language":"en","primary_location":{"id":"pmh:oai:repository.upenn.edu:edissertations_sp2-1137","doi":null,"is_oa":true,"landing_page_url":"https://repository.upenn.edu/edissertations_sp2/132","pdf_url":"https://repository.upenn.edu/edissertations_sp2/132","source":{"id":"https://openalex.org/S4377196331","display_name":"Scholarly Commons (University of Pennsylvania)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I79576946","host_organization_name":"University of Pennsylvania","host_organization_lineage":["https://openalex.org/I79576946"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Doctorate in Social Work (DSW) Dissertations","raw_type":"text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://repository.upenn.edu/edissertations_sp2/132","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5003698604","display_name":"Stephanie Renno","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Stephanie Renno","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5003698604"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10242","display_name":"Posttraumatic Stress Disorder Research","score":0.5874000191688538,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10242","display_name":"Posttraumatic Stress Disorder Research","score":0.5874000191688538,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.3767000138759613,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10214","display_name":"Psychotherapy Techniques and Applications","score":0.01640000008046627,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cognitive-processing-therapy","display_name":"cognitive processing therapy","score":0.8650000095367432},{"id":"https://openalex.org/keywords/posttraumatic-stress-disorder","display_name":"post-traumatic stress disorder","score":0.9819999933242798},{"id":"https://openalex.org/keywords/veterans","display_name":"veterans","score":0.7540000081062317},{"id":"https://openalex.org/keywords/implementation-barriers","display_name":"implementation barriers","score":0.7879999876022339},{"id":"https://openalex.org/keywords/department-of-veterans-affairs","display_name":"Department of Veterans Affairs","score":0.8009999990463257},{"id":"https://openalex.org/keywords/treatment-utilization","display_name":"treatment utilization","score":0.609000027179718},{"id":"https://openalex.org/keywords/dissemination","display_name":"dissemination","score":0.3019999861717224},{"id":"https://openalex.org/keywords/social-work","display_name":"social work","score":0.46799999475479126},{"id":"https://openalex.org/keywords/combat-exposure","display_name":"combat exposure","score":0.5210000276565552}],"concepts":[{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.5513021945953369},{"id":"https://openalex.org/C172783574","wikidata":"https://www.wikidata.org/wiki/Q5141234","display_name":"Cognitive processing therapy","level":4,"score":0.4298505187034607},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4273815453052521},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.37439435720443726},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3316742181777954},{"id":"https://openalex.org/C2779477915","wikidata":"https://www.wikidata.org/wiki/Q13693745","display_name":"Cognitive therapy","level":3,"score":0.3226429224014282},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.17372772097587585}],"mesh":[],"locations_count":3,"locations":[{"id":"pmh:oai:repository.upenn.edu:edissertations_sp2-1137","doi":null,"is_oa":true,"landing_page_url":"https://repository.upenn.edu/edissertations_sp2/132","pdf_url":"https://repository.upenn.edu/edissertations_sp2/132","source":{"id":"https://openalex.org/S4377196331","display_name":"Scholarly Commons (University of Pennsylvania)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I79576946","host_organization_name":"University of Pennsylvania","host_organization_lineage":["https://openalex.org/I79576946"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Doctorate in Social Work (DSW) Dissertations","raw_type":"text"},{"id":"pmh:oai:repository.upenn.edu:20.500.14332/32830","doi":null,"is_oa":false,"landing_page_url":"https://repository.upenn.edu/handle/20.500.14332/32830","pdf_url":null,"source":{"id":"https://openalex.org/S4306402083","display_name":"ScholarlyCommons (University of Pennsylvania)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I79576946","host_organization_name":"University of Pennsylvania","host_organization_lineage":["https://openalex.org/I79576946"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"published","raw_type":"Dissertation/Thesis"},{"id":"mag:2948448399","doi":null,"is_oa":false,"landing_page_url":"https://repository.upenn.edu/cgi/viewcontent.cgi?article=1137&context=edissertations_sp2","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:repository.upenn.edu:edissertations_sp2-1137","doi":null,"is_oa":true,"landing_page_url":"https://repository.upenn.edu/edissertations_sp2/132","pdf_url":"https://repository.upenn.edu/edissertations_sp2/132","source":{"id":"https://openalex.org/S4377196331","display_name":"Scholarly Commons (University of Pennsylvania)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I79576946","host_organization_name":"University of Pennsylvania","host_organization_lineage":["https://openalex.org/I79576946"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Doctorate in Social Work (DSW) Dissertations","raw_type":"text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2948448399.pdf","grobid_xml":"https://content.openalex.org/works/W2948448399.grobid-xml"},"referenced_works_count":59,"referenced_works":["https://openalex.org/W359237344","https://openalex.org/W569825585","https://openalex.org/W1495150842","https://openalex.org/W1506229289","https://openalex.org/W1514491136","https://openalex.org/W1689352303","https://openalex.org/W1824233711","https://openalex.org/W1900041560","https://openalex.org/W1911393782","https://openalex.org/W1967502020","https://openalex.org/W1975419695","https://openalex.org/W1977284722","https://openalex.org/W1983685871","https://openalex.org/W1993201362","https://openalex.org/W2002628922","https://openalex.org/W2004968176","https://openalex.org/W2013017376","https://openalex.org/W2030199017","https://openalex.org/W2047203728","https://openalex.org/W2061677754","https://openalex.org/W2065388992","https://openalex.org/W2070605700","https://openalex.org/W2077984888","https://openalex.org/W2082216760","https://openalex.org/W2086673470","https://openalex.org/W2087637134","https://openalex.org/W2088121544","https://openalex.org/W2088885347","https://openalex.org/W2101270539","https://openalex.org/W2114828093","https://openalex.org/W2114875942","https://openalex.org/W2118826874","https://openalex.org/W2119689018","https://openalex.org/W2126421369","https://openalex.org/W2134899457","https://openalex.org/W2137713289","https://openalex.org/W2146331719","https://openalex.org/W2150398633","https://openalex.org/W2150824889","https://openalex.org/W2154466157","https://openalex.org/W2156116974","https://openalex.org/W2156696131","https://openalex.org/W2164845273","https://openalex.org/W2178022298","https://openalex.org/W2269344422","https://openalex.org/W2324680999","https://openalex.org/W2334582105","https://openalex.org/W2410610875","https://openalex.org/W2475368555","https://openalex.org/W2523702695","https://openalex.org/W2553282953","https://openalex.org/W2576994066","https://openalex.org/W2580245871","https://openalex.org/W2580270456","https://openalex.org/W2779436688","https://openalex.org/W2784527080","https://openalex.org/W2908720254","https://openalex.org/W2984648219","https://openalex.org/W3011233335"],"related_works":["https://openalex.org/W2596061901","https://openalex.org/W4380872390","https://openalex.org/W2156696131","https://openalex.org/W2137713289","https://openalex.org/W2195531434","https://openalex.org/W1964491957","https://openalex.org/W2075633245","https://openalex.org/W3037455691","https://openalex.org/W2128874917","https://openalex.org/W2060642899"],"abstract_inverted_index":{"Incidents":[0],"of":[1,42,77,83,128,164,199,218],"Posttraumatic":[2],"Stress":[3],"Disorder":[4],"(PTSD)":[5],"are":[6],"high,":[7],"especially":[8],"in":[9,39,140,151,159,190,214],"veterans":[10],"exposed":[11],"to":[12,25,81,109,120,137,166,193,211],"combat.":[13],"Strongly":[14],"supported,":[15],"efficacious":[16],"treatment":[17,185],"options":[18],"exist,":[19],"including":[20],"Cognitive":[21,66],"Processing":[22,67],"Therapy":[23,68],"(CPT)":[24],"treat":[26],"the":[27,40,59,71,75,86,168,173,197,200,215,219],"disorder":[28],"and":[29,49,63,97,115,130,144,177,203,207],"improve":[30],"outcomes":[31],"for":[32,101],"patients.":[33],"CPT":[34,84,183,195,223],"has":[35],"been":[36,54],"trained":[37,184],"widely":[38],"Department":[41],"Veterans":[43],"Affairs":[44],"(VA).":[45],"Despite":[46],"national":[47],"dissemination":[48,201],"training,":[50],"utilization":[51],"rates":[52],"have":[53,227],"low.":[55],"Using":[56],"data":[57],"from":[58],"2008,":[60],"2011,":[61],"2014,":[62],"2016":[64],"VA":[65,222],"Practice":[69],"Survey,":[70],"present":[72],"study":[73,235],"examined":[74],"trajectory":[76],"provider":[78],"reported":[79,187],"barriers":[80,141,147,192,213],"implementation":[82,224],"across":[85,98],"four":[87],"survey":[88,99],"distributions.":[89],"The":[90,221],"sample":[91],"was":[92,107,118],"analyzed":[93],"using":[94],"frequencies":[95],"within":[96],"years":[100,156],"all":[102],"variables,":[103,114],"multiple":[104],"regression":[105,132],"analysis":[106,117],"used":[108,119],"explore":[110,121,138,167],"relationships":[111,122],"between":[112,123,175],"continuous":[113],"cross-tabulation":[116],"categorical":[124],"variables.":[125],"Chi-square":[126],"tests":[127],"independence":[129,165],"logistic":[131],"analyses":[133],"were":[134,157],"then":[135],"conducted":[136],"differences":[139],"by":[142],"year":[143],"profession.":[145],"Any":[146],"with":[148],"increased":[149,212],"likelihood":[150],"one":[152],"or":[153],"more":[154],"cohort":[155,178],"included":[158],"a":[160,188],"3-way":[161],"Chi-Square":[162],"test":[163],"possibility":[169],"that":[170,182,204],"profession":[171],"moderates":[172],"relationship":[174],"barrier":[176],"year.":[179],"Results":[180],"indicate":[181],"providers":[186],"decrease":[189],"specific":[191,232],"providing":[194],"over":[196],"course":[198],"program,":[202],"social":[205],"work":[206],"psychology":[208],"professions":[209],"related":[210],"earliest":[216],"iteration":[217],"survey.":[220],"program":[225],"may":[226],"had":[228],"some":[229],"effect":[230],"on":[231],"barriers,":[233],"further":[234],"is":[236],"indicated.":[237]},"counts_by_year":[],"updated_date":"2026-09-27T08:07:27.782135","created_date":"2019-06-14T00:00:00"}
