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02-01-2021

Taking the message to the rural patient: evidence-based PTSD care

Auteurs: Nancy C. Bernardy, Macgregor Montano, Lisa-Ann Cuccurullo, Kristen Breen, Bernard F. Cole

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 4/2021

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Abstract

The Department of Veterans Affairs and Department of Defense (VA/DoD) Clinical Practice Guideline for PTSD recommends against the use of benzodiazepines. Despite the recommendation, clinicians continue potentially inappropriate benzodiazepine prescribing practices for veterans with PTSD. We designed an educational product aimed at decreasing benzodiazepine use in PTSD care. Using VA data, the booklet was mailed to over 1300 New England veterans. Veterans were advised to discuss the booklet’s information with their medical provider on their next appointment. The intervention resulted in a significant decrease in benzodiazepine use in veterans with PTSD, with 66% of the sample showing a dose reduction from pre- to post-booklet time points. Longitudinal analyses noted that rural veterans were significantly more likely to reduce benzodiazepine use than those in urban settings. Direct to consumer education appears to be an effective strategy to empower rural veterans to improve benzodiazepine prescribing safety and quality.
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Metagegevens
Titel
Taking the message to the rural patient: evidence-based PTSD care
Auteurs
Nancy C. Bernardy
Macgregor Montano
Lisa-Ann Cuccurullo
Kristen Breen
Bernard F. Cole
Publicatiedatum
02-01-2021
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 4/2021
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-020-00194-7