Evaluation of Posttraumatic Stress Disorder and Acute Stress Disorder VA/DoD Clinical Practice Guidelines Training

Author:

Edwards Shelby1ORCID,Edwards-Stewart Amanda2,Dean Christina3,Reddy Madhavi K4

Affiliation:

1. Physician Assistant Department, D’Youville College, Buffalo, NY 14213, USA

2. Psychological Health Center of Excellence, DHA, Tacoma, WA 98433, USA

3. Psychological Health Center of Excellence, DHA, Silver Spring, MD 20910, USA

4. Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA

Abstract

ABSTRACT Introduction This study evaluated the use of an online learning platform [Joint Knowledge Online (JKO)] for dissemination of the Veterans Affairs and Department of Defense Clinical Practice Guidelines for Management of Posttraumatic Stress Disorder (PTSD) and Acute Stress Disorder (ASD). User satisfaction with the training program was assessed, users were asked to estimate their knowledge base about PTSD and ASD, and users provided comments about how they might use the course material in their clinical practice. Materials and Methods A total of 4,442 users took at least one of three courses offered via JKO related to the PTSD Clinical Practice Guidelines (CPG) between July 1, 2019 and June 25, 2020. A total of 1,663 users took the post-test after the JKO courses and 235 applied to a second website (J7) which granted Continuing Education (CE) credits. Data were gathered from the JKO post-course survey, as well as the J7 course survey, which also asked for respondents’ written comments. Results User satisfaction was analyzed using the JKO survey Likert scale data for each course, and results found most users rated the courses as “good” or “great.” Users were also asked to evaluate their knowledge about PTSD management before and after the course. Results from all three courses showed a statistically significant change in pre-post knowledge with a medium effect size. Thematic analysis was performed on the write-in comments from each course. Comments indicated participants found the assessment tools provided in the courses to be of particular value. Conclusions The VA/DoD’s online learning platform (JKO) was a user-friendly, effective tool for training users on PTSD and ASD clinical practice guidelines. Users were satisfied with their experience of the trainings on JKO and improved their knowledge base about the CPG. This study did not evaluate patient data for CPG compliance, but the future study may benefit from these outcomes to demonstrate provider adherence to the guidelines.

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,General Medicine

Reference13 articles.

1. Clinical practice guidelines for the management of posttraumatic stress disorder and acute stress disorder;Department of Veterans Affairs and Department of Defense: VA/DOD,2017

2. Maintenance and reach of exposure psychotherapy for posttraumatic stress disorder 18 months after training;Rosen;J Trauma Stress,2017

3. Delivering clinical practice guideline-concordant care for PTSD and major depression in military treatment facilities;Hepner;Rand Health Q,2018

4. Health professions digital education on clinical practice guidelines: a systematic review by Digital Health Education collaboration;Car;BMC Med,2017

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