TY - JOUR
KW - Anxiety
KW - CBT
KW - COPD
KW - Depression
KW - Heart failure
AU - C. P. Brandt
AU - F. Deavers
AU - N. E. Hundt
AU - T. L. Fletcher
AU - J. A. Cully
A1 - 
AB - The current study explored the use and preliminary outcomes of physical health treatment elements integrated into a traditional brief cognitive behavioral therapy (bCBT) approach for medically ill veterans with depression and/or anxiety. Data were collected as part of a pragmatic randomized trial examining patient outcomes of bCBT versus an enhanced usual care condition. bCBT was delivered to participants by Veterans Health Administration (VA) mental health providers in the primary care setting. Using a skill-based approach, providers and participants selected modules from a list of intervention strategies. Modules included Taking Control of Your Physical Health, Using Thoughts to Improve Wellness, Increasing Pleasant Activities, and Learning How to Relax. Skill module use and impact on treatment completion and clinical outcomes were explored for participants randomized to bCBT who received at least one skill module (n = 127). Utilization data showed that participants and providers most commonly selected the physical health module for the first skill session. Receiving the "physical health" and "thoughts" modules earlier in treatment were associated with a higher likelihood of treatment completion (defined as four or more sessions). Preliminary outcome data suggest that the physical health skill module was equally effective or superior to other bCBT skill modules. Results suggest that incorporating physical health elements with a bCBT approach hold the potential to positively impact treatment engagement/completion and may result in improved outcomes for medically ill patient populations.
AD - The Houston OCD Program, 708 E. 19th Street, Houston, TX, 77008, USA.; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA.; Michael E. DeBakey Veterans Affairs Medical Center, 2002 Holcombe Blvd. (152), Houston, TX, 77030, USA.; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA.; Houston VA HSR &D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center (MEDVAMC 152), 2002 Holcombe Blvd., Houston, TX, 77030, USA.; VA South Central Mental Illness Research, Education and Clinical Center (A Virtual Center), Houston, TX, USA.; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA.; Houston VA HSR &D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center (MEDVAMC 152), 2002 Holcombe Blvd., Houston, TX, 77030, USA.; VA South Central Mental Illness Research, Education and Clinical Center (A Virtual Center), Houston, TX, USA.; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA. jcully@bcm.edu.; Houston VA HSR &D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center (MEDVAMC 152), 2002 Holcombe Blvd., Houston, TX, 77030, USA. jcully@bcm.edu.; VA South Central Mental Illness Research, Education and Clinical Center (A Virtual Center), Houston, TX, USA. jcully@bcm.edu.
BT - Journal of clinical psychology in medical settings
C5 - Healthcare Disparities
CP - 2
CY - United States
DO - 10.1007/s10880-019-09634-2
IS - 2
JF - Journal of clinical psychology in medical settings
LA - eng
M1 - Journal Article
N2 - The current study explored the use and preliminary outcomes of physical health treatment elements integrated into a traditional brief cognitive behavioral therapy (bCBT) approach for medically ill veterans with depression and/or anxiety. Data were collected as part of a pragmatic randomized trial examining patient outcomes of bCBT versus an enhanced usual care condition. bCBT was delivered to participants by Veterans Health Administration (VA) mental health providers in the primary care setting. Using a skill-based approach, providers and participants selected modules from a list of intervention strategies. Modules included Taking Control of Your Physical Health, Using Thoughts to Improve Wellness, Increasing Pleasant Activities, and Learning How to Relax. Skill module use and impact on treatment completion and clinical outcomes were explored for participants randomized to bCBT who received at least one skill module (n = 127). Utilization data showed that participants and providers most commonly selected the physical health module for the first skill session. Receiving the "physical health" and "thoughts" modules earlier in treatment were associated with a higher likelihood of treatment completion (defined as four or more sessions). Preliminary outcome data suggest that the physical health skill module was equally effective or superior to other bCBT skill modules. Results suggest that incorporating physical health elements with a bCBT approach hold the potential to positively impact treatment engagement/completion and may result in improved outcomes for medically ill patient populations.
PP - United States
PY - 2020
SN - 1573-3572; 1068-9583
SP - 285
EP - 294
EP - 
T1 - The Impact of Integrating Physical Health into a Brief CBT Approach for Medically Ill Veterans
T2 - Journal of clinical psychology in medical settings
TI - The Impact of Integrating Physical Health into a Brief CBT Approach for Medically Ill Veterans
U1 - Healthcare Disparities
U2 - 31201653
U3 - 10.1007/s10880-019-09634-2
VL - 27
VO - 1573-3572; 1068-9583
Y1 - 2020
Y2 - Jun
ER -