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| 1 | Client-level predictors of treatment engagement,outcome and dropout:moving beyond demographics显示文摘Background Despite the availability of evidence-based treatments for posttraumatic stress disorder(PTSD),significant heterogeneity in the effectiveness of PTSD treatment persists,especially in community settings.Client demographics used to understand this variability in treatment outcome and dropout have yielded mixed results.Despite increasing evidence for the importance of attending to treatment engagement in community settings,few studies have explored client-level predictors.Aim The purpose of this study is to explore client-level predictors of treatment outcome and dropout beyond client demographics,and to identify client-level predictors of treatment engagement in community settings.Method Secondary data analysis was conducted with data collected as part of an implementation-effectiveness hybrid study of cognitive processing therapy(CPT)for PTSD in a diverse community healthcentre.Providers(n=19)treated(n=52)clients as part of their routine clinical care.Non-demographic client-level predictors included barriers to treatment,quality of life,session-level language and employment history assessed at baseline.Treatment engagement included number of weeks in the study,number of sessions with repeated CPT content,number of unique CPT sessions attended,frequency of session attendance and consistency of session attendance.Results Results showed language as a significant predictor of treatment engagement.There were significant differences between Spanish and English-speaking clients,with the former having a tendency to repeat more session content than the latter(β=1.4 sessions,p=0.003),and also less likely to attend treatment frequently(r=0.62,p=0.009)and consistently(r=0.57,p=0.027)if high logistical and financial barriers were endorsed.Irrespective of language,clients who reported high quality of life at baseline were less likely to repeat CPT session content(β=-0.3,p=0.04),and those with increased baseline barriers to treatment had deceleration in PTSD symptom improvement over time(β=-0.62,p<0.05).In terms of treatment engagement moderators impacting treatment outcome,clients who repeated more session content were more likely to complete treatment(0R=1.84,p=0.037).Conclusion Identification of client-level predictors of treatment engagement,outcome and dropout is essential to optimise treatment,particularly in community settings. | Soo-jeong Youn Margaret-Anne Mackintosh Shannon Wiltsey Stirman Kay lie A Patrick Yesenia Aguilar Silvan Anna D Bartuska Derri L Shtasel Luana Marques | 2019 | General Psychiatry2019，32，6： | 2 |
| 2 | A novel medium devoid of ruminant peptone for high yield growth of Mycoplasma ovipneumoniae显示文摘 | Patel H Mackintosh D Ayling R D | 2008 | Vet Microbiol2008，127，34： | 1 |
| 3 | Liquid storage of marrowstromal cells 显示文摘 | Lane TA Garls D Mackintosh E | 2009 | Transfusion2009，49，7： | 1 |
| 4 | A novel medium devoid of ruminant peptone for high yield groth of Mycoplasma ovipneumoniae显示文摘 | PATEL H MACKINTOSH D AYLING R D | 2008 | Vet Microbiol2008，127，34： | 1 |
| 5 | Merino wool graduated compression stocking increases lower limb venous bold flow: a randomized controlled trial显示文摘 | Charles T Mackintosh D Healy B | 2011 | Adv Ther2011，28，3： | 1 |
| 6 | Balance score and a history of falls in hospital predict recurrent falls in the 6 months following stroke rehabilitation 显示文摘 | MACKINTOSH S F HILL K D DODD K J | 2006 | Arch Phys Med Rehabil2006，87，12： | 1 |
| 7 | Proteome approach to the characterisation of protein composition in the developing and mature wheat-grain endosperm显示文摘 | Skylas D J Mackintosh J A Cordwell S J | 2000 | Journal of Cereal Science2000，32，： | 1 |
| 8 | Detection of antigens in experimentally infected pigs using antigen capture ELISA 显示文摘 | Shannon A D Morrissy C Mackintosh S G | 1993 | Veterinary Microbiol1993，34，： | 1 |
| 9 | Proteomeapproach to the characterisation of protein composition in the developing and mature wheat-grain endosperm 显示文摘 | Skylas D J Mackintosh J A Cordwell S J | 2000 | Journal of Cereal Science2000，32，： | 1 |
| 10 | Isolation from an ant Myrmecia gulosa of two inducible O-glycosylated proline-rich antibacterial peptides显示文摘 | Mackintosh J A Veal D A Beattie A J | 1998 | J Biol Chem1998，273，： | 1 |
| 11 | Test rigs for magnetic flux leakage inspection tools for pipelines显示文摘 | Atherton David L | 1992 | Materials Evaluation1992，50，1： | 1 |
| 12 | Beta2-microglobulinaemia:a sensitive index of diminishing renal function in diabetics 显示文摘 | Viberti GC Keen H Mackintosh D | 1981 | Br Med J1981，282，6258： | 1 |
| 13 | Fluoroprofile, a fluorescence-based assay for rapid and sensitive quantitation of proteins in solution显示文摘 | Mackintosh J A Veal D A Karuso P | 2005 | Proteomics2005，5，18： | 1 |
| 14 | Fluoroprofile,a Fluorescence-based Assay for Rapid and Sensitive Quantitation of Proteins in Solution显示文摘 | Mackintosh J A Veal D A Karuso P | 2005 | Proteomics2005，5，18： | 1 |
| 15 | Using formative research t'o develop change! ; A curriculum- based physical activity promoting intervention显示文摘 | MACKINTOSH K A KNOWLES Z R RIDGERS N D | 2011 | BMC Public Health2011，11，1： | 1 |
| 16 | Detection of hog cholera virus antigens in experimentally-infected pigs using an antigen-capture ELISA 显示文摘 | Shannon A D Morrissy C Mackintosh S G | 1993 | Vet Microbiol1993，34，3： | 1 |
| 17 | A model wheat cultivar for transformation to improve resistance to Fusarium Head Blight显示文摘 | MACKINTOSH C A GARVIN D F RADMER L E | 2006 | Plant cell reports2006，25，4： | 1 |
| 18 | Microrheology of biopolymer-membrane complexes 显示文摘 | Helfer E Harlepp S Bourdieu L Robert J MacKintosh F C Chatenay D | 2000 | Physical Review Letters2000，85，2： | 1 |
| 19 | Relationship between central sympathetic activity and stages of human hypertension显示文摘 | Smith P A Graham L N Mackintosh A F Stoker J B Mary D A | 2004 | Am J Hypertens2004，17，： | 1 |
| 20 | Viscoelastic properties of actin-coated membranes 显示文摘 | Helfer E Harlepp S Bourdieu L Robert J MacKintosh F C Chatenay D | 2001 | Physical Review E2001，63，2： | 1 |
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