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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 | Early cellular events in the penumbra of human spontaneous intracerebral hemorrhage显示文摘 | James Mackintosh Mackenzie Juliet Anne Clayton | 1999 | Journal of Stroke and Cerebrovascular Diseases1999，，1： | 2 |
| 3 | 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 |
| 4 | Genetic resistance to experimental infection with Mycobacterium bovis in red deer显示文摘 | Mackintosh CG Qureshi T Waldrup K | 2000 | Infection and Immunity2000，68，： | 1 |
| 5 | Liquid storage of marrowstromal cells 显示文摘 | Lane TA Garls D Mackintosh E | 2009 | Transfusion2009，49，7： | 1 |
| 6 | Cyanobaeterial microcystin-LR is a potent and specific inhibitor of protein phosphatases 1 and 2A from both mammals and higher plants显示文摘 | MacKintosh C Beattie K A Klumpp S | 1990 | FEBS Lett1990，264，2： | 1 |
| 7 | Assessment and management of patients with postoperative pain显示文摘 | Mackintosh C | 2007 | Nursing Standard2007，22，5： | 1 |
| 8 | Inhibitors of protein kinases and phosphatases显示文摘 | Mackintosh C MacKintosh RW | 1994 | Trends Biochem Sci1994，19，11： | 1 |
| 9 | 14-3-3s regulate global cleavage of their diverse binding partners in sugarstarved Arabidopsis cells显示文摘 | Cotelle V Meck S E M Provan F Milne F C Movvice N Mackintosh C | 2000 | EMBO J2000，19，12： | 1 |
| 10 | Positive interpretation training:Effects of mental imagery versus verbal training on positive mood显示文摘 | Emily A Holmes Andrew Mathews Tim Dalgleish Bundy Mackintosh | | 0，，03： | 1 |
| 11 | Falls after stroke显示文摘 | Batchelor FA Mackintosh SF Said CM | 2012 | Int J Stroke2012，7，6： | 1 |
| 12 | 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 |
| 13 | Purification of the hepatic glycogen-associated form of protein phosphatase1 by microcystin-Sepharose affinity chromatography显示文摘 | Moorhead G MacKintosh C Morrice N | 1995 | FEBS Letters1995，362，2： | 1 |
| 14 | Is there a difference between exudation and corrosion?显示文摘 | MACKINTOSH J R RATTO P-C | 1999 | Glass1999，76，2： | 1 |
| 15 | Identification of key tissue type for antler regeneration through pedicle periosteum deletion显示文摘 | Li C Mackintosh CG Martin SK Clark DE | 2007 | Cell Tissue Res2007，328，1： | 1 |
| 16 | Metabolic enzymes as targets for 14-3-3 proteins 显示文摘 | Huber S C MacKintosh C Kaiser W M | 2002 | Plant Mol Biol2002，50，6： | 1 |
| 17 | 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 |
| 18 | Efficacy,safety and pharmacokinetics of palonosetron in patientsreceiving highly emetogenic cisplatin-based chemotherapy:a dose-ranging clinical study 显示文摘 | Elsenberg P Mackintosh F R Rich P | 2013 | Ann Oncol2013，15，2： | 1 |
| 19 | Relationship be- tween central sympathetic activity and stages of human hypertension 显示文摘 | Smith P A Graham L N Mackintosh A F | 2004 | Am J Hypertens2004，17，3： | 1 |
| 20 | 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 |
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