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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 | Refractory element mobility in volcanic soils显示文摘 | Kurtz A C Derry L A Chadwick O A | 2000 | Geology2000，28，： | 1 |
| 3 | Sr and C isotopes in lower cambrian carbonates from the siberian craton: A paleoenvir- onm ental record during the 'cambrian explosion'显示文摘 | Derry L A Brasier M D Corfield R M | 1994 | Earth and Planetary Science Letters1994，128，34： | 1 |
| 4 | The strontium isotopic budget of Himalayan rivers in Nepal and Bangladesh显示文摘 | Galy A France-Lanord C Derry L A | 1999 | Geochimica et Cosmochimica Acta1999，63，： | 1 |
| 5 | Sr and C Isotopic in Lower Cambrian Carbonates from the Siberian Craton: A Palen Environmental Record During the Combrian Explosion显示文摘 | Derry L A Brasier M D Corfield R M | 1994 | Earth Planet Scie Lett1994，128，： | 1 |
| 6 | Neogene Himalayan weathering history and fiver ^87 Sr/^86 Sr: Impact on the marine Sr record 显示文摘 | Derry L A France-Lanord C | 1996 | Earth and Planet Science Letter1996，142，： | 1 |
| 7 | Decoupling of unpolluted temperate forests from rock nutrient sources revealed by natural ^87Sr/^86Sr and ^84Sr tracer addition显示文摘 | Kennedy M J Hedin L O Derry L A | 2002 | Proceedings of the National Academy of Sciences2002，99，： | 1 |
| 8 | Refractory element mobility in volcanic soils 显示文摘 | Kurtz A C Derry L A Chadwick O A Alfano M J | 2000 | Geology2000，28，8： | 1 |
| 9 | Sedimentary cycling and environmental chang in the Late Proeterozoic:Evidence form stable and radiogenic isotopes显示文摘 | Derry L A Kaufaman A J Jacobsen S B | 1992 | Geochimica et Cosmochimica Acta1992，56，： | 1 |
| 10 | Organic carbon burial forcing of the carbon cycle from Himalayan erosion显示文摘 | FRANCE-LANORDC DERRY L A | 1997 | Nature1997，390，6655： | 1 |
| 11 | Reduced Himalayan sediment production 8 Ma ago despite an intensified monsoon显示文摘 | Burbank D W Derry L A France-Lanord C | 1993 | Nature1993，364，： | 1 |
| 12 | Organic carbon burial forcing of the carbon cycle from Himalayan erosion显示文摘 | France-Lanord C Derry L | 1997 | Nature1997，390，： | 1 |
| 13 | Sr isotopic variations in Upper Proterozoic cmbonates from Svalbard and East Greenland 显示文摘 | Derry L A Keto L S Jacobsen S B Knoll A H Swett K | 1989 | Geochim Cosmochim Acta1989，53，9： | 1 |
| 14 | Sr and C isotopes in Lower Cambrian carbonates from the Siberian craton: A paleoenvironmental record during the 'Cambrian explosion 显示文摘 | Derry L A Brasier M D Corfield R M Rozanov A Yu Zburavlev A Yu | 1994 | Earth Planet Sci Lett1994，128，34： | 1 |
| 15 | Sedimentary cycling and environmental change in the Late Proeterozoic: Evidence form stable and radiogenic isotopes 显示文摘 | Derry L A Knufmnn A J Jacobsen S B | 1992 | Geochim Cosmochim Acta1992，56，3： | 1 |
| 16 | Sr isotope variations in Upper Proterozoic carbonates from Svalbard and East Greenland显示文摘 | Derry L A Keto L S Jacobsen S B et a1 | 1989 | Geochim Cosmochim Acta1989，53，： | 1 |
| 17 | Systematic review of topical capsaicin for the treatment of chronic pain显示文摘 | Mason L Moore RA Derry S | 2004 | BMJ2004，328，7446： | 1 |
| 18 | Rethinking social impacts of tourism research: A new research agenda 显示文摘 | Derry M Jago L Fredline L | 2012 | Tourism Management2012，33，3： | 1 |
| 19 | Sr and C isotopes in Lower Cambrian carbonates from the Silberian craton:A paleoenvironmental record during the 'Cambrian explosion'显示文摘 | DERRY L A BRASIER M D CORFIELD R M | 1994 | Earth and Planetary Science Letters1994，128，34： | 1 |
| 20 | Osteoclast differentiation is impaired in the absence of inhibitor ofκB kinase alpha显示文摘 | CHAISSON M L BRANSTETTER D G DERRY J M | 2004 | The Journal of Biological Chemistry2004，279，54： | 1 |
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