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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 | in vitro glycation and antigenicity of soy proteins显示文摘 | van de LAGMAT J SILVAN J M MORENO J | 2007 | Food Research International2007，40，1： | 1 |
| 3 | Vegetation is the main factor in nutrient retention in a constructed wetland buffer显示文摘 | SILVAN N VASANDER H LAINE J | 2004 | Plant and Soil2004，258，： | 1 |
| 4 | Use of triethyl- citrate plasticizer in the production of poly-L-lactic acid im- plants with different degradation times 显示文摘 | Scapin S M N Silvan D R M Joazeiro P P | 2003 | J Mater Sci : Mater Med2003，14，7： | 1 |
| 5 | Isoflavones and their effects on the onset of puberty in male Wistar rats显示文摘 | S. Caceres L. Pe?a G. Moyano L. Martinez‐Fernandez B. Monsalve M. J. Illera P. Millan J. C. Illera G. Silvan | 2015 | Andrologia2015，，： | 1 |
| 6 | A multi-directional ground filtering algorithm for airborne LIDAR显示文摘 | MENG X L WANG L SILVAN J | | 0，，01： | 1 |
| 7 | Antibacterial activity of a grape seed extract and its fractions against Campylobacter spp显示文摘 | Silvan JM Mingo E Hidalgo M | 2013 | Food Control2013，29，1： | 1 |
| 8 | In vitro glycation and antigenicity of soy proteins显示文摘 | Jurgen L Silvan J Moreno F | 2007 | Food Res Int2007，40，： | 1 |
| 9 | The effect of clenbuterol on adrenal function in rats 显示文摘 | Illera I C Silvan G Blass A | 1998 | Analyst1998，123，12： | 1 |
| 10 | Effects of some iridoids from plant origin on arachidonic acid metabolism incellular systems 显示文摘 | Bermejo B P Diaz Lanza A M Silvan Sen A M | 2000 | Planta Med2000，66，4： | 1 |
| 11 | In vitro glycation and antigenicity of soy proteins显示文摘 | VAN DE LAGEMAAT J MANUEL SILVAN J JAVIER MORENO F | 2007 | Food Research International2007，40，1： | 1 |
| 12 | Hypoxia and pluripo- tency in embryonic and embryonal carcinoma stem cell biology 显示文摘 | Silvan U Diez-Torre A Arluzea J | 2009 | Differentiation2009，78，23： | 1 |
| 13 | The extent and position of homoeologous recombination in a distant hybrid of Alstroemerica:a molecular cytogenetics assessment of first generation backcross progenies显示文摘 | Silvan A Kamstra Anja G J Kuipers Marjo J De Jeu M S Ramanna Evert Jacobsen | 1999 | Chromosoma1999，108，： | 1 |
| 14 | Gaseous nitrogen loss from a restored peatland buffer zone显示文摘 | Silvan N Regina K Kitunen V | 2002 | Soil Biology & Biochemistry2002，34，： | 1 |
| 15 | Nonlinear characteristics systematic study in pneumatic actuators显示文摘 | SILVANE Carla ANTONIO Ritter VALDIERO Carlos | | 0，，04： | 1 |
| 16 | DNA-templated assembly and electrode attachment of a conducting silver wire显示文摘 | Braun E Eichen Y Silvan U | 1998 | Nature1998，391，： | 1 |
| 17 | Vegetation is the main factor in nutrient retention in a constructed wetland buffer显示文摘 | Silvan N Yasander H Laine J | 2004 | Plant Soil2004，258，： | 1 |
| 18 | Effects of water level and nutrients on spatial distribution of soil mesofauna in peatlands drained for forestry in Finland 显示文摘 | RAIJA LAIHO NIKO SILVAN HECTOR CORCAMO | 2001 | Applied Soil Ecology2001，16，： | 1 |
| 19 | Nonextractable polyphenols, usually ignored, are the major part of dietary polyphenols: a study on the Spanish diet 显示文摘 | ARRANZ S SILVAN J M SAURA-CALIXTO F | 2010 | Molcular Nutrition & Food Research2010，54，11： | 1 |
| 20 | Apigenin prevents deregulation in the expression pattern of cell-proliferative,apoptotic,inflammatory and angiogenic markers during 7,12-dimethylbenz[a]anthracene-induced hamster buccal pouch carcinogenesis显示文摘 | Silvan S Manoharan S | | 0，，： | 1 |
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