A randomized controlled trial comparing a manual and computer version of CALM in VA community-based outpatient clinics.

ABSTRACT:

Background

This study compared a computer and manual version of a tailored Coordinated Anxiety Learning and Management (VA CALM) protocol on provider fidelity to CBT and patient outcomes.

Methods

This study was a cluster randomized controlled trial. Providers (N = 32) were randomized to deliver VA CALM by computer or manual. Veteran patients (N = 135), treated by study providers, were recruited. The primary outcome was CBT fidelity, measured by rating audiotaped sessions. Secondary outcomes were Veterans' general (BSI-18 GSI, SF-12) and disorder-specific (GAD-7, PCL-5, PHQ-9) outcomes assessed at baseline, three and six month follow-up.

Results

We found a large (d = 0.88) but not statistically significant difference in mean fidelity rating scores

SUBMITTER: Cucciare MA 

PROVIDER: S-EPMC8373037 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature