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Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder
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Melissa Azur, Daniel Friend, Dmitriy Poznyak, Kathleen Feeney, Danielle Chelminsky, Breanna Miller, Lareina La Flair, and Junqing Liu
Mathematica Policy Research
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Despite advances in the development of evidence-based treatment for adults with post-traumatic stress disorder (PTSD), the implementation of these treatments varies widely. To reduce this gap through wider dissemination of effective behavioral health treatment, the U.S. Department of Health and Human Services (HHS) Office of the Assistant Secretary for Planning and Evaluation and the National Institute of Mental Health (NIMH) led a project that developed and pre-tested a quality measure of the delivery of psychotherapy for adults with PTSD that is concordant with evidence-based strategies.
This report was prepared under contract #HHSP23320100019WI between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and Mathematica Policy Research. For additional information about this subject, you can visit the DALTCP home page at http://aspe.hhs.gov/office-disability-aging-and-long-term-care-policy-daltcp or contact the ASPE Project Officers, D.E.B. Potter, Joel Dubenitz, and Laurel Fuller, at HHS/ASPE/DALTCP, Room 424E, H.H. Humphrey Building, 200 Independence Avenue, S.W., Washington, D.C. 20201; Joel.Dubenitz@hhs.gov.
DISCLAIMER: The opinions and views expressed in this report are those of the authors. They do not reflect the views of the Department of Health and Human Services, the contractor or any other funding organization. This report was completed and submitted on April 30, 2015.
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ACKNOWLEDGMENTS
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ABSTRACT
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ACRONYMS
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EXECUTIVE SUMMARY
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I. PROJECT RATIONALE
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II. SELECTION OF MEASURE CONCEPTS
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III. MEASURE SPECIFICATION
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IV. APPROACH TO MEASURE TESTING
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V. TESTING RESULTS
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VI. CONCLUSIONS AND NEXT STEPS
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REFERENCES
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APPENDIX A: PTSD Tag1 Presentation
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APPENDIX B: Technical Advisory Group Members and Affiliations
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APPENDIX C: Technical Expert Panel Members
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APPENDIX D: List of Reviewed PTSD Clinical Manuals
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APPENDIX E: Participant Surveys
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APPENDIX F: Data Processing and Flow Chart
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APPENDIX G: Summary of Item-Level Responses
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APPENDIX H: Exploratory and Confirmatory Factor Analysis Model Fit Statistics
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APPENDIX I: Confirmatory Factor Analysis Model Solution
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APPENDIX J: Summary of the Reliability Analyses
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APPENDIX K: Item-Level Inter-Rater Agreement
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APPENDIX L: Comparison Between Bayesian and Weighted Least Squares and Mean Variance Adjusted Estimators
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APPENDIX M: ACI Index
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NOTES
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