Design of the Violence and Stress Assessment (ViStA) study: A randomized controlled trial of care management for PTSD among predominantly Latino patients in safety net health centers

摘要: Posttraumatic stress disorder (PTSD) is a common problem in primary care. Although effective treatments are available, little known about whether such within the context of Federally Qualified Health Centers (FQHCs) that serve as national "safety nets" for providing care low income and underinsured patients. The Violence Stress Assessment (ViStA) study first randomized controlled trial (RCT) to test impact management intervention treating PTSD FQHCs. To develop appropriate lower resource FQHCs predominantly Latino patients they serve, formative work was conducted through collaborative effort between researchers an FQHC practice-based research network. This article describes how stakeholders were convened review, assess, prioritize evidence-based strategies addressing patient, clinician, system-level barriers multi-component incorporates diagnosis with feedback, patient education activation; navigation linkage community resources; clinician medication guidance; structured cross-disciplinary communication continuity care, all facilitated by managers experience. We also describe evaluation design this five-year RCT characteristics 404 English or Spanish speaking enrolled either usual Patients assessed at baseline, six months, 12 months examine effectiveness on PTSD, other mental health symptoms, health-related quality-of-life, service use; perceived satisfaction