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Abstract

Despite strong evidence for the efficacy of treatments for posttraumatic stress disorder (PTSD), most affected individuals are not receiving these treatments, in part because they may not know that evidence-based treatments exist. The American Psychological Association published a website to disseminate information about its Clinical Practice Guideline for treating PTSD. In Study 1, Google Optimize was used in a field study to examine whether altering the subheadings to three of the website pages would increase site visitor engagement. On the main page and on the page with treatment descriptions, no subheading alterations improved engagement. On the Patients and Families page, the subheading “say goodbye to symptoms” improved engagement on three outcome variables, including clicking a link to find a psychologist (although there were a small number of clicks). In a preregistered conceptual replication in a sample not actively seeking information about the PTSD guideline (N = 578), the results were not replicable. Results highlight challenges of disseminating information about evidence-based treatment.

Keywords

posttraumatic stress disorder PTSD dissemination clinical practice guideline user engagement replication preregistered

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References

Aikin

K. J.

Swasy

J. L.

Braman

A. C.

(2004). Patient and physician attitudes and behaviors associated with DTC promotion of prescription drugs: Summary of FDA survey research results. U.S. Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research. Retrieved from https://www.fda.gov/downloads/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/CDER/UCM600276.pdf

American Academy of Arts & Sciences. (2018). Perceptions of science in America. Retrieved from https://www.amacad.org/publication/perceptions-science-america

American Psychological Association. (2017, August 1). APA launches comprehensive online resource on treatment for PTSD. Retrieved from http://www.apa.org/news/press/releases/2017/08/ptsd-treatment.aspx

Andrade

L. H.

Alonso

Mneimneh

Wells

J. E.

Al-Hamzawi

Borges

. . . Kessler

R. C.

(2014). Barriers to mental health treatment: Results from the WHO World Mental Health (WMH) surveys. Psychological Medicine, 44, 1303–1317. doi:10.1017/S0033291713001943

APA Advisory Steering Committee for Development of Clinical Practice Guidelines. (2017, July). Placing clinical practice guidelines in context. Retrieved from https://www.apa.org/about/offices/directorates/guidelines/context

Becker

S. J.

Helseth

S. A.

Frank

H. E.

Escobar

Weeks

(2018). Parent preferences and experiences with psychological treatment: Results from a direct-to-consumer survey using the marketing mix framework. Professional Psychology, Research and Practice, 49, 167–176. doi:10.1037/pro0000186

Becker

S. J.

Weeks

B. J.

Escobar

K. I.

Moreno

DeMarco

C. R.

Gresko

S. A.

(2018). Impressions of “evidence-based practice”: A direct-to-consumer survey of caregivers concerned about adolescent substance use. Evidence-Based Practice in Child and Adolescent Mental Health, 3, 70–80. doi:10.1080/23794925.2018.1429228

Cialdini

R. B.

Kallgren

C. A.

Reno

R. R.

(1991). A focus theory of normative conduct: A theoretical refinement and reevaluation of the role of norms in human behavior. In Zanna

M. P.

(Ed.), Advances in experimental social psychology (Vol. 24, pp. 201–234). San Diego, CA: Academic Press.

Corrigan

P. W.

(2004). How stigma interferes with mental health care. American Psychologist, 59, 614–625.

10.

Favaro

St. Philip

Slaughter

(2019, July 28). New clinic treats patients with reversible condition often mistaken for dementia. CTV. Retrieved from https://www.ctvnews.ca/health/new-clinic-treats-patients-with-reversible-condition-often-mistaken-for-dementia-1.4525349

11.

Gallo

K. P.

Comer

J. S.

Barlow

D. H.

(2013). Direct-to-consumer marketing of psychological treatments for anxiety disorders. Journal of Anxiety Disorders, 27, 793–801. doi:10.1016/j.janxdis.2013.03.005

12.

Gellad

Z. F.

Lyles

K. W.

(2007). Direct-to-consumer advertising of pharmaceuticals. The American Journal of Medicine, 120, 475–480. doi:10.1016/j.amjmed.2006.09.030

13.

Goldstein

N. J.

Cialdini

R. B.

Griskevicius

(2008). A room with a viewpoint: Using social norms to motivate environmental conservation in hotels. Journal of Consumer Research, 35, 472–482. doi:10.1086/586910

14.

Google. (2017a). Bounce rate. Retrieved from https://support.google.com/analytics/answer/1009409?hl=en

15.

Google. (2017b). Session duration, avg. Retrieved from https://support.google.com/analytics/answer/1006253?hl=en

16.

Google. (2018). Experiment results. Retrieved from https://support.google.com/360suite/optimize/answer/7405044?hl=en&ref_topic=7404525

17.

Harik

J. M.

Hundt

N. E.

Bernardy

N. C.

Norman

S. B.

Hamblen

J. L.

(2016). Desired involvement in treatment decisions among adults with PTSD symptoms. Journal of Traumatic Stress, 29, 221–228. doi:10.1002/jts.22102

18.

Harik

J. M.

Matteo

R. A.

Hermann

B. A.

Hamblen

J. L.

(2017). What people with PTSD symptoms do (and do not) know about PTSD: A national survey. Depression and Anxiety, 34, 374–382. doi:10.1002/da.22558

19.

Hundt

N. E.

Mott

J. M.

Miles

S. R.

Arney

Cully

J. A.

Stanley

M. A.

(2015). Veterans’ perspectives on initiating evidence-based psychotherapy for posttraumatic stress disorder. Psychological Trauma, 7, 539–546. doi:10.1037/tra0000035

20.

Kohn

Saxena

Levav

Saraceno

(2004). The treatment gap in mental health care. Bulletin of the World Health Organization, 82, 858–866.

21.

Levinson-King

(2019, August 25). ‘There was no hope’: Treatable disease often mistaken for Alzheimer’s. BBC. Retrieved from https://www.bbc.com/news/world-us-canada-49375308

22.

McHugh

R. K.

Barlow

D. H.

(2010). The dissemination and implementation of evidence-based psychological treatments: A review of current efforts. American Psychologist, 65, 73–84. doi:10.1037/a0018121

23.

Mojtabai

Olfson

Sampson

N. A.

Jin

Druss

Wang

P. S.

. . . Kessler

R. C.

(2011). Barriers to mental health treatment: Results from the national comorbidity survey replication. Psychological Medicine, 41, 1751–1761. doi:10.1017/S0033291710002291

24.

Mora Ringle

V. A.

Walsh

L. M.

Maxwell

C. A.

Smith

A. M.

Grossman

R. A.

Becker

S. J.

Jensen-Doss

(2019). Understanding of evidence-based mental health care and the perceived importance of scientific information in a sample of U.S. adults. Journal of Clinical Psychology. doi:10.1002/jclp.22856

25.

Resick

P. A.

Wachen

J. S.

Dondanville

K. A.

Pruiksma

K. E.

Yarvis

J. S.

Peterson

A. L.

, . . . STRONG STAR Consortium. (2017). Effect of group vs individual cognitive processing therapy in active-duty military seeking treatment for posttraumatic stress disorder: A randomized clinical trialgroup vs individual cognitive processing therapy in PTSD group vs individual cognitive processing therapy in PTSD. JAMA Psychiatry, 74, 28–36. doi:10.1001/jamapsychiatry.2016.2729

26.

Rothman

A. J.

Salovey

(1997). Shaping perceptions to motivate healthy behavior: The role of message framing. Psychological Bulletin, 121, 3–19.

27.

Schofield

C. A.

Weis

Ponzini

McHugh

R. K.

(2017). Improving perceptions of cognitive-behavioral therapy with brief website exposure: Does neuroscientific allure impact attitudes? Journal of Behavior Therapy and Experimental Psychiatry, 57, 53–61. doi:10.1016/j.jbtep.2017.03.003

28.

Scott

S. L.

(2010). A modern Bayesian look at the multi-armed bandit. Applied Stochastic Models in Business and Industry, 26, 369–658. doi:10.1002/asmb.874

29.

Scott

S. L.

(2017). Multi-armed bandit experiments. Retrieved from https://support.google.com/analytics/answer/2844870?hl=en&ref_topic=1745207

30.

Sriram

Greenwald

A. G.

(2009). The brief implicit association test. Experimental Psychology, 56, 283–294. doi:10.1027/1618-3169.56.4.283

31.

Stecker

Shiner

Watts

B. V.

Jones

Conner

K. R.

(2013). Treatment-seeking barriers for veterans of the Iraq and Afghanistan conflicts who screen positive for PTSD. Psychiatric Services, 64, 280–283. doi:10.1176/appi.ps.001372012

32.

Teachman

B. A.

Drabick

D. A. G.

Hershenberg

Vivian

Wolfe

B. E.

Goldfried

M. R.

(2012). Bridging the gap between clinical research and clinical practice: Introduction to the special section. Psychotherapy, 49, 97–100. doi:10.1037/a0027346

33.

VanderPlas

(2014). Frequentism and Bayesianism: A python-driven primer. In van der Walt

Bergstra

(Eds.), Proceedings of the 13th Python in Science Conference (pp. 85–93). Retrieved from https://conference.scipy.org/proceedings/scipy2014/pdfs/proceedings.pdf

34.

Ventola

C. L.

(2011). Direct-to-consumer pharmaceutical advertising: Therapeutic or toxic? Pharmacy and Therapeutics, 36, 669–684.

35.

Wilkes

M. S.

Bell

R. A.

Kravitz

R. L.

(2000). Direct-to-consumer prescription drug advertising: Trends, impact, and implications. Health Affairs, 19, 110–128. doi:10.1377/hlthaff.19.2.110

36.

Wolitzky-Taylor

Zimmermann

Arch

J. J.

De Guzman

Lagomasino

(2015). Has evidence-based psychosocial treatment for anxiety disorders permeated usual care in community mental health settings? Behaviour Research and Therapy, 72, 9–17. doi:10.1016/j.brat.2015.06.010

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Improving the Reach of Clinical Practice Guidelines: An Experimental Investigation of Message Framing on User Engagement

Abstract

Keywords

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