Shannon Wiltsey Stirman
Dados Biográficos
| ID | 4878583 |
|---|---|
| NOME | Shannon Wiltsey Stirman |
| PRENOMES | Shannon Wiltsey |
| SOBRENOME | Stirman |
| ASSINATURA | STIRMAN S W |
| AFILIAÇÕES | National Center for PTSD |
| ORCID | 0000-0001-9917-5078 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 22 |
| TOTAL DE CITAÇÕES | 14 |
| TOTAL COMO AUTOR | 22 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2001 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
What Matters in Sustaining Peer Support for Adults in Mental Health Services? Exploring the Perceptions of Diverse Actors
Psychometric properties of the Oppression-Based Traumatic Stress Inventory and measurement equivalence across PTSD treatment and diverse undergraduate samples
Our findings strengthen the psychometric evidence supporting this novel measure of oppression-based traumatic stress, an important step in furthering intersectional research on this topic. (PsycInfo Database Record (c) 2026 APA, all rights reserved)
Key considerations for patient choice and development of alternatives
This commentary considers some of the issues raised by Rubenstein et al. (2024) using the framework of shared decision making and suggests next steps for research that will improve our ability to identify treatment approaches that will best support individual recovery. We highlight points of agreement with the authors, including the importance of treatment acceptability, but underscore the importance of simultaneously considering the strength of …
A Comparison of Pragmatic and Scalable Strategies to Assess Fidelity to Cognitive Processing Therapy in Routine Care Settings
Elucidating the Elements of Clinical Case Consultation in Cognitive Processing Therapy
Research shows the value of consultation following training in Cognitive Processing Therapy (CPT), a frontline psychotherapy for posttraumatic stress disorder; however, the elements of successful CPT consultation are not delineated. This study’s aim was to elucidate the elements of successful consultation in CPT. Participants ( N = 41) were mental health clinicians, including psychologists, social workers, nurses, and psychiatrists, and consultan…
Assessment of modifications to evidence-based psychotherapies using administrative and chart note data from the US department of veterans affairs health care system
Background The US Department of Veterans Affairs (VA) has over 15 years of experience in delivery of evidence-based psychotherapies (EBPs). This paper describes strategies for using clinical documentation and administrative data to understand adherence and modifications to EBPs for Posttraumatic Stress Disorder (PTSD). Methods This study focused on two EBPs for PTSD, Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE). The sample inclu…
Effectiveness of written exposure therapy for posttraumatic stress disorder in the Department of Veterans Affairs Healthcare System
WET was an effective approach across a range of patient characteristics in this sample of veterans with PTSD. WET was also effective whether delivered in-person or via telehealth. WET is a promising treatment option for veteran patients in VA clinical care settings. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
Temporary PTSD symptom increases among individuals receiving CPT in a hybrid effectiveness-implementation trial
The rates of symptom increases, which were higher than in previous studies, may be attributed to a routine care sample or to the differences in session timing and measurement. These results add to a nascent literature documenting that symptom increases may be a normal, transient part of treatment that do not impact a patient's ability to have symptom improvement during a course of CPT. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
Iterative Decision‐making for Evaluation of Adaptations (Idea)
BACKGROUND: Evidence-based practices (EBPs) are frequently adapted to maximize outcomes while maintaining fidelity to core EBP elements. Many step-by-step frameworks for adapting EBPs have been developed, but these models may not account for common complexities in the adaptation process. In this paper, we introduce the Iterative Decision-making for Evaluation of Adaptations (IDEA), a tool to guide adaptations that addresses these issues. FRAMEWOR…
An intervention mapping process to increase evidence-based psychotherapy within a complex healthcare system
In response to recommendations from the Special Committee on posttraumatic stress disorder (PTSD), the United States Department of Veterans Affairs, Veterans Health Administration (VHA) chartered a workgroup to identify strategies for improving the reach and fidelity of evidence-based psychotherapies (EBPs) implemented by VHA through clinician training initiatives. The workgroup, which comprised stakeholders in a variety of roles within the VHA, …
Expanding the reach of psychological science through implementation science
Implementation science is the study of methods to promote the systematic uptake of effective practices into routine care settings with the broad goal of ensuring that scientific discoveries realize their potential and improve people's lives. As a field, implementation science includes three primary foci: (a) understanding the context in which individuals will implement practices that have a strong, established evidence base; (b) developing implem…
The FRAME
BACKGROUND: This paper describes the process and results of a refinement of a framework to characterize modifications to interventions. The original version did not fully capture several aspects of modification and adaptation that may be important to document and report. Additionally, the earlier framework did not include a way to differentiate cultural adaptation from adaptations made for other reasons. Reporting additional elements will allow f…
Treatment selection among posttraumatic stress disorder (PTSD) specialty care providers in the Veterans Health Administration
Provider decision making has been understudied in implementation science. Although prior research has emphasized the role of organizational context in EBP reach, our findings suggest that other factors are salient when decisions are made at the level of the individual patient. Results suggest that increased attention to treatment selection and focused training in use of decision aids and shared decision making may have utility in increasing uptak…
Feasibility of a 3-week intensive treatment program for service members and veterans with PTSD
The present study demonstrates that ITP formats for PTSD are of interest and acceptable to veterans, and this format allows individuals to receive high doses of evidence-based treatments in a short amount of time. (PsycInfo Database Record (c) 2020 APA, all rights reserved)
The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care
There is strong interest in implementation science to address the gap between research and practice in public health. Research on the sustainability of evidence-based interventions has been growing rapidly. Sustainability has been defined as the continued use of program components at sufficient intensity for the sustained achievement of desirable program goals and population outcomes. This understudied area has been identified as one of the most …
VA residential treatment providers’ use of two evidence-based psychotherapies for PTSD
These findings highlight the importance of understanding the modifications that providers make to EBPs and suggest the importance of flexibility within fidelity to these treatments. (PsycINFO Database Record
Delivering cognitive processing therapy in a community health setting
Despite the applicability of cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) to addressing sequelae of a range of traumatic events, few studies have evaluated whether the treatment itself is applicable across diverse populations. The present study examined differences and similarities among non-Latino, Latino Spanish-speaking, and Latino English-speaking clients in rigid beliefs-or "stuck points"-associated with PTSD s…
Development of a framework and coding system for modifications and adaptations of evidence-based interventions
BACKGROUND: Evidence-based interventions are frequently modified or adapted during the implementation process. Changes may be made to protocols to meet the needs of the target population or address differences between the context in which the intervention was originally designed and the one into which it is implemented [Addict Behav 2011, 36(6):630-635]. However, whether modification compromises or enhances the desired benefits of the interventio…
VHA Primary Care Providers’ Perspectives on Screening Female Veterans for Intimate Partner Violence
The sustainability of new programs and innovations
Developing Research and Recruitment While Fostering Stakeholder Engagement in a National Institutes of Mental Health-Funded Interventions and Practice Research Infrastructure Programs Grant for Depres…
Background: In the context of a National Institutes of Mental Health-funded Interventions and Practice Research Infrastructure Programs (IP-RISP) grant for the treatment of depression, a partnership was developed between a community mental health organization and a team of researchers
Word Use in the Poetry of Suicidal and Nonsuicidal Poets
OBJECTIVE: The purpose of this study was to determine whether distinctive features of language could be discerned in the poems of poets who committed suicide and to test two suicide models by use of a text-analysis program. METHOD: Approximately 300 poems from the early, middle, and late periods of nine suicidal poets and nine nonsuicidal poets were compared by use of the computer text analysis program, Linguistic Inquiry and Word Count (LIWC). L…
Iterative Decision‐making for Evaluation of Adaptations (Idea)
BACKGROUND: Evidence-based practices (EBPs) are frequently adapted to maximize outcomes while maintaining fidelity to core EBP elements. Many step-by-step frameworks for adapting EBPs have been developed, but these models may not account for common complexities in the adaptation process. In this paper, we introduce the Iterative Decision-making for Evaluation of Adaptations (IDEA), a tool to guide adaptations that addresses these issues. FRAMEWOR…
VHA Primary Care Providers’ Perspectives on Screening Female Veterans for Intimate Partner Violence
An intervention mapping process to increase evidence-based psychotherapy within a complex healthcare system
In response to recommendations from the Special Committee on posttraumatic stress disorder (PTSD), the United States Department of Veterans Affairs, Veterans Health Administration (VHA) chartered a workgroup to identify strategies for improving the reach and fidelity of evidence-based psychotherapies (EBPs) implemented by VHA through clinician training initiatives. The workgroup, which comprised stakeholders in a variety of roles within the VHA, …
Expanding the reach of psychological science through implementation science
Implementation science is the study of methods to promote the systematic uptake of effective practices into routine care settings with the broad goal of ensuring that scientific discoveries realize their potential and improve people's lives. As a field, implementation science includes three primary foci: (a) understanding the context in which individuals will implement practices that have a strong, established evidence base; (b) developing implem…
Word Use in the Poetry of Suicidal and Nonsuicidal Poets
OBJECTIVE: The purpose of this study was to determine whether distinctive features of language could be discerned in the poems of poets who committed suicide and to test two suicide models by use of a text-analysis program. METHOD: Approximately 300 poems from the early, middle, and late periods of nine suicidal poets and nine nonsuicidal poets were compared by use of the computer text analysis program, Linguistic Inquiry and Word Count (LIWC). L…
Developing Research and Recruitment While Fostering Stakeholder Engagement in a National Institutes of Mental Health-Funded Interventions and Practice Research Infrastructure Programs Grant for Depres…
Background: In the context of a National Institutes of Mental Health-funded Interventions and Practice Research Infrastructure Programs (IP-RISP) grant for the treatment of depression, a partnership was developed between a community mental health organization and a team of researchers
The sustainability of new programs and innovations
Development of a framework and coding system for modifications and adaptations of evidence-based interventions
BACKGROUND: Evidence-based interventions are frequently modified or adapted during the implementation process. Changes may be made to protocols to meet the needs of the target population or address differences between the context in which the intervention was originally designed and the one into which it is implemented [Addict Behav 2011, 36(6):630-635]. However, whether modification compromises or enhances the desired benefits of the interventio…
VHA Primary Care Providers’ Perspectives on Screening Female Veterans for Intimate Partner Violence
Delivering cognitive processing therapy in a community health setting
Despite the applicability of cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) to addressing sequelae of a range of traumatic events, few studies have evaluated whether the treatment itself is applicable across diverse populations. The present study examined differences and similarities among non-Latino, Latino Spanish-speaking, and Latino English-speaking clients in rigid beliefs-or "stuck points"-associated with PTSD s…
VA residential treatment providers’ use of two evidence-based psychotherapies for PTSD
These findings highlight the importance of understanding the modifications that providers make to EBPs and suggest the importance of flexibility within fidelity to these treatments. (PsycINFO Database Record
The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care
There is strong interest in implementation science to address the gap between research and practice in public health. Research on the sustainability of evidence-based interventions has been growing rapidly. Sustainability has been defined as the continued use of program components at sufficient intensity for the sustained achievement of desirable program goals and population outcomes. This understudied area has been identified as one of the most …
The FRAME
BACKGROUND: This paper describes the process and results of a refinement of a framework to characterize modifications to interventions. The original version did not fully capture several aspects of modification and adaptation that may be important to document and report. Additionally, the earlier framework did not include a way to differentiate cultural adaptation from adaptations made for other reasons. Reporting additional elements will allow f…
Treatment selection among posttraumatic stress disorder (PTSD) specialty care providers in the Veterans Health Administration
Provider decision making has been understudied in implementation science. Although prior research has emphasized the role of organizational context in EBP reach, our findings suggest that other factors are salient when decisions are made at the level of the individual patient. Results suggest that increased attention to treatment selection and focused training in use of decision aids and shared decision making may have utility in increasing uptak…
Feasibility of a 3-week intensive treatment program for service members and veterans with PTSD
The present study demonstrates that ITP formats for PTSD are of interest and acceptable to veterans, and this format allows individuals to receive high doses of evidence-based treatments in a short amount of time. (PsycInfo Database Record (c) 2020 APA, all rights reserved)
Temporary PTSD symptom increases among individuals receiving CPT in a hybrid effectiveness-implementation trial
The rates of symptom increases, which were higher than in previous studies, may be attributed to a routine care sample or to the differences in session timing and measurement. These results add to a nascent literature documenting that symptom increases may be a normal, transient part of treatment that do not impact a patient's ability to have symptom improvement during a course of CPT. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
Iterative Decision‐making for Evaluation of Adaptations (Idea)
BACKGROUND: Evidence-based practices (EBPs) are frequently adapted to maximize outcomes while maintaining fidelity to core EBP elements. Many step-by-step frameworks for adapting EBPs have been developed, but these models may not account for common complexities in the adaptation process. In this paper, we introduce the Iterative Decision-making for Evaluation of Adaptations (IDEA), a tool to guide adaptations that addresses these issues. FRAMEWOR…
An intervention mapping process to increase evidence-based psychotherapy within a complex healthcare system
In response to recommendations from the Special Committee on posttraumatic stress disorder (PTSD), the United States Department of Veterans Affairs, Veterans Health Administration (VHA) chartered a workgroup to identify strategies for improving the reach and fidelity of evidence-based psychotherapies (EBPs) implemented by VHA through clinician training initiatives. The workgroup, which comprised stakeholders in a variety of roles within the VHA, …
Expanding the reach of psychological science through implementation science
Implementation science is the study of methods to promote the systematic uptake of effective practices into routine care settings with the broad goal of ensuring that scientific discoveries realize their potential and improve people's lives. As a field, implementation science includes three primary foci: (a) understanding the context in which individuals will implement practices that have a strong, established evidence base; (b) developing implem…
Effectiveness of written exposure therapy for posttraumatic stress disorder in the Department of Veterans Affairs Healthcare System
WET was an effective approach across a range of patient characteristics in this sample of veterans with PTSD. WET was also effective whether delivered in-person or via telehealth. WET is a promising treatment option for veteran patients in VA clinical care settings. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
Assessment of modifications to evidence-based psychotherapies using administrative and chart note data from the US department of veterans affairs health care system
Background The US Department of Veterans Affairs (VA) has over 15 years of experience in delivery of evidence-based psychotherapies (EBPs). This paper describes strategies for using clinical documentation and administrative data to understand adherence and modifications to EBPs for Posttraumatic Stress Disorder (PTSD). Methods This study focused on two EBPs for PTSD, Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE). The sample inclu…
Elucidating the Elements of Clinical Case Consultation in Cognitive Processing Therapy
Research shows the value of consultation following training in Cognitive Processing Therapy (CPT), a frontline psychotherapy for posttraumatic stress disorder; however, the elements of successful CPT consultation are not delineated. This study’s aim was to elucidate the elements of successful consultation in CPT. Participants ( N = 41) were mental health clinicians, including psychologists, social workers, nurses, and psychiatrists, and consultan…
A Comparison of Pragmatic and Scalable Strategies to Assess Fidelity to Cognitive Processing Therapy in Routine Care Settings
What Matters in Sustaining Peer Support for Adults in Mental Health Services? Exploring the Perceptions of Diverse Actors
Psychometric properties of the Oppression-Based Traumatic Stress Inventory and measurement equivalence across PTSD treatment and diverse undergraduate samples
Our findings strengthen the psychometric evidence supporting this novel measure of oppression-based traumatic stress, an important step in furthering intersectional research on this topic. (PsycInfo Database Record (c) 2026 APA, all rights reserved)
Key considerations for patient choice and development of alternatives
This commentary considers some of the issues raised by Rubenstein et al. (2024) using the framework of shared decision making and suggests next steps for research that will improve our ability to identify treatment approaches that will best support individual recovery. We highlight points of agreement with the authors, including the importance of treatment acceptability, but underscore the importance of simultaneously considering the strength of …
Medicine (15 obras) · Psychology (14 obras) · Posttraumatic Stress Disorder Research (10 obras) · Psychiatry (10 obras) · Health care (9 obras) · Health Policy Implementation Science (9 obras) · Psychological intervention (9 obras) · Nursing (8 obras) · MEDLINE (7 obras) · Political science (7 obras)