Randomised controlled trial of interventions for bothersome tinnitus: Desyncra versus cognitive behavioural therapy.

Objective: Compare the relative efficacy of Desyncra and Cognitive Behavioural Therapy (CBT).

Design And Study Sample: Sixty-one participants were randomly assigned to receive either Desyncra ( = 29) or CBT ( = 32). Randomisation included stratification regarding current hearing aid (HA) use.

Trauma disclosure to health care professionals by veterans: clinical implications.

Trauma disclosure is the initial step toward healing trauma-related distress. This study used qualitative methods to better understand factors facilitating and inhibiting change in the disclosure process. Fifty-six veterans were interviewed about their disclosure experiences between August 2004 and 2005.

Collaborative care for chronic pain in primary care: a cluster randomized trial.

Context: Chronic pain is common in primary care patients and is associated with distress, disability, and increased health care use.

Objective: To assess whether a collaborative intervention can improve chronic pain-related outcomes, including comorbid depression severity, in a Department of Veterans Affairs primary care setting.

Design, Setting, And Participants: Cluster randomized controlled trial of a collaborative care assistance with pain treatment intervention vs treatment as usual at 5 primary care clinics of 1 Department of Veterans Affairs Medical Center.

Rationale, design, and baseline findings from a randomized trial of collaborative care for chronic musculoskeletal pain in primary care.

Objective: This article describes the rationale, design, and baseline findings from an ongoing study of collaborative care for chronic musculoskeletal pain and comorbid depression.

Design: Cluster randomized clinical trial.

Participants And Setting: Forty-two clinicians and 401 patients from five Veterans Affairs primary care clinics.

Veterans' disclosure of trauma to healthcare providers.

Objective: The purpose of this study is to gain a better understanding of patients' trauma disclosure to health professionals.

Method: A convenience sample of 173 veterans in outpatient treatment for posttraumatic stress disorder (PTSD) in the Veterans Health Administration completed surveys querying trauma history, reasons for trauma disclosure and perceived provider responses.

Results: For half of the participants, a healthcare provider was the first person to whom they disclosed.

Primary care provider preferences for working with a collaborative support team.

Background: Clinical interventions based on collaborative models require effective communication between primary care providers (PCPs) and collaborative support teams. Despite growing interest in collaborative care, we have identified no published studies describing how PCPs prefer to communicate and interact with collaborative support teams. This manuscript examines the communication and interaction preferences of PCPs participating in an ongoing randomized clinical trial of a collaborative intervention for chronic pain and depression.

How does coping help people resist lapses during smoking cessation?

Objectives: To determine whether types of coping strategies have differential effects on preventing lapses and lowering urge levels and to investigate mechanisms by which coping strategies prevent lapses during smoking cessation.

Design: Sixty-one respondents performed ecological momentary assessment using palm-top computers and tape recorders to report their coping strategies and urge levels before and after temptations to smoke. Multilevel linear regression models were used to compare the effects of individual strategy types with the average strategy.

Clinical Global Impression of Change in Physical Frailty: development of a measure based on clinical judgment.

Objectives: To expand the ability to assess physical frailty by developing a Clinical Global Impression of Change in Physical Frailty (CGIC-PF) instrument.

Design: Qualitative and quantitative instrument development.

Setting: Academic centers.