Factors impacting trauma treatment practice patterns: the convergence/divergence of science and practice

Ginny Sprang, Carlton Craig, James Clark

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


OBJECTIVE: This study surveyed the practice patterns of behavioral health providers to determine the degree to which providers in this study utilized evidence-based approaches when dealing with traumatized individuals and the extent to which these practice methods vary as a result of population density or provider characteristics.

METHOD: A survey instrument was designed specifically for this study. The Trauma Practices Questionnaire (TPQ) a 22-item trauma treatment practice utilization scale was mailed to all licensed or certified behavioral health providers in a southern state (N=5752). Responses of 1121 professionals who represent seven disciplines are reported.

RESULTS: Gender and the acquisition of specialized trauma training impacted the way providers practice. Discipline-specific differences became statistically nonsignificant when controlling for gender. Several areas of guideline convergence were uncovered (e.g. the frequent use of CBT) as well as practices that were divergent from best practice recommendations, especially with regards to the use of psychopharmacological interventions.

CONCLUSIONS: Results highlight issues related to translational research dissemination and training practices, as well as factors that might affect clinician's acceptance of and compliance with evidence-based practices.

Original languageEnglish
Pages (from-to)162-74
Number of pages13
JournalJournal of Anxiety Disorders
Issue number2
StatePublished - 2008


  • Adult
  • Behavioral Medicine/education
  • Clonidine/therapeutic use
  • Cognitive Behavioral Therapy/methods
  • Female
  • Health Services Research
  • Humans
  • Logistic Models
  • Male
  • Physicians, Family/education
  • Population Density
  • Practice Guidelines as Topic/standards
  • Practice Patterns, Physicians'/statistics & numerical data
  • Psychiatry/education
  • Psychotherapy/methods
  • Psychotropic Drugs/therapeutic use
  • Rural Population
  • Science
  • Sex Factors
  • Stress Disorders, Post-Traumatic/diagnosis
  • Stress Disorders, Traumatic/diagnosis
  • Surveys and Questionnaires
  • Urban Population


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