Name
A Pragmatic Trial of Brief CBT for Anxiety in Primary Care
Description

This presentation will review methods and outcomes from a multisite trial that examined the effectiveness and implementation potential of a brief cognitive behavioral therapy(bCBT) intervention for anxiety delivered either in-person or via video telehealth. Brief CBT was delivered by existing Primary Care Mental Health Integration (PCMHI) providers at three large VA Medical Centers (Houston, New Orleans, and San Antonio). Outcomes examined the clinical effectiveness of the bCBT intervention vs. Enhanced Usual Care (EUC) for anxiety at 4-, 8-, and 12-month follow-ups.

Speakers
Jeffrey Cully, PhD
Co-Authors
Terri Fletcher, PhD; Darius Dawson, PhD; Shubhada Sansgiry PhD
Content Level
Intermediate
Tags
Primary Care Behavioral Health Model, Telehealth
Session Type
Poster
Objective 1
At the conclusion of this presentation, learners will have knowledge about hybrid effectiveness-implementation designs that hold the potential to more rapidly transfer research into clinical practice.
Objective 2
Learners will understand the clinical innovation and methods associated with the use of a brief CBT for anxiety manualized treatement.
Objective 3
Learners will have knowledge about outcomes from the brief CBT for anxiety multisite clinical trial and how that data can inform clinical practice and other next steps.
Content Reference 1

Shepardson, R. L., Fletcher, T. L., Funderburk, J. S., Weisberg, R. B., Beehler, G. P., & Maisto, S. A. (2023). Barriers to and facilitators of using evidence-based, cognitive-behavioral anxiety interventions in integrated primary care practice. Psychological Services, 20, 709-722. doi:10.1037/ser0000696. PMID: 35951391. PMCID: PMC10166237.

Content Reference 2

Plasencia, M., Chen, P. V., Hundt, N. E., Kunik, M. E., Giardina, T. D. & Fletcher, T. L. (2025). Mental health provider knowledge and attitudes toward diagnosing anxiety disorders in the Veterans Health Administration. Journal of Clinical Psychology in Medical Settings, 32, 253–265. doi: 10.1007/s10880-024-10060-2. PMID: 39676136.

Content Reference 3

Cully, J. A., Hundt, N. E., Fletcher, T., Sansgiry, S., Zeno, D., Kauth, M. R., Kunik, M. E., & Sorocco, K. (2024). Brief Cognitive-Behavioral Therapy for Depression in Community Clinics: A Hybrid Effectiveness-Implementation Trial. Psychiatric Services (Washington, D.C.), 75(3), 237–245. https://doi.org/10.1176/appi.ps.20220582. PMID: 37674395.

Content Reference 4

Mignogna, J., Boykin, D., Gonzalez, R. D., Robinson, A., Zeno, D., Sansgiry, S., Broderick-McDaniel, J., Roberson, R. B., Sorocco, K., & Cully, J. A. (2023). Expanding access to evidence-based psychotherapy in VA settings: Implementation of the brief cognitive behavioral therapy for depression program. Frontiers in Health Services, 3, 1210286. https://doi.org/10.3389/frhs.2023.1210286. PMID: 37908557. PMCID: PMC10614153.