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Table 5 Clinical recommendations for addressing respondents’ reported barriers

From: Challenges in recruiting and retaining adolescents with abuse-related posttraumatic stress disorder: lessons learned from a randomized controlled trial

Barrier reported by respondents

Recommended facilitator

Commuting time to therapy center; distress caused by using public transport to therapy center; reachability of study site

Fostering and providing internet-based or mobile-based interventions

Volume of questionnaires, duration of diagnostic appointments

Providing detailed information on aims and purposes of each assessment measure; providing decision-making options with regard to splitting parts of diagnostics on several appointments; providing detailed feedback on the results

Distress caused by having to talk about painful topics

Providing detailed psychoeducation on common patients‘ reactions to and risks and benefits of diagnostics; providing psychoeducation on PTSD symptoms and especially avoidance symptoms

Alternating interviewers

Ensuring continuity of interviewers

Distress caused by fears about the results of diagnostics

Elaborating possible risks and benefits of getting a mental health diagnosis

Video recordings

Providing detailed information on aims and purposes of video recordings; providing decision-making options

Difficulties in scheduling appointments

Offering flexible time scheduling

Concerns about confidentiality

Providing detailed information on legal and ethical requirements and possibilities