Skip to main content

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 respondentsRecommended facilitator
Commuting time to therapy center; distress caused by using public transport to therapy center; reachability of study siteFostering and providing internet-based or mobile-based interventions
Volume of questionnaires, duration of diagnostic appointmentsProviding 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 topicsProviding detailed psychoeducation on common patients‘ reactions to and risks and benefits of diagnostics; providing psychoeducation on PTSD symptoms and especially avoidance symptoms
Alternating interviewersEnsuring continuity of interviewers
Distress caused by fears about the results of diagnosticsElaborating possible risks and benefits of getting a mental health diagnosis
Video recordingsProviding detailed information on aims and purposes of video recordings; providing decision-making options
Difficulties in scheduling appointmentsOffering flexible time scheduling
Concerns about confidentialityProviding detailed information on legal and ethical requirements and possibilities