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PTSD treatment recall study: fewer than one-third accurately described their assigned optionLess than half of patients remember how well their PTSD treatments work

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Key Takeaway
Consider teach-back and written aids during PTSD psychoeducation, since most patients recall treatment details poorly.

Investigators examined how well adults screening positive for posttraumatic stress disorder (PTSD) retain information about treatment options after receiving standardized descriptions. The sample comprised 887 participants who were presented with descriptions of seven PTSD treatment options and asked to recall each treatment's effectiveness and whether it qualified as trauma-focused talk therapy.

Participants were additionally assigned a treatment and asked to write a brief description of it as though explaining the option to a loved one. Correlates of recall, including educational attainment and numeracy, were also assessed. The abstract does not describe the study as a randomized controlled trial; only the treatment assignment for the description task was randomized.

Recall was poor across measures. Accurate recall of treatment effectiveness was under 50%, and accurate identification of whether a treatment was trauma-focused talk therapy was under 75%. When participants attempted to describe their assigned treatment in their own words, only 31.8% produced an accurate description. The abstract does not report p-values, effect sizes, or subgroup breakdowns by educational attainment or numeracy.

Safety outcomes and adverse events are not applicable and were not reported, as this was an informational recall study rather than a treatment trial. Limitations include reliance on a single recall assessment and the absence of detail in the abstract about sampling frame, setting, or timing of recall testing. The authors conclude that patients retain little information about PTSD treatment options and highlight the need for strategies that strengthen memory and comprehension during psychoeducation and shared decision-making.

For clinicians, the findings argue for structured reinforcement, teach-back, and written aids when reviewing PTSD treatment choices, rather than relying on a single verbal description.

Imagine walking into a doctor's office with a serious condition like posttraumatic stress disorder, or PTSD. You leave with a plan, but what if you forget the most important details? In this study, researchers looked at what happens when patients are given information about seven different treatment options for PTSD. They asked these participants to remember what they learned and how effective they thought the treatments were.

The results were sobering. Less than 50% of the participants could recall how effective the treatments were. Even fewer, under 75%, could correctly identify which therapy focused on trauma. Only about 32% of the group could accurately describe the specific treatment they were assigned. These numbers show that simply handing out information is not enough to ensure patients understand their care.

The study did not report any safety issues or side effects because it focused on memory, not physical harm. However, the main limitation is that we do not yet know enough about whether patients can truly remember their treatment options. This uncertainty means we cannot assume patients are fully informed just because they received a pamphlet or a verbal explanation. The takeaway is clear: doctors and therapists must use special strategies to help patients remember their plans during psychoeducation and treatment planning.

What this means for you:
Most patients forget their PTSD treatment details, so providers must actively help them remember.

Study Details

Study typeRct
Sample sizen = 887
EvidenceLevel 2
PublishedApr 2026
View Original Abstract ↓
Research has shown that better recall for treatment information is related to improved adherence and outcomes in psychotherapy. There has been minimal research on whether patients are able to recall information about posttraumatic stress disorder (PTSD) treatment options. To address this gap, participants who screened positive for PTSD (N = 887) were provided with descriptions of seven treatment options and asked to recall each treatment's effectiveness and whether it was a trauma-focused talk therapy. Participants were also randomly assigned a treatment and asked to write a brief description of the treatment as if they were describing it to a loved one. Correlates of recall (educational attainment level, numeracy) were also assessed. The results revealed that recall for treatment effectiveness was under 50%. Participants' ability to accurately identify trauma-focused talk therapy was under 75%. Only 31.8% of participants described their assigned treatment accurately. These findings suggest that patients retain little information about treatment options and underscore the importance of using strategies to enhance patients' memory during psychoeducation and treatment planning.
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