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PTSD treatment recall study: fewer than one-third accurately described their assigned option

PTSD treatment recall study: fewer than one-third accurately described their assigned option
Photo by Giuseppe Argenziano / Unsplash
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.

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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