{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T14:41:38Z","timestamp":1786545698878,"version":"build-2736575974"},"reference-count":29,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"unspecified","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Stiftung Allgemeinmedizin","award":["1000\u20ac"],"award-info":[{"award-number":["1000\u20ac"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,7,27]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Symptoms of post-traumatic stress disorder (PTSD) are prevalent in primary care (PC). Therapeutic needs are not always met. In the multicentred, randomised-controlled PTSD after Intensive Care Unit Survival (PICTURE) trial, patients with mild to moderate symptoms of PTSD following intensive care received a short-term intervention based on narrative exposure therapy (NET-PC) by their general practitioner (GP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the acceptance of NET-PC by participating GPs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design, setting and participants<\/jats:title>\n                    <jats:p>We conducted semi-structured telephone interviews with GPs who had performed NET-PC within the PICTURE trial. The interview guide was based on the Theoretical Framework of Acceptance. The interviews were recorded, transcribed and analysed using qualitative content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We analysed 15 telephone interviews averaging 51\u2009min in length. The interviews revealed varying perceptions of the frequency and relevance of mild to moderate symptoms of PTSD. Those who saw it as relevant were ready to implement NET-PC despite its high organisational and time commitment. Challenges arose from GPs\u2019 lack of experience with psychotherapeutic interventions, including dealing with strong emotional reactions from patients, and from the difficulty of scheduling longer consultations into routine practice. Suggested support included validated screening tools, training opportunities and psychotherapeutic supervision. Furthermore, NET-PC should only be offered at the GPs\u2019 discretion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>From the interviewees\u2019 perspective, NET-PC is feasible for use in general practice. The identified challenges could be addressed by enhanced training and supervision and adequate funding for consultations. A NET-based intervention may be feasible in general practice for patients suffering from mild to moderate symptoms of PTSD after intensive care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"clintrialgov\" xlink:href=\"NCT03315390\">NCT03315390<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-111473","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T13:45:11Z","timestamp":1786542311000},"page":"e111473","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Acceptance of a general practitioner-led narrative exposure intervention on post-traumatic stress symptoms after intensive care: a qualitative interview study with providers"],"prefix":"10.1136","volume":"16","clinical-trial-number":[{"clinical-trial-number":"nct03315390","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Tomke Maria","family":"Schubert","sequence":"first","affiliation":[{"name":"Institute of General Practice, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Heintze","sequence":"additional","affiliation":[{"name":"Institute of General Practice, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jochen","family":"Gensichen","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Family Medicine, LMU Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antina","family":"Beutel","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Family Medicine, LMU Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelia","family":"W\u00e4scher","sequence":"additional","affiliation":[{"name":"Institute of General Practice, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris Maria","family":"Friemel\u00b2","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Family Medicine, LMU Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert P","family":"Kosilek","sequence":"additional","affiliation":[{"name":"Institute of General 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