Collaborative planning approach to inform the implementation of a healthcare manager intervention for Hispanics with serious mental illness: a study protocol.
Collaborative planning approach to inform the implementation of a healthcare manager intervention for Hispanics with serious mental illness: a study protocol.
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DOI：
10.1186/1748-5908-6-80
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发表时间：
2011-07-26
期刊：
影响因子：
--
通讯作者：
Lewis-Fernández R
中科院分区：
文献类型：
--
作者：
Cabassa LJ;Druss B;Wang Y;Lewis-Fernández R
本研究描述了一种协作规划方法，该方法融合了基于社区的参与式研究（CBPR）和干预映射的原则，以修改医疗保健经理干预新的患者人群和提供者群体，并评估这种修改后的干预措施的可行性和可接受性，以改善西班牙裔严重精神疾病（SMI）和心血管疾病（CVD）风险的身体健康。拟议的研究使用多阶段方法，应用CBPR原则和干预映射步骤-干预规划方法-从干预规划到试点测试。在第一阶段，将组建一个由研究人员和利益攸关方组成的社区咨询委员会，学习和审查干预措施，并作出初步修改。第二阶段采用定性方法的组合-患者焦点小组和利益相关者访谈-以确保修改为所有利益相关者所接受。第三阶段使用第二阶段的结果进一步修改干预措施，制定实施计划，并对两名护理经理进行修改后的干预。第四阶段包括一项为期12个月的开放性试点研究（N = 30），以评估修改后的干预措施的可行性和可接受性，并探讨其初步效果。最后，第五阶段包括分析试点研究数据和准备今后的供资，以便对经修改的干预措施进行更严格的评价。这项拟议的研究是迄今为止为数不多的项目之一，旨在通过使用协作规划方法来提高有前途的医疗保健管理者干预的可运输性和使用率，重点改善患有SMI和有CVD风险的西班牙裔美国人的身体健康。这项研究说明了如何将健康差异研究和实施科学相结合，可以帮助减少弱势群体的医疗疾病负担。
This study describes a collaborative planning approach that blends principles of community-based participatory research (CBPR) and intervention mapping to modify a healthcare manager intervention to a new patient population and provider group and to assess the feasibility and acceptability of this modified intervention to improve the physical health of Hispanics with serious mental illness (SMI) and at risk for cardiovascular disease (CVD). The proposed study uses a multiphase approach that applies CBPR principles and intervention-mapping steps--an intervention-planning approach--to move from intervention planning to pilot testing. In phase I, a community advisory board composed of researchers and stakeholders will be assembled to learn and review the intervention and make initial modifications. Phase II uses a combination of qualitative methods--patient focus groups and stakeholder interviews--to ensure that the modifications are acceptable to all stakeholders. Phase III uses results from phase II to further modify the intervention, develop an implementation plan, and train two care managers on the modified intervention. Phase IV consists of a 12-month open pilot study (N = 30) to assess the feasibility and acceptability of the modified intervention and explore its initial effects. Lastly, phase V consists of analysis of pilot study data and preparation for future funding to develop a more rigorous evaluation of the modified intervention. The proposed study is one of the few projects to date to focus on improving the physical health of Hispanics with SMI and at risk for CVD by using a collaborative planning approach to enhance the transportability and use of a promising healthcare manager intervention. This study illustrates how blending health-disparities research and implementation science can help reduce the disproportionate burden of medical illness in a vulnerable population.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
4.5
作者：
Barrio, C;Yamada, AM;Russo, PA
通讯作者：
Russo, PA
DOI：
10.1097/med.0b013e32809f9531
发表时间：
2007-04-01
期刊：
Current opinion in endocrinology, diabetes, and obesity
影响因子：
--
作者：
Caballero, A Enrique
通讯作者：
Caballero, A Enrique
影响因子：
3.5
作者：
Castro, FG;Barrera, M;Martinez, CR
通讯作者：
Martinez, CR
DOI：
10.1093/jurban/jti066
发表时间：
2005-06-01
影响因子：
6.6
作者：
Dévieux, JG;Malow, RM;Jacobs, R
通讯作者：
Jacobs, R