Using the collaborative intervention planning framework to adapt a health-care manager intervention to a new population and provider group to improve the health of people with serious mental illness.
Using the collaborative intervention planning framework to adapt a health-care manager intervention to a new population and provider group to improve the health of people with serious mental illness.
复制标题
DOI：
10.1186/s13012-014-0178-9
复制
发表时间：
2014-11-30
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;Gomes AP;Meyreles Q;Capitelli L;Younge R;Dragatsi D;Alvarez J;Manrique Y;Lewis-Fernández R
卫生保健管理者干预措施改善了严重精神疾病患者的身体健康，可以在公共精神卫生诊所广泛实施。可能需要进行地方调整和定制，以增加这些干预措施在公共精神卫生系统和不同种族和族裔社区的覆盖面。在这项研究中，我们描述了我们如何使用的协作干预规划框架，定制现有的医疗保健经理干预新的患者人群（西班牙裔与SMI）和提供者群体（社会工作者），以增加其适合我们当地社区。这项研究是与一家主要为西班牙裔客户服务的公共心理健康诊所合作进行的。由研究人员和潜在实施者组成的社区咨询委员会（CAB）（例如，社会工作者，初级保健医生）使用协作干预计划框架，一种结合社区参与性研究原则和干预绘图（IM）程序的方法，为干预调整提供信息。适应过程包括四个步骤：促进CAB成员之间的合作;通过混合方法需求评估、文献审查和小组讨论了解当地人口的需求;审查干预目标以确定适应目标;制定适应干预措施。这种方法的应用使CAB能够确定一系列的文化和供应商层面的适应，而不损害原来的医疗保健管理者干预的核心要素。减少重度精神障碍患者的健康差距需要社区参与，特别是在准备将现有干预措施用于新社区、提供者群体和实践环境时。我们的研究说明了一种方法，可用于从一开始就参与干预适应过程中的社区利益相关者，以提高医疗保健管理者干预的可运输性，以改善SMI患者的健康。本文的在线版本（doi：10.1186/s13012-014-0178-9）包含补充材料，可供授权用户使用。
Health-care manager interventions improve the physical health of people with serious mental illness (SMI) and could be widely implemented in public mental health clinics. Local adaptations and customization may be needed to increase the reach of these interventions in the public mental health system and across different racial and ethnic communities. In this study, we describe how we used the collaborative intervention planning framework to customize an existing health-care manager intervention to a new patient population (Hispanics with SMI) and provider group (social workers) to increase its fit with our local community. The study was conducted in partnership with a public mental health clinic that serves predominantly Hispanic clients. A community advisory board (CAB) composed of researchers and potential implementers (e.g., social workers, primary care physicians) used the collaborative intervention planning framework, an approach that combines community-based participatory research principles and intervention mapping (IM) procedures, to inform intervention adaptations. The adaptation process included four steps: fostering collaborations between CAB members; understanding the needs of the local population through a mixed-methods needs assessment, literature reviews, and group discussions; reviewing intervention objectives to identify targets for adaptation; and developing the adapted intervention. The application of this approach enabled the CAB to identify a series of cultural and provider level-adaptations without compromising the core elements of the original health-care manager intervention. Reducing health disparities in people with SMI requires community engagement, particularly when preparing existing interventions to be used with new communities, provider groups, and practice settings. Our study illustrates one approach that can be used to involve community stakeholders in the intervention adaptation process from the very beginning to enhance the transportability of a health-care manager intervention in order to improve the health of people with SMI. The online version of this article (doi:10.1186/s13012-014-0178-9) contains supplementary material, which is available to authorized users.
登录
查看更多内容
DOI：
10.1186/1748-5908-6-80
发表时间：
2011-07-26
期刊：
Implementation science : IS
影响因子：
--
作者：
Cabassa LJ;Druss B;Wang Y;Lewis-Fernández R
通讯作者：
Lewis-Fernández R
影响因子：
1.9
作者：
Cabassa LJ;Molina GB;Baron M
通讯作者：
Baron M
影响因子：
1.4
作者：
Ell, Kathleen;Unutzer, Jurgen;Xie, Bin
通讯作者：
Xie, Bin
DOI：
10.1007/s10488-013-0524-2
发表时间：
2014-11-01
影响因子：
2.6
作者：
Cabassa, Leopoldo J.;Gomes, Arminda P.;Lewis-Fernandez, Roberto
通讯作者：
Lewis-Fernandez, Roberto
影响因子：
3.2
作者：
Cabassa LJ;Siantz E;Nicasio A;Guarnaccia P;Lewis-Fernández R
通讯作者：
Lewis-Fernández R