Evidence map›Paper›PMID 30729511›Full record

ArticleHealth services research2019

Measuring the integration of primary care and behavioral health services.

Daniel J Mullin, Lee Hargreaves, Andrea Auxier, Stephanie A Brennhofer, Juvena R Hitt, Rodger S Kessler, Benjamin Littenberg, C R Macchi, Matthew Martin, Gail Rose and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06018285 (Stepped Approach to Reducing Risk of Suicide in Primary Care), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06018285 narecruitingnot on this mapstarted 2023, after this paper: background citation

Stepped Approach to Reducing Risk of Suicide in Primary Care

TypeinterventionalSponsorCynthia FontanellaRan2023 to 2027Enrolled2,572ConditionsSuicidal Ideation, Suicide, Attempted, Suicide PreventionArmsStepped Approach to Reducing Risk of Suicide in Primary Care
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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  3. Degree of Behavioral Health Integration and Patient Outcomes.Journal of the American Board of Family Medicine : JABFM
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Daniel J MullinDepartment of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts.ORCID 0000-0001-7121-9403
Lee HargreavesDepartment of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts.
Andrea AuxierNew Directions Behavioral Health, Kansas City, Missouri.
Stephanie A BrennhoferIntegrated Behavioral Health Programs, College of Health Solutions, Arizona State University, Phoenix, Arizona.
Juvena R HittUniversity of Vermont, Burlington, Vermont.
Rodger S KesslerIntegrated Behavioral Health Programs, College of Health Solutions, Arizona State University, Phoenix, Arizona.
Benjamin LittenbergUniversity of Vermont, Burlington, Vermont.
C R MacchiIntegrated Behavioral Health Programs, College of Health Solutions, Arizona State University, Phoenix, Arizona.
Matthew MartinIntegrated Behavioral Health Programs, College of Health Solutions, Arizona State University, Phoenix, Arizona.
Gail RoseUniversity of Vermont, Burlington, Vermont.
Felicia TrembathIntegrated Behavioral Health Programs, College of Health Solutions, Arizona State University, Phoenix, Arizona.
Constance van EeghenUniversity of Vermont, Burlington, Vermont.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo perform a factor analysis of the Practice Integration Profile (PIP), a 30-item practice-level measure of primary care and behavioral health integration derived from the Agency for Healthcare Research and Quality's Lexicon for Behavioral Health and Primary Care Integration. DATA SOURCES: The PIP was completed by 735 individuals, representing 357 practices across the United States. STUDY

designThe study design was a cross-sectional survey. An exploratory factor analysis and assessment of internal consistency reliability via Cronbach's alpha were performed. DATA COLLECTION

methodsParticipant responses were collected using REDCap, a secure, web-based data capture tool. PRINCIPAL

findingsFive of the PIP's six domains had factor loadings for most items related to each factor representing the PIP of 0.50 or greater. However, one factor had items from two PIP domains that had loadings >0.50. A five-factor model with redistributed items resulted in improved factor loadings for all domains along with greater internal consistency reliability (>0.80).

conclusionsFive of the PIP's six domains demonstrated excellent internal consistency for measures of health care resources. Although minor improvements to strengthen the PIP are possible, it is a valid and reliable measure of the integration of primary care and behavioral health.

Indexed as

Systems IntegrationCooperative BehaviorCross-Sectional StudiesFactor Analysis, StatisticalHealth Care SurveysHealth Services ResearchHumansMental Health ServicesPatient Care TeamPrimary Health CarePsychometricsReproducibility of ResultsUnited Statescollaborative careintegrated behavioral healthintegrated primary careprimary care behavioral healthpsychometrics

Identifiers

PMID30729511
PMCPMC6407343

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.