Evidence map›Paper›PMID 31492096›Full record

ArticleBMC family practice2019

Designing the relational team development intervention to improve management of mental health in primary care using iterative stakeholder engagement.

Danielle F Loeb, Danielle M Kline, Kurt Kroenke, Cynthia Boyd, Elizabeth A Bayliss, Evette Ludman, L Miriam Dickinson, Ingrid A Binswanger, Samantha P Monson

Abstract read
In one paragraph

Article in BMC family practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

9 authors.

Danielle F LoebDivision of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Academic Office 1; Mailstop B180; 12631 East 17th Ave, Aurora, CO, 80045, USA. danielle.loeb@cuanschutz.edu.ORCID 0000-0003-1688-8799
Danielle M KlineDivision of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Academic Office 1; Mailstop B180; 12631 East 17th Ave, Aurora, CO, 80045, USA.
Kurt KroenkeIndiana University School of Medicine, Indianapolis, IN, USA.
Cynthia BoydJohn Hopkins University School of Medicine, Baltimore, MD, USA.
Elizabeth A BaylissKaiser Permanente Institute for Health Research, Aurora, CO, USA.
Evette LudmanKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
L Miriam DickinsonDepartment of Biostatistics & Informatics, Colorado School of Public Health; Department of Family Medicine, University of Colorado, Aurora, CO, USA.
Ingrid A BinswangerKaiser Permanente Institute for Health Research, Aurora, CO, USA.
Samantha P MonsonLowry Family Health Center, Denver Health, Denver, CO, USA.

Funding

Improving Primary Care Management of Complex Patients with Psychiatric IllnessK23MH100162 · NIMH · UNIVERSITY OF COLORADO DENVER · PI LOEB, DANIELLE · 2014 to 2017
$731k
NIMH NIH HHS K23 MH100162
6 · The paper itself

Abstract

backgroundTeam-based models of care are efficacious in improving outcomes for patients with mental and physical illnesses. However, primary care clinics have been slow to adopt these models. We used iterative stakeholder engagement to develop an intervention to improve the implementation of team-based care for this complex population.

methodsWe developed the initial framework for Relational Team Development (RELATED) from a qualitative study of Primary Care Providers' (PCPs') experiences treating mental illness and a literature review of practice facilitation and psychology clinical supervision. Subsequently, we surveyed 900 Colorado PCPs to identify factors associated with PCP self-efficacy in management of mental illness and team-based care. We then conducted two focus groups for feedback on RELATED. Lastly, we convened an expert panel to refine the intervention.

resultsWe developed RELATED, a two-part intervention delivered by a practice facilitator with a background in clinical psychology. The facilitator observes PCPs during patient visits and provides individualized coaching. Next, the facilitator guides the primary care team through a practice change activity with a focus on relational team dynamics.

conclusionThe iterative development of RELATED using stakeholder engagement offers a model for the development of interventions tailored to the needs of these stakeholders.

trial registrationNot applicable.

Indexed as

Stakeholder ParticipationAdultColoradoFemaleFocus GroupsHumansMaleMental DisordersMental Health ServicesPatient Care TeamPhysicians, Primary CarePrimary Health CareQuality Improvement

Identifiers

PMID31492096
PMCPMC6728939

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.