Evidence map›Paper›PMID 36849471›Full record

ArticleAnnals of family medicine2023

Study What You Do: Developing a Psychotherapy Tracking Database in a Large-Scale Integrated Behavioral Health Service.

Anne I Roche, Samuel T Savitz, Sydney S Kelpin, Jocelyn Lebow, Nathaniel Lombardi, Olivia E Bogucki, Aaron A Kurtzhals, Maureen S Drews, Sarah T Trane, Jay-Sheree Allen and 2 more

Abstract read
In one paragraph

Article in Annals of family medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Anne I RocheDivision of Integrated Behavioral Health, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota roche.anne@mayo.edu.
Samuel T SavitzRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota.
Sydney S KelpinDivision of Integrated Behavioral Health, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota.
Jocelyn LebowDivision of Integrated Behavioral Health, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota.
Nathaniel LombardiDivision of Integrated Behavioral Health, Mayo Clinic Health System, Albert Lea, Minnesota.
Olivia E BoguckiDivision of Integrated Behavioral Health, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota.
Aaron A KurtzhalsResearch Application Solutions, Mayo Clinic, Rochester, Minnesota.
Maureen S DrewsResearch Application Solutions, Mayo Clinic, Rochester, Minnesota.
Sarah T TraneDivision of Integrated Behavioral Health, Mayo Clinic Health System, La Crosse, Wisconsin.
Jay-Sheree AllenDepartment of Family Medicine, Mayo Clinic, Rochester, Minnesota.
Mark D WilliamsDivision of Integrated Behavioral Health, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota.
Craig N SawchukDivision of Integrated Behavioral Health, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMany individuals with behavioral health challenges receive services in primary care, and integrated behavioral health (IBH) programs can help increase access to evidence-based interventions. IBH programs can benefit substantially from integrating standardized tracking databases that allow for the implementation of measurement-based care to evaluate patient-, clinician-, and practice-level outcomes. We describe the development and integration of Mayo Clinic's pediatric and adult primary care psychotherapy tracking database.

methodsIBH practice leaders directed the development of a large psychotherapy tracking database that continuously populates from Mayo Clinic's electronic health record system. The database captures numerous patient variables including demographics, behavioral health and substance use issues, psychotherapy principles used, and self-reported symptoms. We retrieved current data for patients empaneled in Mayo Clinic's pediatric and adult primary care psychotherapy programs from June 2014 to June 2022.

resultsThe tracking database contained data for 16,923 adult patients and 6,298 pediatric patients. The mean age of adult patients was 43.2 years (SD 18.3), 88.1% were non-Latine White, and 66.7% identified as female. The mean age of pediatric patients was 11.6 years (SD 4.2), 82.5% were non-Latine White, and 56.9% identified as female. We provide examples of practical applications of the database across clinical, educational, research, and administrative domains.

conclusionsThe development and integration of a psychotherapy tracking database supports clinician communication, examination of patient outcomes, practice quality improvement efforts, and clinically relevant research. Our description of Mayo Clinic's IBH database may serve as a model for other IBH practices.

Indexed as

CommunicationHealth ServicesAdultChildDatabases, FactualEducational StatusFemaleHumansPsychotherapyelectronic health recordshealth informaticshealth metricsintegrated behavioral healthmeasurement-based caremental healthmultidisciplinary researchpatient care teampopulation healthprimary carepsychotherapyquality improvement

Identifiers

PMID36849471
PMCPMC9970678

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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.