TY - JOUR
KW - Guideline Adherence
KW - integrated primary care
KW - Mental Health Services
KW - Primary Health Care
KW - Program Evaluation
AU - G. P. Beehler
AU - J. S. Funderburk
AU - P. R. King
AU - K. Possemato
AU - J. A. Maddoux
AU - W. R. Goldstein
AU - M. Wade
A1 - 
AB - This study aimed to validate the factor structure of the expanded Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ-2), which is designed to assess provider fidelity to both the Primary Care Behavioral Health (PCBH) and collaborative care management (CCM) models of integrated primary care. Two-hundred fifty-three integrated care providers completed self-reports of professional background, perceptions of clinic integration and related practice barriers, and the PPAQ-2. Confirmatory factor analyses were conducted to assess the theorized factor structure and criterion validity was assessed through correlational analysis. Factor analyses demonstrated adequate fit with the data and acceptable to excellent composite reliabilities across five PCBH domains and five CCM domains. Validity was demonstrated by correlations between adherence scores and measures of clinic integration and barriers to fidelity. The PPAQ-2 is a psychometrically sound measure that can be used in future integrated care dismantling studies to identify provider behaviors that best predict patient outcomes.
AD - VA Center for Integrated Healthcare (116N), VA WNY Healthcare System, 3495 Bailey Ave, Buffalo, NY, 14215, USA. gregory.beehler@va.gov.; School of Public Health and Health Professions, University at Buffalo, The State University of New York, Buffalo, NY, USA. gregory.beehler@va.gov.; VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY, USA.; Department of Psychology, Syracuse University, Syracuse, NY, USA.; Department of Psychiatry, University of Rochester, Rochester, NY, USA.; VA Center for Integrated Healthcare (116N), VA WNY Healthcare System, 3495 Bailey Ave, Buffalo, NY, 14215, USA.; Department of Counseling, School, and Educational Psychology, University at Buffalo, The State University of New York, Buffalo, NY, USA.; VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY, USA.; Department of Psychology, Syracuse University, Syracuse, NY, USA.; Department of Psychiatry, University of Rochester, Rochester, NY, USA.; Harry S. Truman Memorial Veterans' Hospital, Columbia, MO, USA.; VA Center for Integrated Healthcare (116N), VA WNY Healthcare System, 3495 Bailey Ave, Buffalo, NY, 14215, USA.; VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY, USA.
BT - Journal of clinical psychology in medical settings
C5 - General Literature
CP - 1
CY - United States
DO - 10.1007/s10880-019-09628-0
IS - 1
JF - Journal of clinical psychology in medical settings
M1 - Journal Article
N2 - This study aimed to validate the factor structure of the expanded Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ-2), which is designed to assess provider fidelity to both the Primary Care Behavioral Health (PCBH) and collaborative care management (CCM) models of integrated primary care. Two-hundred fifty-three integrated care providers completed self-reports of professional background, perceptions of clinic integration and related practice barriers, and the PPAQ-2. Confirmatory factor analyses were conducted to assess the theorized factor structure and criterion validity was assessed through correlational analysis. Factor analyses demonstrated adequate fit with the data and acceptable to excellent composite reliabilities across five PCBH domains and five CCM domains. Validity was demonstrated by correlations between adherence scores and measures of clinic integration and barriers to fidelity. The PPAQ-2 is a psychometrically sound measure that can be used in future integrated care dismantling studies to identify provider behaviors that best predict patient outcomes.
PP - United States
PY - 2020
SN - 1573-3572; 1068-9583
SP - 158
EP - 172
EP - 
T1 - Validation of an Expanded Measure of Integrated Care Provider Fidelity: PPAQ-2
T2 - Journal of clinical psychology in medical settings
TI - Validation of an Expanded Measure of Integrated Care Provider Fidelity: PPAQ-2
U1 - General Literature
U2 - 31104249
U3 - 10.1007/s10880-019-09628-0
VL - 27
VO - 1573-3572; 1068-9583
Y1 - 2020
Y2 - Mar
ER -