TY - JOUR
AU - D. F. Loeb
AU - D. M. Kline
AU - K. Kroenke
AU - C. Boyd
AU - E. A. Bayliss
AU - E. Ludman
AU - L. M. Dickinson
AU - I. A. Binswanger
AU - S. P. Monson
A1 - 
AB - BACKGROUND: Team-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. METHODS: We 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. RESULTS: We 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. CONCLUSION: The iterative development of RELATED using stakeholder engagement offers a model for the development of interventions tailored to the needs of these stakeholders. TRIAL REGISTRATION: Not applicable.
AD - Division 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.; Division 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.; Indiana University School of Medicine, Indianapolis, IN, USA.; John Hopkins University School of Medicine, Baltimore, MD, USA.; Kaiser Permanente Institute for Health Research, Aurora, CO, USA.; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA.; Department of Biostatistics & Informatics, Colorado School of Public Health; Department of Family Medicine, University of Colorado, Aurora, CO, USA.; Kaiser Permanente Institute for Health Research, Aurora, CO, USA.; Lowry Family Health Center, Denver Health, Denver, CO, USA.
BT - BMC family practice
C5 - Education & Workforce
CP - 1
CY - England
DO - 10.1186/s12875-019-1010-z
IS - 1
JF - BMC family practice
LA - eng
M1 - Journal Article
N2 - BACKGROUND: Team-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. METHODS: We 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. RESULTS: We 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. CONCLUSION: The iterative development of RELATED using stakeholder engagement offers a model for the development of interventions tailored to the needs of these stakeholders. TRIAL REGISTRATION: Not applicable.
PP - England
PY - 2019
SN - 1471-2296; 1471-2296
SP - 124
T1 - Designing the relational team development intervention to improve management of mental health in primary care using iterative stakeholder engagement
T2 - BMC family practice
TI - Designing the relational team development intervention to improve management of mental health in primary care using iterative stakeholder engagement
U1 - Education & Workforce
U2 - 31492096
U3 - 10.1186/s12875-019-1010-z
VL - 20
VO - 1471-2296; 1471-2296
Y1 - 2019
Y2 - Sep 6
ER -