TY - JOUR
KW - Adolescent
KW - Adult
KW - Aged
KW - Depression/psychology/therapy
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Male
KW - Middle Aged
KW - Obesity/psychology/therapy
KW - Primary Health Care
KW - Public Health
AU - M. A. Lewis
AU - L. K. Wagner
AU - L. G. Rosas
AU - N. Lv
AU - E. M. Venditti
AU - L. E. Steinman
AU - B. J. Weiner
AU - J. D. Goldhaber-Fiebert
AU - M. B. Snowden
AU - J. Ma
A1 - 
AB - BACKGROUND: An integrated collaborative care intervention was used to treat primary care patients with comorbid obesity and depression in a randomized clinical trial. To increase wider uptake and dissemination, information is needed on translational potential. METHODS: The trial collected longitudinal, qualitative data at baseline, 6 months (end of intensive treatment), 12 months (end of maintenance treatment), and 24 months (end of follow-up). Semi-structured interviews (n = 142) were conducted with 54 out of 409 randomly selected trial participants and 37 other stakeholders, such as recruitment staff, intervention staff, and clinicians. Using a Framework Analysis approach, we examined themes across time and stakeholder groups according to the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework. RESULTS: At baseline, participants and other stakeholders reported being skeptical of the collaborative care approach related to some RE-AIM dimensions. However, over time they indicated greater confidence regarding the potential for future public health impact. They also provided information on barriers and actionable information to enhance program reach, effectiveness, adoption, implementation, and maintenance. CONCLUSIONS: RE-AIM provided a useful framework for understanding how to increase the impact of a collaborative and integrative approach for treating comorbid obesity and depression. It also demonstrates the utility of using the framework as a planning tool early in the evidence-generation pipeline.
AD - Center for Communication Science, RTI International, Seattle, WA, United States of America.; Center for Communication Science, RTI International, Research Triangle Park, NC, United States of America.; Department of Epidemiology and Population Health, Stanford School of Medicine, Palo Alto, CA, United States of America.; Institute of Health Research and Policy, University of Illinois at Chicago, Chicago, IL, United States of America.; Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States of America.; Health Promotion Research Center, University of Washington, Seattle, WA, United States of America.; Department of Global Health, University of Washington, Seattle, WA, United States of America.; Department of Health Services, University of Washington, Seattle, WA, United States of America.; Stanford Health Policy, Centers for Health Policy and Primary Care and Outcomes Research, Stanford University, Palo Alto, CA, United States of America.; Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, United States of America.; Institute of Health Research and Policy, University of Illinois at Chicago, Chicago, IL, United States of America.; Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, IL, United States of America.
BT - PloS one
C5 - Healthcare Disparities
CP - 3
DO - 10.1371/journal.pone.0248339
IS - 3
JF - PloS one
LA - eng
M1 - Journal Article
N2 - BACKGROUND: An integrated collaborative care intervention was used to treat primary care patients with comorbid obesity and depression in a randomized clinical trial. To increase wider uptake and dissemination, information is needed on translational potential. METHODS: The trial collected longitudinal, qualitative data at baseline, 6 months (end of intensive treatment), 12 months (end of maintenance treatment), and 24 months (end of follow-up). Semi-structured interviews (n = 142) were conducted with 54 out of 409 randomly selected trial participants and 37 other stakeholders, such as recruitment staff, intervention staff, and clinicians. Using a Framework Analysis approach, we examined themes across time and stakeholder groups according to the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework. RESULTS: At baseline, participants and other stakeholders reported being skeptical of the collaborative care approach related to some RE-AIM dimensions. However, over time they indicated greater confidence regarding the potential for future public health impact. They also provided information on barriers and actionable information to enhance program reach, effectiveness, adoption, implementation, and maintenance. CONCLUSIONS: RE-AIM provided a useful framework for understanding how to increase the impact of a collaborative and integrative approach for treating comorbid obesity and depression. It also demonstrates the utility of using the framework as a planning tool early in the evidence-generation pipeline.
PY - 2021
SN - 1932-6203; 1932-6203
T1 - Using RE-AIM to examine the potential public health impact of an integrated collaborative care intervention for weight and depression management in primary care: Results from the RAINBOW trial
T2 - PloS one
TI - Using RE-AIM to examine the potential public health impact of an integrated collaborative care intervention for weight and depression management in primary care: Results from the RAINBOW trial
U1 - Healthcare Disparities
U2 - 33705465
U3 - 10.1371/journal.pone.0248339
VL - 16
VO - 1932-6203; 1932-6203
Y1 - 2021
Y2 - Mar 11
ER -