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Implementing measurement based care in community mental health: a description of tailored and standardized methods.
Lewis, Cara C; Puspitasari, Ajeng; Boyd, Meredith R; Scott, Kelli; Marriott, Brigid R; Hoffman, Mira; Navarro, Elena; Kassab, Hannah.
Afiliación
  • Lewis CC; Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101, USA. lewis.cc@ghc.org.
  • Puspitasari A; Department of Psychological and Brain Sciences, Indiana University, 1101 East 10th St, Bloomington, IN, 47401, USA. lewis.cc@ghc.org.
  • Boyd MR; Department of Psychiatry and Behavioral Sciences, Harborview Medical Center, University of Washington, 325 9th Ave, Box 354946, Seattle, WA, 98104, USA. lewis.cc@ghc.org.
  • Scott K; Department of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
  • Marriott BR; Department of Psychological and Brain Sciences, Indiana University, 1101 East 10th St, Bloomington, IN, 47401, USA.
  • Hoffman M; Department of Psychological and Brain Sciences, Indiana University, 1101 East 10th St, Bloomington, IN, 47401, USA.
  • Navarro E; Department of Psychological Sciences, University of Missouri, 210 McAlester Hall, Columbia, MO, 65211, USA.
  • Kassab H; Centerstone Research Institute, 409 West 1st St, Bloomington, IN, 47403, USA.
BMC Res Notes ; 11(1): 76, 2018 Jan 27.
Article en En | MEDLINE | ID: mdl-29374497
OBJECTIVE: Although tailored implementation methods are touted as superior to standardized, few researchers have directly compared the two and little guidance regarding the specific details of each method exist. Our study compares these methods in a dynamic cluster randomized trial seeking to optimize implementation of measurement based care (MBC) for depression in community behavioral health. This specific manuscript provides a detailed, replicable account of the components of each multi-faceted implementation method. RESULTS: The standardized best practice method includes training, consultation, a clinical guideline, and electronic health record enhancements with the goal to optimize the delivery of MBC with fidelity. Conversely, the tailored, customized and collaborative method is informed by recent implementation science advancements and begins with a needs assessment, followed by tailored training that feeds back barriers data to clinicians, the formation of an implementation team, a clinician-driven clinic-specific guideline, and the use of fidelity data to inform implementation team activities; the goal of the tailored condition is to ensure the intervention and implementation strategies address unique factors of the context. The description of these methods will inform others seeking to implement MBC, as well as those planning to use standardized or tailored implementation methods for interventions beyond behavioral health.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Proyectos de Investigación / Servicios Comunitarios de Salud Mental / Implementación de Plan de Salud / Investigación sobre Servicios de Salud Tipo de estudio: Clinical_trials / Guideline / Prognostic_studies / Qualitative_research / Sysrev_observational_studies Aspecto: Implementation_research / Patient_preference Límite: Humans Idioma: En Revista: BMC Res Notes Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Proyectos de Investigación / Servicios Comunitarios de Salud Mental / Implementación de Plan de Salud / Investigación sobre Servicios de Salud Tipo de estudio: Clinical_trials / Guideline / Prognostic_studies / Qualitative_research / Sysrev_observational_studies Aspecto: Implementation_research / Patient_preference Límite: Humans Idioma: En Revista: BMC Res Notes Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido