Using the collaborative intervention planning framework to adapt a health-care manager intervention to a new population and provider group to improve the health of people with serious mental illness

Implementation Science

Roberto Lewis-Fernández¹  Yamira Manrique³  Juana Alvarez²  Dianna Dragatsi²  Richard Younge¹  Lucia Capitelli²  Quisqueya Meyreles²  Arminda P Gomes³  Leopoldo J Cabassa² 

[1] Columbia University Medical Center, 100 Haven Suite 27C, New York 10032, NY, USA;New York State Psychiatric Institute, Room 3206, Unit 69, 1051 Riverside Drive, New York 10036, NY, USA;School of Social Work, Columbia University, 1255 Amsterdam Avenue, New York 10027, NY, USA

关键词: Health disparities;    Health-care managers;    Serious mental illness;    Implementation science;    Community engagement;    Intervention adaptation;   

Others  :  1137073
DOI  :  10.1186/s13012-014-0178-9

 received in 2014-09-02, accepted in 2014-11-17,  发布年份 2014

【 摘 要 】

Background

Health-care manager interventions improve the physical health of people with serious mental illness (SMI) and could be widely implemented in public mental health clinics. Local adaptations and customization may be needed to increase the reach of these interventions in the public mental health system and across different racial and ethnic communities. In this study, we describe how we used the collaborative intervention planning framework to customize an existing health-care manager intervention to a new patient population (Hispanics with SMI) and provider group (social workers) to increase its fit with our local community.

Methods

The study was conducted in partnership with a public mental health clinic that serves predominantly Hispanic clients. A community advisory board (CAB) composed of researchers and potential implementers (e.g., social workers, primary care physicians) used the collaborative intervention planning framework, an approach that combines community-based participatory research principles and intervention mapping (IM) procedures, to inform intervention adaptations.

Results

The adaptation process included four steps: fostering collaborations between CAB members; understanding the needs of the local population through a mixed-methods needs assessment, literature reviews, and group discussions; reviewing intervention objectives to identify targets for adaptation; and developing the adapted intervention. The application of this approach enabled the CAB to identify a series of cultural and provider level-adaptations without compromising the core elements of the original health-care manager intervention.

Conclusions

Reducing health disparities in people with SMI requires community engagement, particularly when preparing existing interventions to be used with new communities, provider groups, and practice settings. Our study illustrates one approach that can be used to involve community stakeholders in the intervention adaptation process from the very beginning to enhance the transportability of a health-care manager intervention in order to improve the health of people with SMI.

【 授权许可】

   
2014 Cabassa et al.; licensee BioMed Central Ltd.

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