Psychometric assessment of the Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ)

被引:34
作者
Beehler, Gregory P. [1 ,2 ,3 ]
Funderburk, Jennifer S. [4 ,5 ,6 ]
Possemato, Kyle [4 ,5 ]
Dollar, Katherine M. [1 ,3 ]
机构
[1] VA WNY Healthcare Syst, VA Ctr Integrated Healthcare, Buffalo, NY 14215 USA
[2] SUNY Buffalo, Sch Nursing, Buffalo, NY 14260 USA
[3] SUNY Buffalo, Sch Publ Hlth & Hlth Profess, Buffalo, NY 14260 USA
[4] Syracuse VA Med Ctr, VA Ctr Integrated Healthcare, Syracuse, NY USA
[5] Syracuse Univ, Dept Psychol, Syracuse, NY USA
[6] Univ Rochester, Dept Psychiat, Rochester, NY USA
关键词
Guideline adherence; Mental health services; Primary health care; Program evaluation; INTEGRATING MENTAL-HEALTH; COLLABORATIVE CARE; SERVICES; IMPLEMENTATION; DEPRESSION; CLINICS;
D O I
10.1007/s13142-013-0216-1
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Adherence to protocol among behavioral health providers working in co-located, collaborative care or Primary Care Behavioral Health settings has rarely been assessed due to limited measurement options. Development of psychometrically sound measures of provider fidelity may improve the translation of these service delivery models into every day practice. One hundred seventy-three integrated behavioral health providers in VA primary care clinics responded to an online questionnaire to assess the reliability and validity of the Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ). Psychometric assessment resulted in a reliable 48-item measure with two subscales that specified essential and prohibited provider behaviors. The PPAQ demonstrated strong convergent and divergent validity when compared to another measure of health care integration. Knowngroup comparisons provided partial support for criterion validity. The PPAQ is a reliable and valid selfreport of behavioral health provider fidelity with implications for improving provider training, program monitoring, and clinical research.
引用
收藏
页码:379 / 391
页数:13
相关论文
共 31 条
[1]  
[Anonymous], 1999, The handbook of psychological testing
[2]   Developing a measure of provider adherence to improve the implementation of behavioral health services in primary care: a Delphi study [J].
Beehler, Gregory P. ;
Funderburk, Jennifer S. ;
Possemato, Kyle ;
Vair, Christina L. .
IMPLEMENTATION SCIENCE, 2013, 8
[3]   Behavioral health providers' perspectives of delivering behavioral health services in primary care: a qualitative analysis [J].
Beehler, Gregory P. ;
Wray, Laura O. .
BMC HEALTH SERVICES RESEARCH, 2012, 12
[4]   Impact of Behavioral Health Consultant Interventions on Patient Symptoms and Functioning in an Integrated Family Medicine Clinic [J].
Bryan, Craig J. ;
Morrow, Chad ;
Appolonio, Kathryn Kanzler .
JOURNAL OF CLINICAL PSYCHOLOGY, 2009, 65 (03) :281-293
[5]   A conceptual framework for implementation fidelity [J].
Carroll, Christopher ;
Patterson, Malcolm ;
Wood, Stephen ;
Booth, Andrew ;
Rick, Jo ;
Balain, Shashi .
IMPLEMENTATION SCIENCE, 2007, 2
[6]  
Cigrang JA, 2009, PRIMARY CARE COMMUN, V11, P121
[7]  
Cronbach LJ, 1951, PSYCHOMETRIKA, V16, P297
[8]  
Fauth J.Tremblay., 2011, The Integrated Care Evaluation Project: Full Report
[9]   Psychological practice in primary care settings: Practical tips for clinicians [J].
Haley, WE ;
McDaniel, SH ;
Bray, JH ;
Frank, RG ;
Heldring, M ;
Johnson, SB ;
Lu, EG ;
Reed, GM ;
Wiggins, JG .
PROFESSIONAL PSYCHOLOGY-RESEARCH AND PRACTICE, 1998, 29 (03) :237-244
[10]   Effectiveness of collaborative care depression treatment in veterans' affairs primary care [J].
Hedrick, SC ;
Chaney, EF ;
Felker, B ;
Liu, CF ;
Hasenberg, N ;
Heagerty, P ;
Buchanan, J ;
Bagala, R ;
Greenberg, D ;
Paden, G ;
Fihn, SD ;
Katon, W .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2003, 18 (01) :9-16