Designing the relational team development intervention to improve management of mental health in primary care using iterative stakeholder engagement

Danielle F. Loeb, Danielle M. Kline, Kurt Kroenke, Cynthia Boyd, Elizabeth A. Bayliss, Evette Ludman, L. Miriam Dickinson, Ingrid A. Binswanger, Samantha P. Monson

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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.

Original languageEnglish (US)
Article number124
JournalBMC Family Practice
Volume20
Issue number1
DOIs
StatePublished - Sep 6 2019

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Clinical Psychology
Primary Health Care
Mental Health
Mentally Ill Persons
Self Efficacy
Focus Groups
Population
Mentoring

ASJC Scopus subject areas

  • Family Practice

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Designing the relational team development intervention to improve management of mental health in primary care using iterative stakeholder engagement. / Loeb, Danielle F.; Kline, Danielle M.; Kroenke, Kurt; Boyd, Cynthia; Bayliss, Elizabeth A.; Ludman, Evette; Dickinson, L. Miriam; Binswanger, Ingrid A.; Monson, Samantha P.

In: BMC Family Practice, Vol. 20, No. 1, 124, 06.09.2019.

Research output: Contribution to journalArticle

Loeb, Danielle F. ; Kline, Danielle M. ; Kroenke, Kurt ; Boyd, Cynthia ; Bayliss, Elizabeth A. ; Ludman, Evette ; Dickinson, L. Miriam ; Binswanger, Ingrid A. ; Monson, Samantha P. / Designing the relational team development intervention to improve management of mental health in primary care using iterative stakeholder engagement. In: BMC Family Practice. 2019 ; Vol. 20, No. 1.
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