2021
DOI: 10.1186/s13063-021-05133-8
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Integrating Behavioral Health and Primary Care (IBH-PC) to improve patient-centered outcomes in adults with multiple chronic medical and behavioral health conditions: study protocol for a pragmatic cluster-randomized control trial

Abstract: Background Chronic diseases that drive morbidity, mortality, and health care costs are largely influenced by human behavior. Behavioral health conditions such as anxiety, depression, and substance use disorders can often be effectively managed. The majority of patients in need of behavioral health care are seen in primary care, which often has difficulty responding. Some primary care practices are providing integrated behavioral health care (IBH), where primary care and behavioral health provid… Show more

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Cited by 24 publications
(24 citation statements)
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“…The active arm of the IBH-PC study for which the PPG was developed included 20 diverse primary care clinics across the USA described in detail elsewhere. 11 Of the 20 clinics, 13 elected to download the PPG during the project period and nine created a plan to engage patients in QI. As guided by the PPG, six clinics engaged patient partners on their QI teams and three modified this direct engagement approach by collecting patient input via surveys.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…The active arm of the IBH-PC study for which the PPG was developed included 20 diverse primary care clinics across the USA described in detail elsewhere. 11 Of the 20 clinics, 13 elected to download the PPG during the project period and nine created a plan to engage patients in QI. As guided by the PPG, six clinics engaged patient partners on their QI teams and three modified this direct engagement approach by collecting patient input via surveys.…”
Section: Resultsmentioning
confidence: 99%
“…The study tested whether a structured quality improvement (QI) process undertaken at primary care practices seeking to integrate behavioral health and primary care (IBH-PC) would produce superior patient health and clinical outcomes when compared to practices undergoing no structured QI process. 11 The research team included three patient co-investigators (co-authors JL, PR, and DP) from the inception of the study’s aims in 2015 through dissemination of its results in 2021. Each patient co-investigator had ongoing experiences with diverse presentations of MCCs and responded to invitations from providers to participate.…”
Section: Introductionmentioning
confidence: 99%
“…We used pre-COVID-19, baseline survey results from a multi-center, randomized trial of primary care patients, described elsewhere [ 20 ]. Data were collected from 3929 adults with chronic conditions (heart disease, diabetes, lung disease, arthritis, mood disorder, insomnia, substance abuse, chronic pain, or irritable bowel syndrome) from 44 primary care practices across 13 states.…”
Section: Methodsmentioning
confidence: 99%
“…A second data set contained survey results from the Integrating Behavioural Health and Primary Care, a multicentre, prospective randomised study of a practice-level intervention among chronically ill primary care patients from 2016 to 2021, described in detail elsewhere. 29 Briefly, we obtained health data and home addresses on 3797 adults with multiple chronic conditions from 44 primary care clinics across 13 US states including Alaska, Hawaii, California, Oregon, Washington, Idaho, Texas, Georgia, Kentucky, Ohio, New York, Massachusetts and Vermont (see online supplemental figure 1 ). All patients had multiple chronic conditions (arthritis, obstructive lung disease, chronic bronchitis or asthma, non-gestational diabetes, heart failure or hypertension, anxiety or depression, chronic pain (including headache, migraine, neuralgia, fibromyalgia or chronic musculoskeletal pain), insomnia, irritable bowel syndrome, substance use disorder, tobacco use or problem drinking) as determined by review of electronic health record visit data, problem lists, medication lists and laboratory results.…”
Section: Methodsmentioning
confidence: 99%