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

Abstract

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.

Using the Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ) to identify practice patterns

“…The PPAQ uses a 5-point, Likert-type response scale ranging from Bnever^to Balways.^The PPAQ includes essential items, which measure behaviors that are highly consistent with the CCC model, and prohibited items, which measure behaviors that are inconsistent with the model. As noted above, the psychometric properties of the PPAQ have been reported previously [18]. For this secondary analysis, emphasis was primarily on interpretation of the 48 individual prohibited and essential items to assess specific adherence behaviors.…”

“…Recently, we developed and validated the Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ), a provider-focused self-report measure designed to evaluate adherence to CCC practice parameters [17,18]. Despite some overlapping aspects between CCC and other integrated care models (e.g., care management), the PPAQ was specifically designed to focus on measurement of CCC because it is the most widely adopted approach within VHA nationally.…”

“…Therefore, this study conducted a latent class analysis of data from our prior validation study [18] in order to more closely examine naturally occurring variability in provider adherence.…”

“…The methods of our validation study were described in detail previously [18]. Briefly, our aim was to conduct a psychometric evaluation of the PPAQ with a sample of PC-MHI providers in either CCC-only roles or hybrid CCC and care management roles.…”

Development and validation of the ASPIRE-VA coaching fidelity checklist (ACFC): a tool to help ensure delivery of high-quality weight management interventions

“…Though a few recent studies have developed fidelity assessment tools based on a self-reported measure of behavioral health provider fidelity [45] or expert ratings for delivering a complex intervention for chronic pain [46] and a practice change intervention [47] (both of the latter instruments assessed face validity and reliability only), the dearth of validated and published instruments extends beyond weight loss interventions and is well-recognized [48,49,9,[50][51][52][53]. Clearly, there is a need for validated measures to help determine the effectiveness of weight loss interventions when delivered as they were intended.…”