Effects of primary care provider characteristics on changes in behavioral health delivery during a collaborative care trial

Simple item page
dc.contributor.authorMcGuier, Elizabeth A.
dc.contributor.authorKolko, David
dc.contributor.authorRamsook, K Ashana
dc.contributor.authorHuh, Anna
dc.contributor.authorBerkout, Olga
dc.contributor.authorCampo, John V
dc.creator.orcidhttp://orcid.org/0000-0003-4076-8287en_US
dc.creator.orcidhttp://orcid.org/0000-0002-6899-8917en_US
dc.creator.orcidhttp://orcid.org/0000-0001-8142-9850en_US
dc.date.accessioned2022-03-24T17:19:00Z
dc.date.available2022-03-24T17:19:00Z
dc.date.issued2020-04-20
dc.description.abstractObjective: Pediatric primary care providers (PCPs) are increasingly expected to deliver behavioral health (BH) services, yet PCP characteristics that facilitate or hinder BH service delivery are poorly understood. This study examined how PCP characteristics and collaborative care participation influenced changes in BH-related effort and competency over time. Methods: Pediatric PCPs (N = 74) participating in a cluster randomized trial (8 practices) of a collaborative care intervention for disruptive behavior problems completed self-report measures at 0, 6, 12, and 18 months. Latent growth curve models tested the impact of PCP characteristics (ie, age, gender, negative BH beliefs, BH burden, BH competency) on changes in identification/treatment of disruptive behavior disorders and competency over the course of the trial. Results: Participation in collaborative care was associated with increases in identification/treatment, with no evidence that PCP characteristics moderated changes in identification/treatment. For competency, however, older PCPs (>50 years) in collaborative care exhibited steep increases over time, while older PCPs in the comparison condition exhibited steep decreases, suggesting differential benefits of collaborative care participation by PCP age. In both conditions, PCPs with more negative BH beliefs reported less identification/treatment over time. Baseline competency was positively associated with identification/treatment and associations weakened over time. Gender and perceived burden had little impact. Conclusions: PCP characteristics are associated with changes in PCPs' BH-related effort and competency over time. Participation in a collaborative care model appears to be especially beneficial for older PCPs. Implementation of collaborative care can promote growth in BH-related effort and competency for PCPs.en_US
dc.description.sponsorshipThis work was supported by the National Institutes of Health [NIMH 063272; NIMH 2T32MH018951–24; NIMH 2R25MH054318; NCATS TL1TR001858]. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.en_US
dc.identifier.citationMcGuier, E.A., Kolko, D.J., Ramsook, K.A., Huh, A.S., Berkout, O.V. and Campo, J.V., 2020. Effects of primary care provider characteristics on changes in behavioral health delivery during a collaborative care trial. Academic pediatrics, 20(3), pp.399-404.en_US
dc.identifier.doihttps://doi.org/10.1016/j.acap.2019.11.008
dc.identifier.urihttps://hdl.handle.net/1969.6/90315
dc.language.isoen_USen_US
dc.publisherElsevieren_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectbehavioral healthen_US
dc.subjectcollaborative careen_US
dc.subjectpediatricsen_US
dc.titleEffects of primary care provider characteristics on changes in behavioral health delivery during a collaborative care trialen_US
dc.typeArticleen_US

Files

Original bundle

Now showing 1 - 1 of 1
Thumbnail Image
Name:
McGuier_Elizabeth_AcademicPediatrics.pdf
Size:
673.1 KB
Format:
Adobe Portable Document Format
Description:
Article
Download

License bundle

Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.72 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

CLA Faculty Works