Validation of an Expanded Measure of Integrated Care Provider Fidelity: PPAQ-2.


Journal

Journal of clinical psychology in medical settings
ISSN: 1573-3572
Titre abrégé: J Clin Psychol Med Settings
Pays: United States
ID NLM: 9435680

Informations de publication

Date de publication:
03 2020
Historique:
pubmed: 20 5 2019
medline: 4 2 2021
entrez: 20 5 2019
Statut: ppublish

Résumé

This study aimed to validate the factor structure of the expanded Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ-2), which is designed to assess provider fidelity to both the Primary Care Behavioral Health (PCBH) and collaborative care management (CCM) models of integrated primary care. Two-hundred fifty-three integrated care providers completed self-reports of professional background, perceptions of clinic integration and related practice barriers, and the PPAQ-2. Confirmatory factor analyses were conducted to assess the theorized factor structure and criterion validity was assessed through correlational analysis. Factor analyses demonstrated adequate fit with the data and acceptable to excellent composite reliabilities across five PCBH domains and five CCM domains. Validity was demonstrated by correlations between adherence scores and measures of clinic integration and barriers to fidelity. The PPAQ-2 is a psychometrically sound measure that can be used in future integrated care dismantling studies to identify provider behaviors that best predict patient outcomes.

Identifiants

pubmed: 31104249
doi: 10.1007/s10880-019-09628-0
pii: 10.1007/s10880-019-09628-0
doi:

Types de publication

Journal Article Research Support, U.S. Gov't, Non-P.H.S. Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

158-172

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Auteurs

Gregory P Beehler (GP)

VA Center for Integrated Healthcare (116N), VA WNY Healthcare System, 3495 Bailey Ave, Buffalo, NY, 14215, USA. gregory.beehler@va.gov.
School of Public Health and Health Professions, University at Buffalo, The State University of New York, Buffalo, NY, USA. gregory.beehler@va.gov.

Jennifer S Funderburk (JS)

VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY, USA.
Department of Psychology, Syracuse University, Syracuse, NY, USA.
Department of Psychiatry, University of Rochester, Rochester, NY, USA.

Paul R King (PR)

VA Center for Integrated Healthcare (116N), VA WNY Healthcare System, 3495 Bailey Ave, Buffalo, NY, 14215, USA.
Department of Counseling, School, and Educational Psychology, University at Buffalo, The State University of New York, Buffalo, NY, USA.

Kyle Possemato (K)

VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY, USA.
Department of Psychology, Syracuse University, Syracuse, NY, USA.
Department of Psychiatry, University of Rochester, Rochester, NY, USA.

John A Maddoux (JA)

Harry S. Truman Memorial Veterans' Hospital, Columbia, MO, USA.

Wade R Goldstein (WR)

VA Center for Integrated Healthcare (116N), VA WNY Healthcare System, 3495 Bailey Ave, Buffalo, NY, 14215, USA.

Michael Wade (M)

VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY, USA.

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