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Carrandi A, Hu Y, McGill K, Wayland S, Karger S, Maple M. Operationalizing the Consolidated Framework for Implementation Research to build and support the lived experience workforce in direct health service provision. Health Expect 2024; 27:e14035. [PMID: 38567878 PMCID: PMC10989156 DOI: 10.1111/hex.14035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 02/27/2024] [Accepted: 03/18/2024] [Indexed: 04/05/2024] Open
Abstract
BACKGROUND The involvement of people with lived experience (LEX) workers in the development, design, and delivery of integrated health services seeks to improve service user engagement and health outcomes and reduce healthcare gaps. Yet, LEX workers report feeling undervalued and having limited influence on service delivery. There is a need for systematic improvements in how LEX workforces are engaged and supported to ensure the LEX workforce can fully contribute to integrated systems of care. OBJECTIVE This study aimed to operationalize the Consolidated Framework for Implementation Research (CFIR) using a rigorous scoping review methodology and co-creation process, so it could be used by health services seeking to build and strengthen their LEX workforce. SEARCH STRATEGY A systematic literature search of four databases was undertaken to identify peer-reviewed studies published between 2016 and 2022 providing evidence of the inclusion of LEX workers in direct health service provision. DATA EXTRACTION AND SYNTHESIS A descriptive-analytical method was used to map current evidence of LEX workers onto the CFIR. Then, co-creation sessions with LEX workers (n = 4) and their counterparts-nonpeer workers (n = 2)-further clarified the structural policies and strategies that allow people with LEX to actively participate in the provision and enhancement of integrated health service delivery. MAIN RESULTS Essential components underpinning the successful integration of LEX roles included: the capacity to engage in a co-creation process with individuals with LEX before the implementation of the role or intervention; and enhanced representation of LEX across organizational structures. DISCUSSION AND CONCLUSION The adapted CFIR for LEX workers (CFIR-LEX) that was developed as a result of this work clarifies contextual components that support the successful integration of LEX roles into the development, design, and delivery of integrated health services. Further work must be done to operationalize the framework in a local context and to better understand the ongoing application of the framework in a health setting. PATIENT OR PUBLIC CONTRIBUTION People with LEX were involved in the operationalization of the CFIR, including contributing their expertise to the domain adaptations that were relevant to the LEX workforce.
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Affiliation(s)
- Alayna Carrandi
- Social Work, School of HealthUniversity of New EnglandArmidaleAustralia
- School of Public Health and Preventive Medicine, Department of Epidemiology & Preventative MedicineMonash UniversityMelbourneAustralia
| | - Yanan Hu
- Social Work, School of HealthUniversity of New EnglandArmidaleAustralia
- Women's Health Economics and Value Based Care, Monash Centre for Health and Research and ImplementationMonash UniversityClaytonAustralia
| | - Katherine McGill
- Social Work, School of HealthUniversity of New EnglandArmidaleAustralia
- School of Medicine and Public Health, College of Health, Medicine and WellbeingUniversity of NewcastleNewcastleAustralia
- Healthy Minds, Hunter Medical Research InstituteNewcastleAustralia
- Mental Health‐Research, Evaluation and Dissemination (MH‐READ), Hunter New England Local Health DistrictNewcastleAustralia
| | - Sarah Wayland
- Social Work, School of HealthUniversity of New EnglandArmidaleAustralia
| | - Shae Karger
- Social Work, School of HealthUniversity of New EnglandArmidaleAustralia
- Women's Health Economics and Value Based Care, Monash Centre for Health and Research and ImplementationMonash UniversityClaytonAustralia
| | - Myfanwy Maple
- Social Work, School of HealthUniversity of New EnglandArmidaleAustralia
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Lapidos A, Garlick J, Rulli D. Oral Health Recovery: A Peer Support Specialist-Led Health Education Program for People With Serious Mental Illness. Psychiatr Serv 2023; 74:1196-1199. [PMID: 36916059 DOI: 10.1176/appi.ps.20220465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/16/2023]
Abstract
Oral health affects whole health and quality of life. This is especially true for people with serious mental illness, a population with heightened risks for oral disease and needs for oral treatment. Studies have previously shown the effectiveness of peer support specialist (PSS)-led wellness interventions. Oral health educational materials and a health education approach were collaboratively developed by a multidisciplinary team and then implemented at one community mental health center and three PSS-run drop-in centers. PSSs provided health education and linked consumers to dental care. Program evaluation (N=41 respondents) indicated the approach's acceptability, feasibility, and sustainability.
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Affiliation(s)
- Adrienne Lapidos
- Department of Psychiatry, University of Michigan Medical School, Ann Arbor (Lapidos, Garlick); Ann Arbor VA Medical Center, Ann Arbor (Garlick); Division of Dental Hygiene, University of Michigan School of Dentistry, Ann Arbor (Rulli)
| | - James Garlick
- Department of Psychiatry, University of Michigan Medical School, Ann Arbor (Lapidos, Garlick); Ann Arbor VA Medical Center, Ann Arbor (Garlick); Division of Dental Hygiene, University of Michigan School of Dentistry, Ann Arbor (Rulli)
| | - Danielle Rulli
- Department of Psychiatry, University of Michigan Medical School, Ann Arbor (Lapidos, Garlick); Ann Arbor VA Medical Center, Ann Arbor (Garlick); Division of Dental Hygiene, University of Michigan School of Dentistry, Ann Arbor (Rulli)
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Findley PA, Wiener RC, Mitra S, Wang H, Shen C, Sambamoorthi U. Whole Health in Parts: Omissions from National Data Sets. Popul Health Manag 2023; 26:22-28. [PMID: 36799933 PMCID: PMC10081708 DOI: 10.1089/pop.2022.0197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/18/2023] Open
Abstract
Background: The Whole Health model is a holistic approach to facilitate whole health practices by addressing (1) the physical, mental, and social health of individuals and (2) associated support systems. Several national organizations such as the Institute for Healthcare Improvement's (IHI) Age-Friendly Health Systems (AFHS) movement and, the U.S. Department of Veterans Affairs have implemented whole health frameworks with many common elements and promoted whole health practice and skills. However, implementing a Whole Health model across communities and health systems will require evidence of effectiveness. Generating evidence on the effectiveness of the Whole Health model's effect on health outcomes requires data-driven intelligence. Methods: We identified the national public-use data sets that are most often used in health research with a machine-assisted literature search of PubMed and Scopus for peer-reviewed journal articles published from 2010 through the end of 2021, including preprints, using Python [3.7]. We then assessed if the 8 most commonly used datasets include variables associated with whole health. Results: The number of publications examining whole health has increased annually in the last decade, with more than 2800 publications in 2020 alone. Since 2010, 24,811 articles have been published using 1 of these data sets. However, we also found a lack of data (ie, data set includes all of the whole health variables) to examine whole health in national data sets. Conclusions: We support a call to expand data collection and standardization of critical measures of whole health.
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Affiliation(s)
| | - R. Constance Wiener
- Department of Dental Public Health and Professional Practice, West Virginia University, Morgantown, West Virginia, USA
| | - Sophie Mitra
- Department of Economics, Research Consortium on Disability, Fordham University, Bronx, New York, USA
| | - Hao Wang
- Department of Emergency Medicine, JPS Health Network, Integrative Emergency Services, Fort Worth, Texas, USA
| | - Chan Shen
- Department of Surgery, Penn State Cancer Institute, Hershey, Pennsylvania, USA
| | - Usha Sambamoorthi
- Department of Pharmacotherapy, College of Pharmacy, “Vashisht” Professor for Health Disparities, HEARD Scholar, Texas Center for Health Disparities, University of North Texas Health Science Center, Fort Worth, Texas, USA
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Strunz M, Jiménez NP, Gregorius L, Hewer W, Pollmanns J, Viehmann K, Jacobi F. Interventions to Promote the Utilization of Physical Health Care for People with Severe Mental Illness: A Scoping Review. Int J Environ Res Public Health 2022; 20:126. [PMID: 36612457 PMCID: PMC9819522 DOI: 10.3390/ijerph20010126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Revised: 12/17/2022] [Accepted: 12/20/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND The main contributor to excess mortality in severe mental illness (SMI) is poor physical health. Causes include unfavorable health behaviors among people with SMI, stigmatization phenomena, as well as limited access to and utilization of physical health care. Patient centered interventions to promote the utilization of and access to existing physical health care facilities may be a pragmatic and cost-effective approach to improve health equity in this vulnerable and often neglected patient population. OBJECTIVE/METHODS In this study, we systematically reviewed the international literature on such studies (sources: literature databases, trial-registries, grey literature). Empirical studies (quantitative, qualitative, and mixed methods) of interventions to improve the utilization of and access to medical health care for people with a SMI, were included. RESULTS We identified 38 studies, described in 51 study publications, and summarized them in terms of type, theoretical rationale, outcome measures, and study author's interpretation of the intervention success. CONCLUSIONS Useful interventions to promote the utilization of physical health care for people with a SMI exist, but still appear to be rare, or at least not supplemented by evaluation studies. The present review provides a map of the evidence and may serve as a starting point for further quantitative effectiveness evaluations of this promising type of behavioral intervention.
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Affiliation(s)
| | | | - Lisa Gregorius
- Institute for Health Services Research and Health Economics, German Diabetes Center, Leibniz Center for Diabetes Research, Heinrich Heine University Duesseldorf, 40225 Duesseldorf, Germany
| | - Walter Hewer
- Klinikum Christophsbad, 73035 Göppingen, Germany
| | | | - Kerstin Viehmann
- Institute for Health Services Research and Health Economics, Centre for Health and Society, Medical Faculty, Heinrich Heine University Duesseldorf, 40225 Duesseldorf, Germany
| | - Frank Jacobi
- Psychologische Hochschule Berlin, 10179 Berlin, Germany
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Cook JA, Steigman PJ, Swarbrick M, Burke-Miller JK, Laing TB, Vite L, Jonikas JA, Brown I. Outcomes of Peer-Provided Individual Placement and Support Services in a Mental Health Peer-Run Vocational Program. Psychiatr Serv 2022; 74:480-487. [PMID: 36254454 DOI: 10.1176/appi.ps.20220134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE The authors sought to determine whether staff at a peer-run agency could deliver supported employment services with high fidelity to the individual placement and support (IPS) model and whether employment outcomes of peer-delivered IPS plus work-specific health promotion were superior to usual supported employment services. METHODS Two teams from a vocational program of a large peer-run agency were studied from July 2015 to July 2017. One team received training and supervision in delivering IPS plus employment-focused physical wellness support and mentoring. The other team continued providing usual supported employment services. Study data included vocational outcomes from 348 clients served by the two teams (IPS, N=184; comparison condition, N=164) and the results of IPS fidelity reviews of the IPS team at study baseline, midpoint, and end. The authors modeled the primary outcome of competitive employment with random-effects logistic regression and adjusted propensity scores for age, gender, race, ethnicity, education, and months of service receipt. RESULTS Following training, the IPS team demonstrated acceptable and increasing fidelity to the IPS model, achieving "good fidelity" by the end of the 25-month observation period. Among IPS recipients, 43% achieved competitive employment versus 21% of comparison recipients (p<0.001). Multivariable analysis indicated that IPS recipients were significantly more likely to achieve competitive employment than individuals in the comparison group (OR=4.06, p<0.001). CONCLUSIONS Providing training in IPS along with health promotion to the behavioral health peer workforce may help address the severe shortage of IPS services and enhance the competitive employment outcomes of people served by peer-run programs.
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Affiliation(s)
- Judith A Cook
- Department of Psychiatry, University of Illinois Chicago College of Medicine, Chicago (Cook, Steigman, Burke-Miller, Jonikas); Collaborative Support Programs of New Jersey, Freehold (Swarbrick); Center of Alcohol and Substance Use Studies, Graduate School of Applied and Professional Psychology, Rutgers, the State University of New Jersey, New Brunswick (Swarbrick); Baltic Street Advocacy, Employment, and Housing (AEH), Inc., New York City (Laing, Vite, Brown)
| | - Pamela J Steigman
- Department of Psychiatry, University of Illinois Chicago College of Medicine, Chicago (Cook, Steigman, Burke-Miller, Jonikas); Collaborative Support Programs of New Jersey, Freehold (Swarbrick); Center of Alcohol and Substance Use Studies, Graduate School of Applied and Professional Psychology, Rutgers, the State University of New Jersey, New Brunswick (Swarbrick); Baltic Street Advocacy, Employment, and Housing (AEH), Inc., New York City (Laing, Vite, Brown)
| | - Margaret Swarbrick
- Department of Psychiatry, University of Illinois Chicago College of Medicine, Chicago (Cook, Steigman, Burke-Miller, Jonikas); Collaborative Support Programs of New Jersey, Freehold (Swarbrick); Center of Alcohol and Substance Use Studies, Graduate School of Applied and Professional Psychology, Rutgers, the State University of New Jersey, New Brunswick (Swarbrick); Baltic Street Advocacy, Employment, and Housing (AEH), Inc., New York City (Laing, Vite, Brown)
| | - Jane K Burke-Miller
- Department of Psychiatry, University of Illinois Chicago College of Medicine, Chicago (Cook, Steigman, Burke-Miller, Jonikas); Collaborative Support Programs of New Jersey, Freehold (Swarbrick); Center of Alcohol and Substance Use Studies, Graduate School of Applied and Professional Psychology, Rutgers, the State University of New Jersey, New Brunswick (Swarbrick); Baltic Street Advocacy, Employment, and Housing (AEH), Inc., New York City (Laing, Vite, Brown)
| | - Taina B Laing
- Department of Psychiatry, University of Illinois Chicago College of Medicine, Chicago (Cook, Steigman, Burke-Miller, Jonikas); Collaborative Support Programs of New Jersey, Freehold (Swarbrick); Center of Alcohol and Substance Use Studies, Graduate School of Applied and Professional Psychology, Rutgers, the State University of New Jersey, New Brunswick (Swarbrick); Baltic Street Advocacy, Employment, and Housing (AEH), Inc., New York City (Laing, Vite, Brown)
| | - Laurie Vite
- Department of Psychiatry, University of Illinois Chicago College of Medicine, Chicago (Cook, Steigman, Burke-Miller, Jonikas); Collaborative Support Programs of New Jersey, Freehold (Swarbrick); Center of Alcohol and Substance Use Studies, Graduate School of Applied and Professional Psychology, Rutgers, the State University of New Jersey, New Brunswick (Swarbrick); Baltic Street Advocacy, Employment, and Housing (AEH), Inc., New York City (Laing, Vite, Brown)
| | - Jessica A Jonikas
- Department of Psychiatry, University of Illinois Chicago College of Medicine, Chicago (Cook, Steigman, Burke-Miller, Jonikas); Collaborative Support Programs of New Jersey, Freehold (Swarbrick); Center of Alcohol and Substance Use Studies, Graduate School of Applied and Professional Psychology, Rutgers, the State University of New Jersey, New Brunswick (Swarbrick); Baltic Street Advocacy, Employment, and Housing (AEH), Inc., New York City (Laing, Vite, Brown)
| | - Isaac Brown
- Department of Psychiatry, University of Illinois Chicago College of Medicine, Chicago (Cook, Steigman, Burke-Miller, Jonikas); Collaborative Support Programs of New Jersey, Freehold (Swarbrick); Center of Alcohol and Substance Use Studies, Graduate School of Applied and Professional Psychology, Rutgers, the State University of New Jersey, New Brunswick (Swarbrick); Baltic Street Advocacy, Employment, and Housing (AEH), Inc., New York City (Laing, Vite, Brown)
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Coles A, Maksyutynska K, Knezevic D, Agarwal SM, Strudwick G, Dunbar JA, Druss B, Selby P, Banfield M, Hahn MK, Castle D. Peer‐facilitated interventions for improving the physical health of people with schizophrenia spectrum disorders: systematic review and meta‐analysis. Med J Aust 2022; 217 Suppl 7:S22-S28. [DOI: 10.5694/mja2.51693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 05/28/2022] [Accepted: 05/30/2022] [Indexed: 11/06/2022]
Affiliation(s)
- Alexandria Coles
- Centre for Complex Interventions, Centre for Addiction and Mental Health Toronto Canada
| | - Kateryna Maksyutynska
- Centre for Complex Interventions, Centre for Addiction and Mental Health Toronto Canada
- Institute of Medical Science University of Toronto Toronto Canada
| | - Dunja Knezevic
- Centre for Complex Interventions, Centre for Addiction and Mental Health Toronto Canada
| | - Sri Mahavir Agarwal
- Centre for Complex Interventions, Centre for Addiction and Mental Health Toronto Canada
- Institute of Medical Science University of Toronto Toronto Canada
| | - Gillian Strudwick
- Centre for Addiction and Mental Health Toronto Canada
- Institute of Health Policy, Management and Evaluation University of Toronto Toronto Canada
| | | | - Benjamin Druss
- Rollins School of Public Health Emory University Atlanta United States of America
| | - Peter Selby
- Centre for Addiction and Mental Health Toronto Canada
| | - Michelle Banfield
- Centre for Mental Health Research Australian National University Canberra ACT
| | - Margaret K Hahn
- Centre for Complex Interventions, Centre for Addiction and Mental Health Toronto Canada
- Institute of Medical Science University of Toronto Toronto Canada
| | - David Castle
- Centre for Complex Interventions, Centre for Addiction and Mental Health Toronto Canada
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Jonikas JA, Cook JA, Swarbrick M, Nemec P, Steigman PJ, Boss KA, Brice GH. The impact of the COVID-19 pandemic on the mental health and daily life of adults with behavioral health disorders. Transl Behav Med 2021; 11:1162-1171. [PMID: 33739399 PMCID: PMC8108632 DOI: 10.1093/tbm/ibab013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
People with behavioral health disorders may be particularly vulnerable to the impact of the COVID-19 pandemic, yet little is known about how they are faring. A mixed-methods, anonymous needs assessment was conducted to understand changes in the lives of adults with mental health and substance use disorders since the pandemic onset. A cross-sectional, online survey was completed by 272 adults in April and May 2020, recruited from statewide networks of community programs in New Jersey and New York. Measures included the Patient Health Questionnaire-2 and the Generalized Anxiety Disorder-2 to screen for depressive and anxiety disorders. Also assessed was the pandemic's impact on sleep and dietary patterns, exposure to COVID-19 infection, and access to health care and medications. Finally, respondents were asked to describe in their own words any changes in their lives since the pandemic began. Over one-third (35.1%) screened positive for generalized anxiety disorder and over one-quarter (29.6%) screened positive for major depressive disorder. The majority reported pandemic-related changes in eating and sleeping patterns and exposure to COVID-19 infection. Multivariable logistic regression analysis found that many changes attributed to the pandemic were positively and significantly associated with screening positive for anxiety and depressive disorders. Qualitative analysis confirmed these findings and identified participants' resilience stemming from social support, emotion management, and self-care. These results can inform the design of services that assist this population to bolster self-management skills and reestablish daily habits to improve their lives during and following the pandemic.
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Affiliation(s)
- Jessica A Jonikas
- Department of Psychiatry, University of Illinois at
Chicago, Chicago, IL, USA
| | - Judith A Cook
- Department of Psychiatry, University of Illinois at
Chicago, Chicago, IL, USA
| | - Margaret Swarbrick
- Wellness Institute, Collaborative Support Programs of New
Jersey, Freehold, NJ, USA
- Center of Alcohol and Substance Use Studies, Rutgers
University, Piscataway, NJ, USA
| | - Patricia Nemec
- Wellness Institute, Collaborative Support Programs of New
Jersey, Freehold, NJ, USA
| | - Pamela J Steigman
- Department of Psychiatry, University of Illinois at
Chicago, Chicago, IL, USA
| | - Katherine A Boss
- Department of Psychiatry, University of Illinois at
Chicago, Chicago, IL, USA
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