A Taxonomy of Integration Interventions Between Health Care and Public Health

Porterfield, Deborah S; Smith, Lucia Rojas; Lewis, Megan A.; McCormack, Lauren; Hoerger, Thomas J.; Holden, Debra J

doi:10.3768/rtipress.2015.op.0023.1507

Cited by 5 publications

(7 citation statements)

References 21 publications

(32 reference statements)

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“…Integrated approaches to addressing co-occurring and clustering issues can take many forms and pose challenges for interventions targeting multiple behaviours [130]. They can involve increasing communication, collaboration, or co-ordination between services, organisations, and/or systems; co-location of services addressing interrelated needs; introduction of multidisciplinary teams; or equipping practitioners with knowledge and understanding of cooccurring and clustered issues [131][132][133]. We suggest that integrated approaches for parental DVA, MH, and SU may need to go beyond these measures to concurrently recognise and address the bi-directional and complex nature of these issues [10][11][12][13][14][15][16], while also addressing the underlying risk factors that may give rise to, or exacerbate, them.…”

Section: Discussionmentioning

confidence: 99%

Family focused interventions that address parental domestic violence and abuse, mental ill-health, and substance misuse in combination: A systematic review

et al. 2022

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Parental domestic violence and abuse (DVA), mental ill-health (MH), and substance misuse (SU) are three public health issues that tend to cluster within families, risking negative impacts for both parents and children. Despite this, service provision for these issues has been historically siloed, increasing the barriers families face to accessing support. Our review aimed to identify family focused interventions that have combined impacts on parental DVA, MH, and/or SU. We searched 10 databases (MEDLINE, PsycINFO, Embase, CINAHL, Education Research Information Centre, Sociological Abstracts, Applied Social Sciences Index & Abstracts, ProQuest Dissertations and Theses Global, Web of Science Core Collection, and Cochrane Central Register of Controlled Trials) from inception to July 2021 for randomised controlled trials examining the effectiveness of family focused, psychosocial, preventive interventions targeting parents/carers at risk of, or experiencing, DVA, MH, and/or SU. Studies were included if they measured impacts on two or more of these issues. The Cochrane Risk of Bias Tool 2 was used to quality appraise studies, which were synthesised narratively, grouped in relation to the combination of DVA, MH, and/or SU outcomes measured. Harvest plots were used to illustrate the findings. Thirty-seven unique studies were identified for inclusion. Of these, none had a combined positive impact on all three outcomes and only one study demonstrated a combined positive impact on two outcomes. We also found studies that had combined adverse, mixed, or singular impacts. Most studies were based in the U.S., targeted mothers, and were rated as ‘some concerns’ or ‘high risk’ of bias. The results highlight the distinct lack of evidence for, and no ‘best bet’, family focused interventions targeting these often-clustered risks. This may, in part, be due to the ways interventions are currently conceptualised or designed to influence the relationships between DVA, MH, and/or SU. Trial registration: PROSPERO registration: CRD42020210350.

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Section: Discussionmentioning

confidence: 99%

Family focused interventions that address parental domestic violence and abuse, mental ill-health, and substance misuse in combination: A systematic review

et al. 2022

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“…As mentioned in the introduction, the use of nonstandard terms to refer to the same system causes inconsistencies and makes it hard to draw conclusions. Based on this challenge, several researchers [ 75 - 77 ] have made an effort to formalize the health care system to support interoperability [ 76 ], such as the Fast Healthcare Interoperability Resources (FHIR) created by the Health Level Seven International (HL7) health care standards organization [ 78 ] and others. If there is a standard followed by researchers for building adaptive IDPT systems, it will become easier to learn from their findings and extend the current understanding to improve treatment outcomes.…”

Section: Discussionmentioning

confidence: 99%

Adaptive Elements in Internet-Delivered Psychological Treatment Systems: Systematic Review

Mukhiya¹,

Wake²,

İnal³

et al. 2020

J Med Internet Res

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Background Internet-delivered psychological treatments (IDPTs) are built on evidence-based psychological treatment models, such as cognitive behavioral therapy, and are adjusted for internet use. The use of internet technologies has the potential to increase access to evidence-based mental health services for a larger proportion of the population with the use of fewer resources. However, despite extensive evidence that internet interventions can be effective in the treatment of mental health disorders, user adherence to such internet intervention is suboptimal. Objective This review aimed to (1) inspect and identify the adaptive elements of IDPT for mental health disorders, (2) examine how system adaptation influences the efficacy of IDPT on mental health treatments, (3) identify the information architecture, adaptive dimensions, and strategies for implementing these interventions for mental illness, and (4) use the findings to create a conceptual framework that provides better user adherence and adaptiveness in IDPT for mental health issues. Methods The review followed the guidelines from Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The research databases Medline (PubMed), ACM Digital Library, PsycINFO, CINAHL, and Cochrane were searched for studies dating from January 2000 to January 2020. Based on predetermined selection criteria, data from eligible studies were analyzed. Results A total of 3341 studies were initially identified based on the inclusion criteria. Following a review of the title, abstract, and full text, 31 studies that fulfilled the inclusion criteria were selected, most of which described attempts to tailor interventions for mental health disorders. The most common adaptive elements were feedback messages to patients from therapists and intervention content. However, how these elements contribute to the efficacy of IDPT in mental health were not reported. The most common information architecture used by studies was tunnel-based, although a number of studies did not report the choice of information architecture used. Rule-based strategies were the most common adaptive strategies used by these studies. All of the studies were broadly grouped into two adaptive dimensions based on user preferences or using performance measures, such as psychometric tests. Conclusions Several studies suggest that adaptive IDPT has the potential to enhance intervention outcomes and increase user adherence. There is a lack of studies reporting design elements, adaptive elements, and adaptive strategies in IDPT systems. Hence, focused research on adaptive IDPT systems and clinical trials to assess their effectiveness are needed.

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“…What is required is a classification system that differentiates service models based on critical characteristics: a taxonomy. A taxonomy is defined as “ a system for classifying multifaceted, complex phenomena according to common conceptual domains and dimensions ” ([9], p. 1765), which can improve both the quality and impact of research by identifying elements of an intervention that might be associated with service user outcomes (e.g., staffing levels), enhance replication and follow-up of studies by improving intervention descriptions and facilitate exploration and synthesis of existing effectiveness data [10]. These benefits are particularly salient for supported accommodation research.…”

Section: Introductionmentioning

confidence: 99%

What Works? Toward a New Classification System for Mental Health Supported Accommodation Services: The Simple Taxonomy for Supported Accommodation (STAX-SA)

McPherson

Krotofil

Killaspy

2018

IJERPH

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Inconsistent terminology and variation in service models have made synthesis of the supported accommodation literature challenging. To overcome this, we developed a brief, categorical taxonomy that aimed to capture the defining features of different supported accommodation models: the simple taxonomy for supported accommodation (STAX-SA). Data from a previous review of existing classification systems were used to develop the taxonomy structure. After initial testing and amendments, the STAX-SA and an existing taxonomy were applied to 132 supported accommodation service descriptions drawn from two systematic reviews and their performance compared. To assess external validity, the STAX-SA was distributed to a sample of supported accommodation managers in England and they were asked to use it to classify their services. The final version of the STAX-SA comprised of five supported accommodation ‘types’, based on four domains; Staffing location; Level of support; Emphasis on move-on; and Physical setting. The STAX-SA accurately categorized 71.1% (n = 94) of service descriptions, outperforming the comparison tool, and was not affected by publication date or research design. The STAX-SA effectively discriminated between ‘real world’ service models in England and 53.2% (n = 17) of service managers indicated that the taxonomy was ‘Very effective’ or ‘Extremely effective’ in capturing key characteristics of their service. The STAX-SA is an effective tool for classifying supported accommodation models and represents a promising approach to synthesizing the extant effectiveness literature. The authors recommend the development of reporting guidelines for future supported accommodation publications to facilitate comparison between models.

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A Taxonomy of Integration Interventions Between Health Care and Public Health

Cited by 5 publications

References 21 publications

Family focused interventions that address parental domestic violence and abuse, mental ill-health, and substance misuse in combination: A systematic review

Family focused interventions that address parental domestic violence and abuse, mental ill-health, and substance misuse in combination: A systematic review

Adaptive Elements in Internet-Delivered Psychological Treatment Systems: Systematic Review

What Works? Toward a New Classification System for Mental Health Supported Accommodation Services: The Simple Taxonomy for Supported Accommodation (STAX-SA)

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