Effectiveness of a recovery workshop implemented in community mental health services in Catalonia (Spain): study protocol for a non-randomized controlled trial

Sampietro, Hernán María; Barrios, Maite; Guilera, Georgina; Rojo, J. Emilio; Gómez‐Benito, Juana

doi:10.1186/s12888-022-04350-y

Cited by 2 publications

(3 citation statements)

References 28 publications

(36 reference statements)

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“…First, CCM team members viewed the CCM as an innovation that offers a formal structure to support stepping down care intensity for patients to encourage their self-management. As self-management is considered fundamental to recovery-oriented approaches to mental health care [ 18 ], promoting self-management is being increasingly considered a central responsibility of providers and health care systems [ 19 ]. Our finding suggests that CCM implementation may help providers and systems carry out this responsibility, in turn contributing to recovery-oriented care.…”

Section: Discussionmentioning

confidence: 99%

Interdisciplinary behavioral health provider perceptions of implementing the Collaborative Chronic Care Model: an i-PARIHS-guided qualitative study

Kim

Sullivan

Drummond

et al. 2023

Implement Sci Commun

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Background The evidence-based Collaborative Chronic Care Model (CCM), developed to help structure care for chronic health conditions, comprises six elements: work role redesign, patient self-management support, provider decision support, clinical information systems, linkages to community resources, and organizational/leadership support. As the CCM is increasingly implemented in real-world settings, there is heightened interest in understanding specific influences upon implementation. Therefore, guided by the Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, we (i) identified innovation-, recipient-, context-, and facilitation-related influences on CCM implementation and (ii) assessed the influences’ relationship to each CCM element’s implementation. Methods Using semi-structured interviews, we examined interdisciplinary behavioral health providers’ experiences at nine VA medical centers that implemented the CCM. We used i-PARIHS constructs as a priori codes for directed content analysis, then analyzed the data for cross-coding by CCM element and i-PARIHS construct. Results Participants (31 providers) perceived the CCM innovation as enabling comprehensive care but challenging to coordinate with existing structures/procedures. As recipients, participants recounted not always having the authority to design CCM-consistent care processes. They perceived local leadership support to be indispensable to implementation success and difficult to garner when CCM implementation distracted from other organizational priorities. They found implementation facilitation helpful for keeping implementation on track. We identified key themes at the intersection of i-PARIHS constructs and core CCM elements, including (i) the CCM being an innovation that offers a formal structure to stepping down care intensity for patients to encourage their self-management, (ii) recipients accessing their multidisciplinary colleagues’ expertise for provider decision support, (iii) relationships with external services in the community (e.g., homelessness programs) being a helpful context for providing comprehensive care, and (iv) facilitators helping to redesign specific interdisciplinary team member roles. Conclusions Future CCM implementation would benefit from (i) facilitating strategic development of supportive maintenance plans for patients’ self-management, (ii) collocating multidisciplinary staff (on-site or virtually) to enhance provider decision support, (iii) keeping information on available community resources up to date, and (iv) making clearer the explicit CCM-consistent care processes that work roles can be designed around. This work can inform concrete tailoring of implementation efforts to focus on the more challenging CCM elements, which is crucial to better account for multiple influences that vary across diverse care settings in which the CCM is being implemented.

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Section: Discussionmentioning

confidence: 99%

Interdisciplinary behavioral health provider perceptions of implementing the Collaborative Chronic Care Model: an i-PARIHS-guided qualitative study

Kim

Sullivan

Drummond

et al. 2023

Implement Sci Commun

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“…It should be noted that in 2013 Shanks et al [39] published a systematic review of personal recovery measures, observing that in the original MARS study [20] only 4 psychometric properties of the scale had been evaluated. The subsequent research made it possible to extent such validation study [40]. The present study has taken into account the advantages of both previous studies and has filled the gap regarding the absence of a study that exhaustively evaluated the psychometric properties of the short version of the MARS.…”

Section: Plos Onementioning

confidence: 98%

“…Given that adequate assessment of recovery is a key component in the delivery of recovery-focused mental health care, and bearing in mind the lack of validated recovery assessment instruments in our sociocultural setting, the availability of a Spanish version of the MARS-12 makes an important contribution to the field. We believe that the scale's properties make it suitable for use within the context of recovery programs that are currently being implemented and evaluated in Spain [40]. Furthermore, it can drive the development of new mental health strategic plans in other autonomous regions of this country.…”

Section: Plos Onementioning

confidence: 99%

Cross-cultural adaptation and psychometric validation of a Spanish version of the Maryland Assessment of Recovery Scale (MARS-12)

Balluerka,

Gorostiaga,

Sampietro

et al. 2024

PLoS ONE

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The aim of this study was to adapt and validate a Spanish version of the Maryland Assessment of Recovery Scale (MARS-12). It was carried out in strict accordance with internationally recognized guidelines for test adaptation. A preliminary Spanish version of the MARS-12 was first produced through a standardized translation/back-translation process, ensuring semantic, linguistic, and contextual equivalence with respect to the original scale. Its psychometric properties were then examined in a sample of 325 people with serious mental illness recruited from six different provinces in the Basque Country (northern Spain) and Catalonia (north-eastern Spain). They were users of a total of 20 community rehabilitation and psychiatry services. Confirmatory factor analysis supported a unidimensional structure, consistent with the original scale. Scores on the MARS-12 were positively correlated (.83) with scores on the Questionnaire about the Process of Recovery, supporting convergent validity, while validity evidence based on relationships with other variables was provided by positive correlations between MARS-12 scores and scores on the Dispositional Hope Scale (.82) and on the three dimensions of the Multidimensional Scale of Perceived Social Support (range .30 to .41). Reliability of MARS-12 scores was high (McDonald’s ω = .97), as was temporal stability across a one-week interval (.89). The Spanish version of the MARS-12 is a valid and reliable scale that may be used by mental health professionals to assess recovery among Spanish people with serious mental illness.

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Effectiveness of a recovery workshop implemented in community mental health services in Catalonia (Spain): study protocol for a non-randomized controlled trial

Cited by 2 publications

References 28 publications

Interdisciplinary behavioral health provider perceptions of implementing the Collaborative Chronic Care Model: an i-PARIHS-guided qualitative study

Interdisciplinary behavioral health provider perceptions of implementing the Collaborative Chronic Care Model: an i-PARIHS-guided qualitative study

Cross-cultural adaptation and psychometric validation of a Spanish version of the Maryland Assessment of Recovery Scale (MARS-12)

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