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Long-Term Clinical Outcomes from a Randomized Controlled Trial of Two Implementation Strategies to Promote Collaborative Care Attendance in Community Practices

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Abstract

This randomized controlled implementation study compared the effectiveness of a standard versus enhanced version of the replicating effective programs (REP) implementation strategy to improve the uptake of the life goals-collaborative care model (LG-CC) for bipolar disorder. Seven community-based practices (384 patient participants) were randomized to standard (manual/training) or enhanced REP (customized manual/training/facilitation) to promote LG-CC implementation. Participants from enhanced REP sites had no significant changes in primary outcomes (improved quality of life, reduced functioning or mood symptoms) by 24 months. Further research is needed to determine whether implementation strategies can lead to sustained, improved participant outcomes in addition to program uptake.

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Acknowledgments

Support for this study was provided by the National Institute of Mental Health (R01 MH 79994) and the University of Michigan Comprehensive Depression Center (Director’s Innovation Fund). We would like to express appreciation for the contributions of partners from the following agencies: (from Colorado) Behavioral Healthcare, Inc.; Colorado Access; Community Reach Center; Mental Health Centers of Denver; and University of Colorado School of Medicine Depression Center, Departments of Psychiatry and Family Medicine; (from Michigan) Community Support and Treatment Services; Genesee Health System; Packard Health; University of Michigan Departments of Psychiatry, School of Public Health, and Depression Center; and Washtenaw Community Health Organization; (Others) Centers for Disease Control and Prevention; Harvard Medical School; National Institute of Mental Health; and Veterans Health Administration. The views expressed in this article are those of the authors and do not necessarily represent the views of the Veterans Administration.

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Authors and Affiliations

  1. Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA

    Amy M. Kilbourne, David E. Goodrich, Kristina M. Nord, Celeste Van Poppelen, Julia Kyle, Zongshan Lai & Hyungjin M. Kim

  2. VA Boston Center for Healthcare Organization and Implementation Research, Boston, MA, USA

    Mark S. Bauer

  3. Department of Psychiatry, University of Colorado School of Medicine, Denver, CO, USA

    Jeanette A. Waxmonsky & Marshall R. Thomas

  4. Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI, USA

    Daniel Eisenberg

  5. VA Ann Arbor Center for Clinical Management Research, 2215 Fuller Road, Mail Stop 152, Ann Arbor, MI, 48105, USA

    Amy M. Kilbourne, David E. Goodrich & Kristina M. Nord

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  1. Amy M. Kilbourne
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Kilbourne, A.M., Goodrich, D.E., Nord, K.M. et al. Long-Term Clinical Outcomes from a Randomized Controlled Trial of Two Implementation Strategies to Promote Collaborative Care Attendance in Community Practices. Adm Policy Ment Health 42, 642–653 (2015). https://doi.org/10.1007/s10488-014-0598-5

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