Further Experience with the Practice Integration Profile: A Measure of Behavioral Health and Primary Care Integration
AuthorsHitt, Juvena R.
Brennhofer, Stephanie A.
Martin, Matthew P.
Macchi, C. R.
van Eeghen, Constance
Kessler, Rodger S.
UMass Chan AffiliationsCenter for Integrated Primary Care
Department of Family Medicine and Community Health
Integrated behavioral health
Integrated primary care
Primary care behavioral health
Health Services Administration
Health Services Research
Psychiatry and Psychology
MetadataShow full item record
AbstractValid measures of behavioral health integration have the potential to enable comparisons of various models of integration, contribute to the overall development of high-quality care, and evaluate outcomes that are strategically aligned with standard improvement efforts. The Practice Integration Profile has proven to discriminate among clinic types and integration efforts. We continued the validation of the measure's internal consistency, intra-rater consistency, and inter-rater consistency with a separate and larger sample from a broader array of practices. We found that the Practice Integration Profile demonstrated a high level of internal consistency, suggesting empirically sound measurement of independent attributes of integration, and high reliability over time. The Practice Integration Profile provides internally consistent and interpretable results and can serve as both a quality improvement and health services research tool.
Hitt JR, Brennhofer SA, Martin MP, Macchi CR, Mullin D, van Eeghen C, Littenberg B, Kessler RS. Further Experience with the Practice Integration Profile: A Measure of Behavioral Health and Primary Care Integration. J Clin Psychol Med Settings. 2021 Aug 9. doi: 10.1007/s10880-021-09806-z. Epub ahead of print. PMID: 34370184. Link to article on publisher's site
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/29943
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Measuring the integration of primary care and behavioral health servicesMullin, Daniel J.; Hargraves, J. Lee; Auxier, Andrea; Brennhofer, Stephanie A; Hitt, Juvena R; Kessler, Rodger S.; Littenberg, Benjamin; Macchi, C. R.; Martin, Matthew; Rose, Gail; et al. (2019-04-01)OBJECTIVE: To perform a factor analysis of the Practice Integration Profile (PIP), a 30-item practice-level measure of primary care and behavioral health integration derived from the Agency for Healthcare Research and Quality's Lexicon for Behavioral Health and Primary Care Integration. DATA SOURCES: The PIP was completed by 735 individuals, representing 357 practices across the United States. STUDY DESIGN: The study design was a cross-sectional survey. An exploratory factor analysis and assessment of internal consistency reliability via Cronbach's alpha were performed. DATA COLLECTION METHODS: Participant responses were collected using REDCap, a secure, web-based data capture tool. PRINCIPAL FINDINGS: Five of the PIP's six domains had factor loadings for most items related to each factor representing the PIP of 0.50 or greater. However, one factor had items from two PIP domains that had loadings >0.50. A five-factor model with redistributed items resulted in improved factor loadings for all domains along with greater internal consistency reliability (>0.80). CONCLUSIONS: Five of the PIP's six domains demonstrated excellent internal consistency for measures of health care resources. Although minor improvements to strengthen the PIP are possible, it is a valid and reliable measure of the integration of primary care and behavioral health.
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