TY - JOUR
T1 - A COMMUNITY-ENGAGED PROCESS FOR ADAPTING A CARDIOVASCULAR HEALTH INTERVENTION FOR PERSONS WITH SERIOUS MENTAL ILLNESS
AU - Yuan, Christina T.
AU - Daumit, Gail L.
AU - Cooper, Lisa A.
AU - Cook, Courtney
AU - Corches, Casey
AU - Dalcin, Arlene T.
AU - Eidman, Benjamin
AU - Fink, Tyler
AU - Gennusa, Joseph
AU - Goldsholl, Stacy
AU - Liebrecht, Celeste
AU - Minahan, Eva
AU - Osorio, Brianna
AU - Smith, Shawna N.
AU - Wang, Nae Yuh
AU - Woltmann, Emily
AU - Kilbourne, Amy M.
N1 - Publisher Copyright:
© 2023 Ethnicity and Disease, Inc.. All rights reserved.
PY - 2023
Y1 - 2023
N2 - Introduction: People with serious mental illness experience grave disparities in cardiovascular disease risk factors. To promote scale-up of effective cardiovascular disease risk reduction interventions from clinical trials, it is important to involve end-users in adapting interventions to fit the needs of community-based settings. Objective: We describe a novel, theory-informed process of garnering community input to adapt IDEAL Goals, an evidence-based intervention for improving cardiovascular disease risk factors in persons with serious mental illness. Setting: Outpatient community mental health programs in Maryland and Michigan implementing behavioral health homes, which provide enhanced support to people living with both physical and mental illnesses. Participants: Clinicians, frontline staff, and administrators from community mental health organizations and persons with serious mental illness. Methods: Our approach to community engagement is based on the Replicating Effective Programs (REP) framework. During the REP preimplementation phase, we used 2 community engagement activities: (1) a “needs assessment” to identify anticipated implementation barriers and facilitators, and (2) “community working groups” to collaboratively engage with end-users in adapting the intervention and implementation strategies. Main Findings: We used the Stakeholder Engagement Reporting Questionnaire to describe our processes for conducting a needs assessment, involving site-level surveys (N=26) and individual interviews (N=94), and convening a series of community working groups with clinicians and staff (mean, 24 per meeting) and persons with serious mental illness (mean, 8 per meeting). Conclusions: By specifying the nature and extent of our community engagement activities, we aim to contribute to the evidence base of how to better integrate and measure community-engaged processes in the adaptation of evidence-based interventions.
AB - Introduction: People with serious mental illness experience grave disparities in cardiovascular disease risk factors. To promote scale-up of effective cardiovascular disease risk reduction interventions from clinical trials, it is important to involve end-users in adapting interventions to fit the needs of community-based settings. Objective: We describe a novel, theory-informed process of garnering community input to adapt IDEAL Goals, an evidence-based intervention for improving cardiovascular disease risk factors in persons with serious mental illness. Setting: Outpatient community mental health programs in Maryland and Michigan implementing behavioral health homes, which provide enhanced support to people living with both physical and mental illnesses. Participants: Clinicians, frontline staff, and administrators from community mental health organizations and persons with serious mental illness. Methods: Our approach to community engagement is based on the Replicating Effective Programs (REP) framework. During the REP preimplementation phase, we used 2 community engagement activities: (1) a “needs assessment” to identify anticipated implementation barriers and facilitators, and (2) “community working groups” to collaboratively engage with end-users in adapting the intervention and implementation strategies. Main Findings: We used the Stakeholder Engagement Reporting Questionnaire to describe our processes for conducting a needs assessment, involving site-level surveys (N=26) and individual interviews (N=94), and convening a series of community working groups with clinicians and staff (mean, 24 per meeting) and persons with serious mental illness (mean, 8 per meeting). Conclusions: By specifying the nature and extent of our community engagement activities, we aim to contribute to the evidence base of how to better integrate and measure community-engaged processes in the adaptation of evidence-based interventions.
KW - Adaptation
KW - Cardiovascular Diseases
KW - Community-Based Participatory Research
KW - Implementation Science
KW - Replicating Effective Programs
KW - Stakeholder Participation
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UR - http://www.scopus.com/inward/citedby.url?scp=85193625834&partnerID=8YFLogxK
U2 - 10.18865/ed.DECIPHeR.27
DO - 10.18865/ed.DECIPHeR.27
M3 - Article
C2 - 38846722
AN - SCOPUS:85193625834
SN - 1049-510X
VL - DECIPHeR
SP - 27
EP - 34
JO - Ethnicity and Disease
JF - Ethnicity and Disease
ER -