Bridges to Better Health and Wellness: An Adapted Health Care Manager Intervention for Hispanics with Serious Mental Illness
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This study examined the feasibility, acceptability, and initial impact of bridges to better health and wellness (B2BHW), a culturally-adapted health care manager intervention for Hispanics with serious mental illness (SMI). Thirty-four Hispanics with SMI and at risk for cardiovascular disease were enrolled. Mixed-linear models were used to examine changes over 12-months on patient activation, self-efficacy, patient-rated quality of care, receipt of preventive primary care services, and quality of life. The majority of participants completed the intervention (85%) with high satisfaction. Significant improvements were found for patient activation, self-efficacy, patients’ ratings of quality of care, and receipt of preventive primary care.
KeywordsHispanics Latinos Serious mental illness Health care disparities Health care management Patient-centered care Cultural adaptation
The authors would like to acknowledge all of the people who worked on this project including Arminda P. Gomes, Lorena Maldonado, Seth Thompson, Analis Lopez, and Marina Soto.
This study was funded by the National Institute of Mental Health (NIMH) K01 MH091108.
Compliance with Ethical Standards
Conflict of interest
Leopoldo J. Cabassa declares that he has no conflict of interest. Yamira Manrique declares that she has no conflict of interest. Quisqueya Meyreles declares that she has no conflict of interest. David Camacho declares that he has no conflict of interest. Lucia Capitelli declares that she has no conflict of interest. Richard Younge declares that he has no conflict of interest. Dianna Dragatsi declares that she has no conflict of interest. Juana Alvarez declares that she has no conflict of interest. Roberto Lewis-Fernández declares that he has no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Bartels, S. J., Aschbrenner, K. A., Rolin, S. A., Hendrick, D. C., Naslund, J. A., & Faber, M. J. (2013). Activating older adults with serious mental illness for collaborative primary care visits. Psychiatric Rehabilitation Journal, 36(4), 278–288. doi: 10.1037/prj0000024.CrossRefPubMedPubMedCentralGoogle Scholar
- Cabassa, L. J., Gomes, A. P., Meyreles, Q., Capitelli, L., Younge, R., Dragatsi, D., …, Lewis-Fernandez, R (2014). Using the collaborative intervention planning framework to adapt a health-care manager intervention to a new population and provider group to improve the health of people with serious mental illness. Implement Science, 9, 178. doi: 10.1186/s13012-014-0178-9.CrossRefGoogle Scholar
- Cabassa, L. J., Gomes, A. P., Meyreles, Q., Capitelli, L., Younge, R., Dragatsi, D., …, Lewis-Fernandez, R (2014). Primary health care experiences of hispanics with serious mental illness: A mixed-methods study. Admnistration and Policy in Mental Health and Mental Health Services Research, 41(6), 724–736. doi: 10.1007/s10488-013-0524-2.CrossRefGoogle Scholar
- Carliner, H., Collins, P. Y., Cabassa, L. J., McNallen, A., Joestl, S. S., & Lewis-Fernandez, R. (2014). Prevalence of cardiovascular risk factors among racial and ethnic minorities with schizophrenia spectrum and bipolar disorders: A critical literature review. Comprehensive Psychiatry, 55(2), 233–247. doi: 10.1016/j.comppsych.2013.09.009.CrossRefPubMedGoogle Scholar
- Cooper, H., Hedges, L. V., & Valentine, J. C. (2009). The handbook of research synthesis and meta-analysis (2nd edn.). New York: Russell Sage Foundation.Google Scholar
- Davis, C. S. (2002). Statistical methods for the analysis of repeated measures. New York: Springer.Google Scholar
- Druss, B. G., von Esenwein, S. A., Compton, M. T., Rask, K. J., Zhao, L., & Parker, R. M. (2010). A randomized trial of medical care management for community mental health settings: The primary care access, referral, and evaluation (PCARE) study. American Journal of Psychiatry, 167(2), 151–159.CrossRefPubMedGoogle Scholar
- Lorig, K., Stewart, A., Ritter, P., González, V., Laurent, D., & Lynch, J. (1996). Outcome measures for health education and other health care interventions. Thousand Oaks: Sage Publications.Google Scholar
- Nasrallah, H. A., Meyer, J. M., Goff, D. C., McEvoy, J. P., Davis, S. M., Stroup, T. S., & Lieberman, J. A. (2006). Low rates of treatment for hypertension, dyslipidemia and diabetes in schizophrenia: Data from the CATIE schizophrenia trial sample at baseline. Schizophrenia Research, 86(1–3), 15–22.CrossRefPubMedGoogle Scholar
- Palmer, R. M., & Meldon, S. W. (2003). Acute care. In W. R. Hazzard (Ed.), Principles of geriatric medicine and gerontology (pp. 157–168). Boston: McGraw-Hill.Google Scholar
- United States Preventive Services Task Force. (2010). The guide to clinical preventive services 2010–2011: Recommendations of the U.S. preventive services task force. Washington: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services.Google Scholar