Abstract
Valid 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.
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Source: A Practice integration profile domain and total scores for all respondents. B Total scores by practice characteristics. Each box-and-whisker plot represents the distribution of scores. Each box extends from the 25th to the 75th percentile of scores with the median drawn as the band across the middle of the box. The whiskers extend to the minimum and maximum scores, excluding outliers which are represented as points
Source: N = 113 unique respondents from 87 practices. Each point represents the difference between their test and their retest in Practice Integration Profile total score plotted against the number of days between tests. The solid black is the least-squares linear fit of difference in total PIP score vs. number of days between returns
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This work was supported by the author’s primary employers as part of routine salaries.
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Authors Juvena R. Hitt, Stephanie A. Brennhofer, Matt Martin, CR Macchi, Daniel Mullin, Constance van Eeghen, Benjamin Littenberg, and Rodger S. Kessler have any commercial associations that pose, or have the appearance of posing, a conflict of interest in connection with the submitted article, including but not limited to: employment, consultancies, stock ownership or other equity interests, patent-licensing arrangements, honoraria, paid expert testimony, personal relationships, academic competition, and intellectual passion.
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Hitt, J.R., Brennhofer, S.A., Martin, M.P. et al. Further Experience with the Practice Integration Profile: A Measure of Behavioral Health and Primary Care Integration. J Clin Psychol Med Settings 29, 274–284 (2022). https://doi.org/10.1007/s10880-021-09806-z
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DOI: https://doi.org/10.1007/s10880-021-09806-z