title: Collaborative planning approach to inform the implementation of a healthcare manager intervention for Hispanics with serious mental illness: a study protocol.
abstract: BACKGROUND
  This study describes a collaborative planning approach that blends principles of community-based participatory research (CBPR) and intervention mapping to modify a healthcare manager intervention to a new patient population and provider group and to assess the feasibility and acceptability of this modified intervention to improve the physical health of Hispanics with serious mental illness (SMI) and at risk for cardiovascular disease (CVD).
  
  
  METHODS
  The proposed study uses a multiphase approach that applies CBPR principles and intervention-mapping steps--an intervention-planning approach--to move from intervention planning to pilot testing. In phase I, a community advisory board composed of researchers and stakeholders will be assembled to learn and review the intervention and make initial modifications. Phase II uses a combination of qualitative methods--patient focus groups and stakeholder interviews--to ensure that the modifications are acceptable to all stakeholders. Phase III uses results from phase II to further modify the intervention, develop an implementation plan, and train two care managers on the modified intervention. Phase IV consists of a 12-month open pilot study (N = 30) to assess the feasibility and acceptability of the modified intervention and explore its initial effects. Lastly, phase V consists of analysis of pilot study data and preparation for future funding to develop a more rigorous evaluation of the modified intervention.
  
  
  CONCLUSIONS
  The proposed study is one of the few projects to date to focus on improving the physical health of Hispanics with SMI and at risk for CVD by using a collaborative planning approach to enhance the transportability and use of a promising healthcare manager intervention. This study illustrates how blending health-disparities research and implementation science can help reduce the disproportionate burden of medical illness in a vulnerable population.
authors.affiliation: New York State Center of Excellence for Cultural Competence, New York State Psychiatric Institute, New York, USA. cabassa@nyspi.columbia.edu
authors.forename: Leopoldo J
authors.initials: LJ
authors.lastname: Cabassa
authors.forename: Benjamin
authors.initials: B
authors.lastname: Druss
authors.forename: Yuanjia
authors.initials: Y
authors.lastname: Wang
authors.forename: Roberto
authors.initials: R
authors.lastname: Lewis-Fernández
mesh_terms: D002318:Cardiovascular Diseases; D019090:Case Management; D002985:Clinical Protocols; D055812:Community-Based Participatory Research; D003299:Cooperative Behavior; D004522:Educational Status; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006285:Health Planning / Q000379:methods* / Q000458:organization & administration; D006296:Health Services; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D001523:Mental Disorders; D009518:New York; D010865:Pilot Projects; D011594:Psychometrics; D036301:Qualitative Research; D018570:Risk Assessment; D012720:Severity of Illness Index; D014481:United States