title: Psychometric assessment of the Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ).
abstract: Adherence to protocol among behavioral health providers working in co-located, collaborative care or Primary Care Behavioral Health settings has rarely been assessed due to limited measurement options. Development of psychometrically sound measures of provider fidelity may improve the translation of these service delivery models into every day practice. One hundred seventy-three integrated behavioral health providers in VA primary care clinics responded to an online questionnaire to assess the reliability and validity of the Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ). Psychometric assessment resulted in a reliable 48-item measure with two subscales that specified essential and prohibited provider behaviors. The PPAQ demonstrated strong convergent and divergent validity when compared to another measure of health care integration. Known-group comparisons provided partial support for criterion validity. The PPAQ is a reliable and valid self-report of behavioral health provider fidelity with implications for improving provider training, program monitoring, and clinical research.
authors.affiliation: VA Center for Integrated Healthcare, VA WNY Healthcare System, 3495 Bailey Ave, Buffalo, NY 14215 USA ; School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY USA ; School of Public Health and Health Professions, University at Buffalo, The State University of New York, Buffalo, NY USA.
authors.forename: Gregory P
authors.initials: GP
authors.lastname: Beehler
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Funderburk
authors.forename: Kyle
authors.initials: K
authors.lastname: Possemato
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Dollar
keywords: Guideline adherence; Mental health services; Primary health care; Program evaluation