title: Long-Term Clinical Outcomes from a Randomized Controlled Trial of Two Implementation Strategies to Promote Collaborative Care Attendance in Community Practices.
abstract: This randomized controlled implementation study compared the effectiveness of a standard versus enhanced version of the replicating effective programs (REP) implementation strategy to improve the uptake of the life goals-collaborative care model (LG-CC) for bipolar disorder. Seven community-based practices (384 patient participants) were randomized to standard (manual/training) or enhanced REP (customized manual/training/facilitation) to promote LG-CC implementation. Participants from enhanced REP sites had no significant changes in primary outcomes (improved quality of life, reduced functioning or mood symptoms) by 24 months. Further research is needed to determine whether implementation strategies can lead to sustained, improved participant outcomes in addition to program uptake.
authors.affiliation: Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA, amykilbo@umich.edu.
authors.forename: Amy M
authors.initials: AM
authors.lastname: Kilbourne
authors.forename: David E
authors.initials: DE
authors.lastname: Goodrich
authors.forename: Kristina M
authors.initials: KM
authors.lastname: Nord
authors.forename: Celeste
authors.initials: C
authors.lastname: Van Poppelen
authors.forename: Julia
authors.initials: J
authors.lastname: Kyle
authors.forename: Mark S
authors.initials: MS
authors.lastname: Bauer
authors.forename: Jeanette A
authors.initials: JA
authors.lastname: Waxmonsky
authors.forename: Zongshan
authors.initials: Z
authors.lastname: Lai
authors.forename: Hyungjin M
authors.initials: HM
authors.lastname: Kim
authors.forename: Daniel
authors.initials: D
authors.lastname: Eisenberg
authors.forename: Marshall R
authors.initials: MR
authors.lastname: Thomas
mesh_terms: D000328:Adult; D001714:Bipolar Disorder / Q000523:psychology / Q000628:therapy*; D003156:Community Mental Health Services; D003299:Cooperative Behavior; D003863:Depression / Q000523:psychology; D005260:Female; D006302:Health Services Research; D006801:Humans; D008297:Male; D008875:Middle Aged; D010346:Patient Care Management; D010347:Patient Care Planning; D011788:Quality of Life; D012648:Self Care