title: Bridges to Better Health and Wellness: An Adapted Health Care Manager Intervention for Hispanics with Serious Mental Illness.
abstract: 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.
authors.affiliation: School of Social Work, Columbia University and the New York State Center of Excellence for Cultural Competence, New York State Psychiatric Institute, 1255, Amsterdam Avenue, New York, NY, 10027, USA. ljc2139@columbia.edu.
authors.forename: Leopoldo J
authors.identifier: 0000-0002-1872-4141
authors.initials: LJ
authors.lastname: Cabassa
authors.affiliation: School of Social Work, Columbia University, New York, NY, USA.
authors.forename: Yamira
authors.initials: Y
authors.lastname: Manrique
authors.affiliation: New York State Psychiatric Institute, New York, NY, USA.
authors.forename: Quisqueya
authors.initials: Q
authors.lastname: Meyreles
authors.affiliation: School of Social Work, Columbia University, New York, NY, USA.
authors.forename: David
authors.initials: D
authors.lastname: Camacho
authors.affiliation: New York State Psychiatric Institute, New York, NY, USA.
authors.forename: Lucia
authors.initials: L
authors.lastname: Capitelli
authors.affiliation: Columbia Center for Family and Community Medicine, Columbia University Medical Center, New York, NY, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Younge
authors.affiliation: Department of Psychiatry, Columbia University Medical Center, New York, NY, USA.
authors.forename: Dianna
authors.initials: D
authors.lastname: Dragatsi
authors.affiliation: New York State Psychiatric Institute, New York, NY, USA.
authors.forename: Juana
authors.initials: J
authors.lastname: Alvarez
authors.affiliation: Department of Psychiatry, Columbia University Medical Center, New York, NY, USA.
authors.forename: Roberto
authors.initials: R
authors.lastname: Lewis-Fernández
mesh_terms: D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D019090:Case Management; D065246:Culturally Competent Care; D005240:Feasibility Studies; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D016014:Linear Models; D008297:Male; D001523:Mental Disorders; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010358:Patient Participation; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D011314:Preventive Health Services; D011320:Primary Health Care; D011787:Quality of Health Care; D011788:Quality of Life; D020377:Self Efficacy
keywords: Cultural adaptation; Health care disparities; Health care management; Hispanics; Latinos; Patient-centered care; Serious mental illness