Hyo Kyung Kim, Bal Hee Lee, Kyoung A Nam
Improving interprofessional teamwork in a community mental health team: a team building circle program based on the restorative justice paradigm
Journal of interprofessional care
patients heart failure hf multimorbidity may cause difficulties selfmanagement understanding resources patients draw upon effectively manage health fundamental designing new practice models improve outcomes hf describe rationale conceptual framework implementation multicenter survey hf patients characterize differences responders nonresponders summarize patient characteristics responses survey constructs among responders multicenter crosssectional survey study linked electronic health record ehr data survey guided chronic care model understand distribution patientcentric factors including health literacy social support selfmanagement functional mental status patients hf questions existing validated questionnaires survey administered hf patients aged 30 years 4 health systems pcornet national patientcentered clinical research network essentia health intermountain health mayo clinic ohio state university health system mapped ehr data standardized pcornet common data model used extract demographic clinical data survey responders nonresponders across 4 sites 10662 patients hf invited participate 3330 completed survey response rate 31 responders older 74 vs 71 years standardized difference 95 ci 018 013 022 less racially diverse 3 vs 12 nonwhite standardized difference 95 ci 032 036 028 higher prevalence many chronic conditions nonresponders thus may representative hf patients internal reliability validated questionnaires survey good range cronbachs alpha 050096 responders reported health generally good fair frequently cardiovascular comorbidities 50 difficulty climbing stairs 10 reported difficulties bathing preparing meals using transportation nearly 80 patients family friends sit doctor visit 54 managed health patients reported generally low perceived support selfmanagement related exercise diet half patients hf managed health increased understanding selfmanagement resources may guide development interventions improve hf outcomes