Table 3PICOT Descriptors

ParticipantsMedicaid-enrolled adults age ≥21 y with SMI who receive services at participating CMHCs
Interventions

Provider-supported

  • Wellness coaching training for case managers and other CMHC staff
  • Culture of wellness development
  • Onsite wellness nurse coordinating access to preventive, primary, and specialty care and providing education to staff and service users about common physical health conditions

Self-directed

  • Wellness coaching training for case managers and other CMHC staff
  • Culture of wellness development
  • Web portal with self-management tools and resources
Comparators N/A
Outcomes
  • Primary outcomes: patient activation, health status (physical health and mental health), engagement in primary/specialty care
  • Secondary outcomes: mental health symptoms, hope, quality of life, medication adherence, functional status, emergent care, laboratory monitoring, satisfaction with care
Timing of f/u 18-24 mo
Study setting Outpatient CMHCs

Abbreviations: CMHCs, community mental health centers; f/u, follow-up; PICOT, patient, intervention, comparison, outcome, time; SMI, severe mental illness.

From: Using Wellness Coaches and Extra Support to Improve the Health and Wellness of Adults with Serious Mental Illness

Cover of Using Wellness Coaches and Extra Support to Improve the Health and Wellness of Adults with Serious Mental Illness
Using Wellness Coaches and Extra Support to Improve the Health and Wellness of Adults with Serious Mental Illness [Internet].
Schuster J, Reynolds C III, Carney T, et al.
Copyright © 2019. UPMC Center for High-Value Health Care. All Rights Reserved.

This book is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License which permits noncommercial use and distribution provided the original author(s) and source are credited. (See https://creativecommons.org/licenses/by-nc-nd/4.0/

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.