Collaborative care for depression management in primary care: A randomized roll-out trial using a type 2 hybrid...

Area of Science:

• Implementation Science
• Primary Care Research
• Mental Health Services

Background:

• The Collaborative Care Model (CoCM) is effective for depression in primary care.
• Barriers and facilitators to CoCM implementation and sustainment are not well understood.
• Pragmatic research is needed to guide CoCM implementation.

Purpose of the Study:

• To assess the effectiveness and implementation of the Collaborative Behavioral Health Program (CBHP), a CoCM adaptation.
• To identify critical drivers for CoCM implementation and sustainability in primary care.
• To conduct economic analyses of CoCM within a healthcare system.

Main Methods:

• Hybrid Type 2 randomized roll-out effectiveness-implementation trial.
• Sequential mixed methods approach assessing stakeholder perspectives.
• Economic analyses, including budget impact and cost offset.

Main Results:

• The study will elucidate critical drivers of successful CoCM implementation.
• Economic analyses will be conducted on a fee-for-service model using CoCM billing codes.
• Data may inform improved implementation efficiency through an optimization approach.

Conclusions:

• This research will provide critical insights into CoCM implementation drivers.
• Economic analyses will offer novel data on CoCM's financial impact.
• Findings can guide optimization strategies for successive primary care practices implementing CoCM.