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Related Concept Videos

Self-Help Support Groups01:28

Self-Help Support Groups

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Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
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Models of Health Promotion and Illness Prevention II01:18

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The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
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Models of Health Promotion and Illness Prevention I01:25

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A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
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Community Based Intervention01:30

Community Based Intervention

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Health Literacy01:21

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Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative...
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Virtual Learning Collaborative Compared to Technical Assistance as a Strategy for Implementing Health Promotion in

Stephen J Bartels1, Kelly A Aschbrenner2, Sarah I Pratt3

  • 1Massachusetts General Hospital, The Mongan Institute, Harvard Medical School, Boston, MA, USA.

Administration and Policy in Mental Health
|August 20, 2022
PubMed
Summary
This summary is machine-generated.

Virtual learning collaboratives (VLC) improved health promotion program fidelity and reach for individuals with serious mental illness (SMI). VLC implementation led to greater participation and cardiovascular risk reduction compared to routine technical assistance (TA).

Keywords:
EffectivenessFidelityHealth promotionImplementation strategyLearning collaborativeReachSerious mental illnessTechnical AssistanceTechnology

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Area of Science:

  • Implementation Science
  • Public Health
  • Mental Health Services Research

Background:

  • Learning collaboratives are widely used but lack robust evidence from randomized trials.
  • This study addresses the need to evaluate virtual learning collaboratives (VLC) for implementing evidence-based practices.

Purpose of the Study:

  • To evaluate the effectiveness of a virtual learning collaborative (VLC) compared to routine technical assistance (TA) for implementing a health promotion program.
  • The program aimed to reduce cardiovascular risk in individuals with serious mental illness (SMI) within mental health settings.

Main Methods:

  • A Hybrid Type 3 cluster randomized trial involving 55 mental health organizations.
  • Organizations were randomized to an 18-month VLC or individual site TA.
  • Outcomes included program fidelity, participation, reach, weight loss, cardiorespiratory fitness, and cardiovascular risk reduction.

Main Results:

  • VLC sites demonstrated significantly higher program fidelity (90.5 vs. 79.1; p=0.002) and good fidelity (73.9% vs. 34.8%; p=0.009).
  • VLC was associated with greater participation (69.5% vs. 56.4%; p=0.002) and reach, with 45% more participants receiving the intervention.
  • VLC led to a 58% greater number of participants achieving cardiovascular risk reduction.

Conclusions:

  • Virtual learning collaboratives are an effective implementation strategy for health promotion programs in serious mental illness care.
  • VLCs enhance intervention fidelity, participation, and reach, leading to improved clinical outcomes.
  • VLCs achieve similar effectiveness to TA for participants completing the program, while demonstrating superior implementation metrics.