Practice integration profile revised: Improving item readability and completion.

Area of Science:

• Health Services Research
• Primary Care Medicine
• Behavioral Health Integration

Background:

• The Practice Integration Profile (PIP) is a widely used tool for measuring behavioral health integration in primary care.
• Previous analyses and user feedback indicated a need to revise the PIP for enhanced clarity and utility.
• The instrument is grounded in the AHRQ Lexicon for Behavioral Health and Primary Care Integration.

Purpose of the Study:

• To describe the revision process for the Practice Integration Profile (PIP).
• To improve the readability, clarity, and pragmatic utility of the PIP instrument.
• To refine the measure based on user feedback and data analysis.

Main Methods:

• Conducted two rounds of structured cognitive interviews with primary care clinicians.
• Coded interview transcripts using an iterative, consensus-driven process to identify themes.
• Reviewed and modified recommendations for revisions through a committee process.

Main Results:

• Revisions focused on eliminating redundancy, clarifying item meaning, standardizing response categories, and optimizing item domains.
• The revised measure, PIP 2.0, contains 28 items organized into five domains.
• The updated instrument aims for improved clarity and pragmatic utility.

Conclusions:

• The revised Practice Integration Profile (PIP 2.0) has been refined for better usability in evaluating integrated care.
• Further examination is required to confirm PIP 2.0's continued role as a foundational tool for integrated care assessment.