Department of Child and Family Studies, College of Behavioral and Community Sciences, University of South Florida, Tampa, Florida, USA.
Department of Pediatrics, College of Medicine, University of South Florida, Tampa, Florida, USA.
Transl Behav Med. 2024 Oct 6;14(10):611-620. doi: 10.1093/tbm/ibae040.
Integrated behavioral health (IBH) in pediatric primary care settings can improve access to needed care and outcomes. Behavioral Health Workforce Education and Training (BHWET) programs can better prepare the workforce and support improved care access. This case study identified factors that impede and facilitate the implementation of practice-based training in a BHWET program using the Exploration, Preparation, Implementation, Sustainment (EPIS) framework. Surveys were administered to BHWET trainees and primary care partners to assess stakeholder perspectives on field-based training processes. Qualitative data were extracted from surveys and trainee clinical logs. Providers reported high levels of satisfaction with IBH care training experiences. Data analysis identified several implementation facilitators and barriers. Implementation facilitators were associated with two EPIS outer context factors (leadership and collaboration) and one inner context factor (partner staffing). Identified barriers were associated with two inner context factors (organizational characteristics and data collection). Although the facilitators and barriers identified in this study were program specific, they have relevance for similar programs. Barriers identified at the organizational level reflect those identified in the research literature and provide insights for university programs regarding factors that must be considered when integrating IBH training components in primary care settings.
儿科初级保健环境中的综合行为健康 (IBH) 可以改善获得所需护理的机会和结果。行为健康劳动力教育和培训 (BHWET) 计划可以更好地培养劳动力，并支持改善获得护理的机会。本案例研究使用探索、准备、实施、维持 (EPIS) 框架确定了在 BHWET 计划中实施基于实践的培训的障碍和促进因素。向 BHWET 受训人员和初级保健合作伙伴分发了调查，以评估利益相关者对现场培训过程的看法。从调查和学员临床日志中提取定性数据。提供者报告对 IBH 护理培训体验的满意度很高。数据分析确定了几个实施促进因素和障碍。实施促进因素与两个 EPIS 外部环境因素（领导力和协作）和一个内部环境因素（合作伙伴人员配备）相关。确定的障碍与两个内部环境因素（组织特征和数据收集）有关。尽管本研究中确定的促进因素和障碍是特定于计划的，但它们与类似的计划相关。在组织层面确定的障碍反映了研究文献中确定的障碍，并为大学计划提供了有关在初级保健环境中整合 IBH 培训内容时必须考虑的因素的见解。
