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Table 2 Examples of possible PCARE modifications

From: Collaborative planning approach to inform the implementation of a healthcare manager intervention for hispanics with serious mental illness: a study protocol

Sociocultural modifications

Provider-level modifications

Surface level

Deep level

 

• Translate intervention materials into Spanish

• Use bilingual care managers

• Adapt community resource guide to Washington Heights

• Model interactions with medical providers and help patients formulate questions before medical visits

• Reframe lifestyle change in terms of health, not thinness

• Use health-related fotonovelas

• Involve family members in decision making, as appropriate

• Add training session on CVD risk factors for SWs

• Add training module for SWs on how to work effectively with PCPs

• Distribute pocket cards to CMs and PCPs summarizing CVD risk factors

  1. PCARE = primary care, access referral and evaluation; CVD = cardiovascular disease; SW = social worker; PCP = primary care provider; CM = care manager.
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Implementation Science

ISSN: 1748-5908