TY - JOUR
T1 - Veterans’ views of PARTNER-MH, a peer-led patient navigation intervention, to improve patient engagement in care and patient-clinician communication
T2 - A qualitative study
AU - Eliacin, Johanne
AU - Matthias, Marianne S.
AU - Cameron, Kenzie A.
AU - Burgess, Diana J.
N1 - Funding Information:
This study was funded by a VA HSR&D Career Development Award −2 16–153 to Dr. Eliacin. It also received support from the VA HSR&D Center for Health Information and Communication, the Regenstrief Institute, and the Academy of Communication in Healthcare Putnam Scholars Program.
Funding Information:
The clinical trial from which this analysis was conducted was supported by a VA HSR&D Career Development Award ( 16−153 ) to Dr. Eliacin This research was also supported by an Academy of Communication in Healthcare Putnam Scholar Fellowship awarded to Dr. Eliacin.
Publisher Copyright:
© 2023
PY - 2023/9
Y1 - 2023/9
N2 - Objective: In this study, we report on participants’ experiences of PARTNER-MH, a peer-led, patient-navigation intervention for racially and ethnically minoritized patients in Veterans Health Administration mental health services aimed at improving patient engagement in care and patient-clinician communication. Participants described their views of PARTNER-MH, barriers and facilitators to the intervention's implementation, and their application of varied intervention concepts to improve engagement in care and communication with their mental health clinicians. Methods: This is a qualitative analysis of the PARTNER-MH pilot randomized controlled trial. Participants participated in semi-structured interviews guided by the Consolidated Framework for Implementation Research (CFIR). Rapid data analysis approach was used to analyze the data. Results: Participants (n = 13) perceived PARTNER-MH as an acceptable intervention, and viewed use of peers as interventionists, long-term outreach and engagement efforts, and navigation services favorably. Barriers to implementation included limited flexibility in peers’ schedules and lack of peer/participant gender concordance, as well as limited options for program delivery modality. Three main themes summarized participants’ views and perceived benefits of PARTNER-MH that contributed to improved patient-clinician communication: 1) increased patient engagement, 2) improved patient-clinician relationship, and 3) enhanced communication self-efficacy. Conclusions: Participants viewed PARTNER-MH as beneficial and identified several intervention components that contributed to improved engagement in care, communication self-efficacy, and patient-clinician communication. Practice implication: Some patients, especially minoritized patients and those who have been disenfranchised from healthcare systems may benefit from peer-led interventions that facilitate engagement in care and communication self-efficacy to improve patient-clinician communication and healthcare outcomes. Trial registration: ClinicalTrials.gov NCT04515771.
AB - Objective: In this study, we report on participants’ experiences of PARTNER-MH, a peer-led, patient-navigation intervention for racially and ethnically minoritized patients in Veterans Health Administration mental health services aimed at improving patient engagement in care and patient-clinician communication. Participants described their views of PARTNER-MH, barriers and facilitators to the intervention's implementation, and their application of varied intervention concepts to improve engagement in care and communication with their mental health clinicians. Methods: This is a qualitative analysis of the PARTNER-MH pilot randomized controlled trial. Participants participated in semi-structured interviews guided by the Consolidated Framework for Implementation Research (CFIR). Rapid data analysis approach was used to analyze the data. Results: Participants (n = 13) perceived PARTNER-MH as an acceptable intervention, and viewed use of peers as interventionists, long-term outreach and engagement efforts, and navigation services favorably. Barriers to implementation included limited flexibility in peers’ schedules and lack of peer/participant gender concordance, as well as limited options for program delivery modality. Three main themes summarized participants’ views and perceived benefits of PARTNER-MH that contributed to improved patient-clinician communication: 1) increased patient engagement, 2) improved patient-clinician relationship, and 3) enhanced communication self-efficacy. Conclusions: Participants viewed PARTNER-MH as beneficial and identified several intervention components that contributed to improved engagement in care, communication self-efficacy, and patient-clinician communication. Practice implication: Some patients, especially minoritized patients and those who have been disenfranchised from healthcare systems may benefit from peer-led interventions that facilitate engagement in care and communication self-efficacy to improve patient-clinician communication and healthcare outcomes. Trial registration: ClinicalTrials.gov NCT04515771.
KW - Communication self-efficacy
KW - Healthcare disparities
KW - Mental health
KW - Patient navigation
KW - Patient-clinician communication
KW - Peer-led intervention
KW - Veterans
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U2 - 10.1016/j.pec.2023.107847
DO - 10.1016/j.pec.2023.107847
M3 - Article
C2 - 37331280
AN - SCOPUS:85162157086
SN - 0738-3991
VL - 114
JO - Patient education and counseling
JF - Patient education and counseling
M1 - 107847
ER -
