Care Coordinators in Integrated Care: Burnout Risk, Perceived Supports, and Job Satisfaction.

Introduction: This study examined burnout risk and job satisfaction reported by care coordinators in three programs integrating physical and behavioral health care; it also assessed the relationship between job support and burnout and the organizational supports helpful to care coordinators.

Methods: As part of an evaluation of the Centers for Medicare & Medicaid Services' Health Care Innovation Awards, the research team performed secondary data analysis of interviews conducted with staff (including care coordinators) in three integrated behavioral health models in 2014 and 2015 (n=88, n=69); focus groups with care coordinators in 2015 (n=3); and a survey of care coordinators in 2015 (n=231) that included the Maslach Burnout Inventory.

Results: Analysis of survey data completed in 2017 indicated that although care coordinators felt stressed, they also experienced high levels of job satisfaction, perceived job support, and personal accomplishment, and low levels of disconnection from participants; as a result, risk of burnout was low.

State strategies for coordinating Medicaid and housing services.

Objective: This article reports findings from case studies of 4 states (Illinois, Louisiana, Massachusetts, and Tennessee) that used different approaches to coordinate Medicaid services with temporary or permanent housing supports for individuals with psychiatric disabilities.

Method: Data were collected through document review, telephone interviews with state officials and managed care organizations, and site visits to behavioral health and housing providers, and consumer organizations. Qualitative analyses focused on identifying key features of each state's approach, including the strengths and limitations from multiple perspectives.

An examination of the psychometric properties of the community integration questionnaire (CIQ) in spinal cord injury.

Objective: To examine the psychometric properties of the Community Integration Questionnaire (CIQ) in large samples of individuals with spinal cord injury (SCI).

Design: Longitudinal 12-month survey study.

Setting: Nation-wide, community dwelling.

Matching study designs to disability-related comparative effectiveness research questions.

Comparative effectiveness research can help patients with disabilities; their caregivers and providers determine which healthcare choices are beneficial and will most reduce limitations and barriers, and improve quality of life. Well-designed comparative effectiveness research will be critical as the number of working-age adults affected by disability grows in the future, along with disability-related health expenditures. To better address the need for high-quality and informative research on the effectiveness of interventions for people with disabilities, the authors conducted a comprehensive review of existing standards for assessing evidence quality, collecting input from a wide range of experts and policy makers to determine the type of evidence needed for informing disability-related decision-making and the applicability of existing standards to disability research.

Perceived exercise self-efficacy as a predictor of exercise behavior in individuals aging with spinal cord injury.

Objective: The purpose of this study was to test the hypothesized association between exercise self-efficacy and exercise behavior, controlling for demographic variables and clinical characteristics, in a sample of individuals with spinal cord injuries.

Design: A cross-sectional national survey of 612 community-dwelling adults with spinal cord injury in the United States ranging from 18 to 89 yrs of age was conducted. Sample consisted of 63.

Reporting trends of spinal cord injury research representation: a media content analysis.

Background: Over the past few decades, medical and technological advances in rehabilitation have improved the lives of people with spinal cord injury (SCI). More recently, promises of embryonic stem cell research has made finding a cure for SCI a real possibility, and the media and public have seemingly focused accordingly. Examining media reporting trends of SCI research can help interested researchers, clinicians, and policy makers understand how such research is framed for the public.

Staying physically active after spinal cord injury: a qualitative exploration of barriers and facilitators to exercise participation.

Background: While enhancing physical activity has been an essential goal of public health officials, people with physical impairments such as spinal cord injury (SCI) are more likely to live a sedentary lifestyle. Exercise has been shown to decrease the risk for many of the secondary conditions associated with SCI, including osteoporosis, cardiovascular disease, pressure ulcers, urinary tract infections, diabetes and arthritis, yet this population is rarely a target for health promotion efforts. This paper examines the self-reported exercise experiences of people with SCI using a qualitative-exploratory design.

Health and housing among low-income adults with physical disabilities.

The purpose of this study was to understand the impact of living environment on the health and access to health care of low-income working-age adults with physical disabilities. We conducted focus groups of participants with physical disabilities in the District of Columbia living in each of three housing situations (a homeless shelter, a nursing home, and an inaccessible house or apartment). Twenty-eight people participated in the focus groups.

The SCI Exercise Self-Efficacy Scale (ESES): development and psychometric properties.

Background: Rising prevalence of secondary conditions among persons with spinal cord injury (SCI) has focused recent attention to potential health promotion programs designed to reduce such adverse health conditions. A healthy lifestyle for people with SCI, including and specifically, the adoption of a vigorous exercise routine, has been shown to produce an array of health benefits, prompting many providers to recommend the implementation of such activity to those with SCI. Successfully adopting such an exercise regimen however, requires confidence in one's ability to engage in exercise or exercise self-efficacy.

Barriers and strategies affecting the utilisation of primary preventive services for people with physical disabilities: a qualitative inquiry.

Individuals with physical disabilities are less likely to utilise primary preventive healthcare services than the general population. At the same time they are at greater risk for secondary conditions and as likely as the general population to engage in health risk behaviours. This qualitative exploratory study had two principal objectives: (1) to investigate access barriers to obtaining preventive healthcare services for adults with physical disabilities and (2) to identify strategies to increase access to these services.