Table 8 Qualitative themes and characteristics of clinics
Characteristic | Description | Site 12 | Site 11 | Site 10 | Site 4 |
|---|---|---|---|---|---|
State | IN | TN | IN | TN | |
Rural/urban status | Urban | Urban | Rural | Urban | |
Clinic size | Based on # of therapists employed at time of cohort assignment; Small < 15; medium = 16–20; large = > 20 | Large | Medium | Medium | Small |
Trajectory of PHQ9 use | Increasing or decreasing use of PHQ9 across 15 mo | Increasing | Increasing | Decreasing | Decreasing |
Study condition | Standard vs. tailored | Tailored | Standard | Tailored | Standard |
Effective leadership | Clear incentive/rationale for MBC use provided by leadership (i.e., not just top-down directive) | Yes | Yes | No | No |
Effective supervision | Time in supervision devoted to clinical and logistical details, and kudos/encouragement provided | Yes | Yes | No | No |
Clinical consultation with colleagues | Opportunities to provide and receive support and enjoy a sense of professional community | Yes | Yes | No | No |