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N/A N=85 Health Services Research

A Quality Improvement Process to Support Delivery of Cardiovascular Care in Community Mental Health Organizations

Diabetes Mellitus · Hypertension · Dyslipidemias

Enrolled (actual)
85
Serious AEs
Results posted
Sep 2025
Primary outcome: Primary: Quality Improvement Culture as Assessed by the Modified Version of the Validated Survey on Patient Safety — 3.8; 3.8 score on a scale

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Comprehensive Unit Based Safety Program (CUSP) (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Johns Hopkins University
Primary completion
Nov 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Quality Improvement Culture as Assessed by the Modified Version of the Validated Survey on Patient Safety
3.8; 3.8
PRIMARY
Self-efficacy as Assessed by an Adapted Version of Compeau & Higgins' Task-focused Self-efficacy Scale
6.0; 7.1; 5.9; 7.0; 6.2; 7.3
SECONDARY
Acceptability as Assessed by the Acceptability of Intervention Measure
4.4; 4.2; 4.4; 4.2
SECONDARY
Appropriateness as Assessed by the Intervention Appropriateness Measure
4.3; 4.2; 4.4; 4.2
SECONDARY
Feasibility as Assessed by the Feasibility of Intervention Measure
4.3; 4.2; 4.3; 4.2
SECONDARY
Clients With Hypertension Control
41; 59
SECONDARY
Clients With Dyslipidemia Control
70; 75
SECONDARY
Clients With Diabetes Control
53; 55
SECONDARY
Clients Diagnosed With Diabetes Mellitus Who Received HBA1c Measurement
92; 99
SECONDARY
Change in the Percent of Individuals Diagnosed With Diabetes Mellitus Who Received a Lipid Panel
SECONDARY
Change in the Percent of Individuals Diagnosed With Diabetes Mellitus Who Received Statin Therapy
SECONDARY
Change in the Percent of Individuals Diagnosed With Diabetes Mellitus Who Received a Dilated Eye Exam
SECONDARY
Change in the Percent of Individuals Diagnosed With Diabetes Mellitus Who Received a Foot Exam
SECONDARY
Clients Diagnosed With Dyslipidemia Who Received a Lipid Panel
131; 133
SECONDARY
Teamwork Within Teams as Assessed by the Implementation Climate Scale
4.1; 4.0
SECONDARY
Supervisor/Manager Expectations and Actions Promoting Quality as Assessed by the Implementation Climate Scale
4.0; 4.1
SECONDARY
Organizational Learning Assessed by the Implementation Climate Scale
3.9; 3.9
SECONDARY
Management Support for Patient Safety as Assessed by the Implementation Climate Scale
3.7; 3.7
SECONDARY
Overall Perceptions of Quality Improvement Culture as Assessed by the Implementation Climate Scale
3.7; 3.6
SECONDARY
Feedback and Communication About Error as Assessed by the Implementation Climate Scale
3.8; 3.7
SECONDARY
Communication Openness as Assessed by the Implementation Climate Scale
3.5; 3.5
SECONDARY
Frequency of Events Reported as Assessed by the Implementation Climate Scale
4.0; 4.1
SECONDARY
Teamwork Across Teams as Assessed by the Implementation Climate Scale
3.9; 3.9
SECONDARY
Staffing as Assessed by the Implementation Climate Scale
2.9; 2.8
SECONDARY
Clients With Hypertension Who Had a Blood Pressure Measurement
166; 186
SECONDARY
Change in the Percent of Individuals Diagnosed With Diabetes Mellitus Who Received a Urine-protein-creatinine Test
SECONDARY
Change in the Percent of Individuals Diagnosed With Dyslipidemia Who Are on a Statin Medication
SECONDARY
Change in the Percent of Individuals Diagnosed With Hypertension Who Received Lifestyle Counseling
SECONDARY
Change in the Percent of Individuals Diagnosed With Diabetes Mellitus Who Received Lifestyle Counseling
SECONDARY
Change in the Percent of Individuals Diagnosed With Dyslipidemia Who Received Lifestyle Counseling

Summary

This pilot study will examine whether an implementation strategy will improve delivery of evidence-based care for cardiovascular risk factors for people with serious mental illness.

Eligibility Criteria

Inclusion Criteria

Study population 1:

  • Psychiatric rehabilitation program and health home team staff, including providers and leadership are those employed by the psychiatric rehabilitation program or health home program.
  • English-speaking.

Study population 2:

  • People with serious mental illness participating in psychiatric rehabilitation health home programs.
  • English-speaking

Exclusion Criteria

  • None
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04696653). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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