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Fig. 2 | Trials

Fig. 2

From: My Bridge (Mi Puente), a care transitions intervention for Hispanics/Latinos with multimorbidity and behavioral health concerns: protocol for a randomized controlled trial

Fig. 2

Theoretical mapping of Mi Puente. Using the transtheoretical model (TTM) to assess readiness for change, and targeting resources and supports for self-management (RSSM) components 1–3 (behavioral health nurse (BHN)) and 4–6 (volunteer community mentor), the Mi Puente intervention will increase resources and decrease barriers across multiple socioecological levels. The operationalization of all RSSM components in intervention content is monitored using behavioral health nurse “Ready, Set, Action” forms and volunteer community mentor checklists (See Additional file 1). Primary outcomes (d, e) and proposed mechanisms (a–c) are operationalized with the following measures: (a) Patient Activation Measure, (b) Chronic Illness Resources Survey, (c) measure adapted from the Hispanic Community Health Study/Study of Latinos, (d) hospital utilization assessed by electronic medical record (EMR) and self-report, (e) Patient-Reported Outcomes Measurement Information System (PROMIS) General Health Scale. SEM Social-ecological model

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Trials

ISSN: 1745-6215