Enhancing interprofessional teamwork between youth care professionals using an electronic health record; a mixed methods intervention study

Figures & data

Figure 1. Model for interprofessional collaboration (Bronstein, 2003).

Figure 2. Flow diagram for inclusion of questionnaire respondents.

Table 1. Characteristics of respondents, in pretest and posttest, with absolute numbers and percentages.

	pre-test n = 117%)	post-test n = 127%)	df Pearson χ^2	Two-sided p-value
Sex			0.33	.86
male	9 (7.7)	9 (7.1)
female	108 (92.3)	118 (92.9)
Working experience			2, 2.85	.24
0–10 years	41 (35·0)	57 (44.9)
10–20 years	45 (38.5)	45 (35.4)
>20 years	31 (26.5)	25 (19.7)
Profession			7, 1.52	.98
Assistant^a	12 (1.3)	11 (8.7)
Behavioural expert	4 (3.4)	8 (6.3)
PCH physcian	11 (9.4)	10 (7.9)
Youth care Worker	58 (49.6)	62 (48.8)
PCH Nurse	25 (21.4)	28 (22.0)
PCH Speech therapist	2 (1.7)	2 (1.6)
Screener^a	3 (2.6)	3 (2.4)
Team administrator^a	2 (1.7)	3 (2.4)
Function			2,0 .13	.94
Administrative^a	17 (14.5)	17 (13.4)
Youth care	62 (53.0)	70 (55.1)
PCH^b	38 (32.5)	40 (31.5)
Organisation			2, 0.01	.97
PCH^b 4–18	14 (12.0)	15 (11.8)
PCH^b 0–3	41 (35.0)	44 (34.6)
Youth care	62 (53.0)	68 (53.5)
Municipality			5, 1.44	.92
Oldebroek	17 (14.5)	24 (18.9)
Elburg	18 (15.4)	18 (14.2)
Nunspeet	20 (17.1)	24 (18.9)
Harderwijk	37 (31.6)	39 (3.7)
Ermelo	21 (17.9)	18 (14.2)
Putten	4 (3.4)	4 (3.1)

^aNon-administrative professionals, invited for questionnaire and excluded afterward based on missing data pattern analysis.

^bPCH = Preventive Child Healthcare.

Table 2. Total and component scores of interprofessional teamwork before and after introduction of EBPR-Youth, presented by organization, municipality, and the total research population.

	Pre-test		Post-test		Difference pre-test/posttest
	n	EMM* (95% CI)	n	EMM* (95% CI)	F (df numerator, df denominator), p-value
Collaboration overall	97	3.85 (3.74–3.95)	106	3.93 (3.82–4.04)	1.70 (1, 105.9), 0.19
Interdependence	98	4.02 (3.92–4.13)	107	4.08 (3.97–4.18)	0.60 (1, 110.2), 0.44
Newly created professional activities	92	3.70 (3.54–3.86)	101	3.80 (3.65–3.95)	0.94 (1, 126.7), 0.33
Flexibility^a	97	3.79 (3.65–3.92)	106	4.00 (3.86–4.14)	1.97 (1, 100.7), 0.05
Collective ownership of goals	91	3.82 (3.65–3.98)	102	3.93 (3.78–4.09)	1.38 (1, 112.7), 0.24
Reflection on process	96	3.72 (3.56–3.87)	104	3.93 (3.68–3.98)	1.49 (1, 119.6), 0.23
	n	EMM* (95% CI)	n	EMM* (95% CI)
Organisation
PCH 4–18^b,c	10	3.57 (3.31–3.82)	12	3.74 (3.50–3.98)
PCH 0–3^b	25	3.92 (3.76–4.09)	26	4.00 (3.84–4.16)
youth care^c	62	4.05 (3.94–4.15)	68	4.06 (3.96–4.16)
Municipality
Oldebroek^d,e	14	4.14 (3.93–4.36)	22	4.06 (3.86–4.25)
Elburg	15	3.91 (3.69–4.12)	15	3.95(3.72–4.17)
Nunspeet^d	16	3.69 (3.48–3.90)	20	3.81 (3.62–4.01)
Harderwijk^e	30	3.69 (3.53–3.85)	34	3.80 (3.65–3.94)
Ermelo/Putten	22	3.80 (3.61–3.99)	15	4.00 (3.82–4.24)

*Estimated marginal means (EMM) were calculated in a mixed model analysis, including organization, municipality, time, interaction between time and municipality, and interaction between time and organization as fixed factors, and ID as random factor.

^asignificant difference between pretest and posttest measurement, 2-sided p-value = 0.05, as tested with Bonferroni post-hoc.

^b–esignificant difference between these subgroups, 2-sided p-value <0.05, as tested with Bonferroni post-hoc.

Bronstein, L. R. (2003). A model for interdisciplinary collaboration. Social Work, 48(3), 297–306. https://doi.org/10.1093/sw/48.3.297

 PubMed Web of Science ®Google Scholar

Data availability statement

The data generated during and/or analyzed during the current study are deposited in the DANS EASY repository, DOI 10.17026/dans-zxq-c63v. The following data are included: data professional questionnaire, both in Excel and SPSS, a data dictionary defining each field in the set, and the logbook. Since focus group transcripts contained sensitive information, these were not included. All included data will be available after an embargo period of one year. Until then, the datasets can be retrieved upon request from the corresponding author.