Table 1.

Sampling Strategy in 4 Waves of Interviews

WaveSampling StrategyThemes Explored
HCO = health care organization.
Wave 112 Clinicians who were active users of care manager
  1. Perceived value of care management

  2. Patterns of communication with care manager

8 Care managers
  1. Perceived value of care management

  2. Patterns of communication with clinicians

  3. Perception of value of mental health supervision

6 Psychiatrists and 1 clinical psychologist
  1. Perceived value of care management

  2. Perception of their role in supervising care managers

Wave 28 Clinicians who had used care manager but referred only a few patients
 4 Clinicians reported by care managers to be less enthusiastic
  1. Perceived value of care management

  2. Reservations about care management

4 Clinicians who were active users of care management
  1. How to integrate care management into overall pattern of care

  2. Value of suggestions received from mental health consultants

Wave 34 Clinicians who were active users of care management
 5 Care managers and one repeat interview
  1. Perceived barriers to care management

  2. Which patients benefited from care management

6 Clinicians who worked with an in-practice care manager
 5 Care managers who were collocated in 1 or more specific practice sites (HCO-B and HCO-D)
  1. Pros/cons of in-practice vs central location of care manager

  2. Which patients benefited from care management

  3. Value of suggestions received from mental health consultants

Wave 44 Repeat interviews with care managers
 4 Clinicians who worked with care managers in the dissemination phase of the project
 6 Second interviews with clinicians identified by care managers as enthusiastic after working with care manager
  1. Effect of care manager exposure on current enthusiasm