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. 2021 Oct 20;12:21501327211049053. doi: 10.1177/21501327211049053

Table 1.

Items From the Integrated Behavioral Health Patient Preference Survey Administered Among Primary Care Patients.

Items Response options
How important is your behavioral, mental, or emotional health to your overall physical health? Five-point Likert scale items from “not important” to “extremely important”
How comfortable would you feel being asked about or even getting help for your behavioral, mental, or emotional health issues here at the clinic? Five-point Likert scale items from “not at all comfortable” to “extremely comfortable”
If you had a behavioral, mental, or emotional health concern, which of the following would you prefer To get help here in the clinic from a team member; To get help here in the clinic, but only from my doctor; To get help here in the clinic from a behavioral health clinician It depends; To get a referral to a specialist outside the clinic
To what extent are your behavioral health needs met in this clinic? Five-point Likert scale items from “not at all” to “completely”
Demographics
Age 17 or below; 18-20; 21-29; 30-39; 40-49; 50-59; 60-69; 70 or above
Sex Female; Male; Transgender; Other (specify)
Race/ethnicity Asian; American Indian or Alaskan Native; Black or African American; Hispanic or Latino; Native Hawaiian or Pacific Islander; White; Other (specify)
Have you ever received treatment for any of the following problems? (Select all that apply) Diabetes; Hypertension; COPD; Asthma; Depression; Anxiety/stress; Alcohol or drug use
Are you currently under our care for any of the following problems? (Select all that apply) Diabetes; Hypertension; COPD; Asthma; Depression; Anxiety/stress; Alcohol or drug use
If you checked “yes” to diabetes or hypertension, how much of an impact do behavioral, mental, or emotional health issues have on your condition and your ability to manage it? Five-point Likert scale items from “no impact” to “major impact”