Table 1.

Interdisciplinary team roles

Interdisciplinary Team Member	Role within PPACT
Nurse	Conducted initial biopsychosocial interview and assessment (often for the more medically complex patients) Devised patient-centered plan of care based on interdisciplinary assessments Discussed plan of care with patient’s primary care provider Co-led weekly supported self-care management group session Engaged in weekly coaching calls with patients Devised and discussed post-program plan of care with patient Discussed plan of care with patient’s primary care provider (in-person or electronically) Training: 3-day in-person training, audio-recorded small group role plays with feedback, audio-recorded group sessions with feedback, weekly or bi-weekly consultation calls.
Behavioral Specialist	Conducted pre-program biopsychosocial interview and assessment (often for the more medically complex patients) Devised patient-centered plan of care based on interdisciplinary assessments Discussed plan of care with patient’s primary care provider Co-led weekly supported self-care management group session Engaged in weekly coaching calls with patients Devised and discussed post-program plan of care with patient Discussed plan of care with patient’s primary care provider (in-person or electronically) Training: 3-day in-person training, audio-recorded small group role plays with feedback, audio-recorded group sessions with feedback, weekly or bi-weekly consultation calls.
Physical Therapist	Conducted pre-program functional assessment Devised physical function-focused plan of care and goals Recommended adapted movement modifications based on patients’ functional assessment. Conduced mid-program functional assessment for physical function recommendations based on progress in the program Training: participation in two days of 3-day in-person training
Pharmacist	Conducted pre-program, chart-based medication review Formulated recommendations to optimize medication management, which were communicated to the nurse, behavioral specialist, and primary care provider Training: Two-hour training with lead investigator and pharmacist. Template for chart reviews provided.