Using vignettes to assess contributions to the work of addressing child mental health problems in primary care

Table 3 Regression estimates (95 % CI’s) of differences in mean work ratings by condition, cross-cutting factors, and provider/practice characteristics

Parameter	Model 1^a	Model 2^a	Model 3^a
Diagnosis (ADHD is reference)
Anxiety	.18 (.03, .34)	.12 (−.01, .26)	.08 (−.069, .24)
Depression	1.21 (1.04, 1.37)	1.14 (1.01, 1.28)	1.09 (.94, 1.25)
Cross-cutting factor (simple case is reference)
Medical co-morbidity		.49 (.33, .64)	.44 (.26, .61)
Complex family		.90 (.75, 1.06)	.87 (.69, 1.04)
Psychiatric co-morbidity		1.10 (.94, 1.25)	1.07 (.89, 1.24)
Provider/practice characteristics^b
Training in behavior or therapy			-.21 (−.54, .12)
Co-located MH			.24 (−.06, .55)
PBS Belief Scale > =mean			-.19 (−.50, .12)
Model statistics
Model chi2	242.05 (p < .0001)	551.21 (p < .0001)	422.28 (p < .0001)
Variance and proportion of variation among respondents	.222 (23 %)	.195 (26 %)	.232 (29 %)
Number of vignettes rated	593	593	576

^aSuccessive models explore work ratings as first a function only of diagnosis (Model 1), diagnosis and cross-cutting factors (Model 2) and diagnosis, cross-cutting factors, and provider/practice characteristics (Model 3)
^bas fixed effects at same level

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