Trial Outcomes & Findings for Person-Centered Versus Measurement-Based Care in Mental Health (NCT NCT02507349)
NCT ID: NCT02507349
Last Updated: 2019-02-26
Results Overview
The PEMM is a 12-item self-report measure of mental health patient experience of medication management with prescribers .Response options for 11 questions range from 0=Never to 4=Always, and the response options for the final question range from 0=Very Dissatisfied to 4=Very Satisfied. Overall possible range was 0 to 4. PEMM scores for each time point reflect the mean score of all measures collected within that time frame.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
2443 participants
Primary outcome timeframe
Baseline and every eight months during the two-year intervention phase
Results posted on
2019-02-26
Participant Flow
Participant milestones
| Measure |
Person-Centered Care
Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visit.
Person-Centered Care: Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visi
|
Measurement-Based Care
Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
Measurement-Based Care: Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
|
|---|---|---|
|
Overall Study
STARTED
|
1232
|
1211
|
|
Overall Study
COMPLETED
|
1045
|
1050
|
|
Overall Study
NOT COMPLETED
|
187
|
161
|
Reasons for withdrawal
| Measure |
Person-Centered Care
Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visit.
Person-Centered Care: Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visi
|
Measurement-Based Care
Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
Measurement-Based Care: Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
|
|---|---|---|
|
Overall Study
Death
|
12
|
16
|
|
Overall Study
Withdrawal by Subject
|
1
|
1
|
|
Overall Study
Lost to Follow-up
|
174
|
144
|
Baseline Characteristics
Person-Centered Versus Measurement-Based Care in Mental Health
Baseline characteristics by cohort
| Measure |
Person-Centered Care
n=1201 Participants
Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visit.
Person-Centered Care: Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visi
|
Measurement-Based Care
n=1162 Participants
Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
Measurement-Based Care: Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
|
Total
n=2363 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
41.82 years
STANDARD_DEVIATION 12.41 • n=93 Participants
|
41.31 years
STANDARD_DEVIATION 11.88 • n=4 Participants
|
41.57 years
STANDARD_DEVIATION 12.15 • n=27 Participants
|
|
Sex: Female, Male
Female
|
716 Participants
n=93 Participants
|
775 Participants
n=4 Participants
|
1491 Participants
n=27 Participants
|
|
Sex: Female, Male
Male
|
485 Participants
n=93 Participants
|
387 Participants
n=4 Participants
|
872 Participants
n=27 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
37 Participants
n=93 Participants
|
14 Participants
n=4 Participants
|
51 Participants
n=27 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
1164 Participants
n=93 Participants
|
1148 Participants
n=4 Participants
|
2312 Participants
n=27 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=93 Participants
|
0 Participants
n=4 Participants
|
0 Participants
n=27 Participants
|
|
Race/Ethnicity, Customized
Asian
|
6 Participants
n=93 Participants
|
2 Participants
n=4 Participants
|
8 Participants
n=27 Participants
|
|
Race/Ethnicity, Customized
Black/African American
|
103 Participants
n=93 Participants
|
104 Participants
n=4 Participants
|
207 Participants
n=27 Participants
|
|
Race/Ethnicity, Customized
Native American
|
7 Participants
n=93 Participants
|
2 Participants
n=4 Participants
|
9 Participants
n=27 Participants
|
|
Race/Ethnicity, Customized
White
|
1015 Participants
n=93 Participants
|
1023 Participants
n=4 Participants
|
2038 Participants
n=27 Participants
|
|
Race/Ethnicity, Customized
Other
|
70 Participants
n=93 Participants
|
31 Participants
n=4 Participants
|
101 Participants
n=27 Participants
|
|
Region of Enrollment
United States
|
1201 participants
n=93 Participants
|
1162 participants
n=4 Participants
|
2363 participants
n=27 Participants
|
PRIMARY outcome
Timeframe: Baseline and every eight months during the two-year intervention phasePopulation: Multiple records can be measured from the same participant at the same time period, so overall number of surveys analyzed can be greater than the unique number of participants except for at baseline.
The PEMM is a 12-item self-report measure of mental health patient experience of medication management with prescribers .Response options for 11 questions range from 0=Never to 4=Always, and the response options for the final question range from 0=Very Dissatisfied to 4=Very Satisfied. Overall possible range was 0 to 4. PEMM scores for each time point reflect the mean score of all measures collected within that time frame.
Outcome measures
| Measure |
Person-Centered Care
n=3795 Survey Records
Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visit.
Person-Centered Care: Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visi
|
Measurement-Based Care
n=3772 Survey Records
Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
Measurement-Based Care: Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
|
|---|---|---|
|
Patient Experience of Medication Treatment (PEMM)
Month 8: Every record 6< month <=8
|
3.015 Units on a scale
Standard Deviation 0.713
|
3.083 Units on a scale
Standard Deviation 0.735
|
|
Patient Experience of Medication Treatment (PEMM)
Baseline
|
3.009 Units on a scale
Standard Deviation 0.712
|
3.007 Units on a scale
Standard Deviation 0.747
|
|
Patient Experience of Medication Treatment (PEMM)
Month 3: Every record 0< month <=3
|
2.6 Units on a scale
Standard Deviation 0.91
|
3.09 Units on a scale
Standard Deviation 0.18
|
|
Patient Experience of Medication Treatment (PEMM)
Month 6: Every record 3< month <=6
|
3.056 Units on a scale
Standard Deviation 0.679
|
3.068 Units on a scale
Standard Deviation 0.675
|
|
Patient Experience of Medication Treatment (PEMM)
Month 12: Every record 8< month <=12
|
3.055 Units on a scale
Standard Deviation 0.715
|
3.119 Units on a scale
Standard Deviation 0.682
|
|
Patient Experience of Medication Treatment (PEMM)
Month16: Every record 12< month <=16
|
3.066 Units on a scale
Standard Deviation 0.685
|
3.112 Units on a scale
Standard Deviation 0.681
|
|
Patient Experience of Medication Treatment (PEMM)
Month 18: Every record 16< month <=18
|
3.134 Units on a scale
Standard Deviation 0.703
|
3.153 Units on a scale
Standard Deviation 0.624
|
|
Patient Experience of Medication Treatment (PEMM)
Month 20: Every record 18< month <=20
|
3.062 Units on a scale
Standard Deviation 0.666
|
3.113 Units on a scale
Standard Deviation 0.677
|
|
Patient Experience of Medication Treatment (PEMM)
Month 24: Every record 20< month
|
3.13 Units on a scale
Standard Deviation 0.667
|
3.117 Units on a scale
Standard Deviation 0.7
|
PRIMARY outcome
Timeframe: Baseline and every eight months during the two-year intervention phasePopulation: Multiple records can be measured from the same participant at the same time period, so N can be greater than the unique number of participants except for the baseline
The SDM-Q-9 is a 9-item self-report measure of the degree of shared decision making in clinical encounters. There are 6 possible responses ranging from: Completely Disagree (0) to Completely Agree (5). Raw score ranges from 0 to 45. Multiplication of the raw score by 20/9 provides a score forced (transformed) to range from 0 to 100, where 0 indicates the lowest possible level of SDM and 100 indicates the highest extent of shared decision making in clinical encounters. SDM-Q-9 scores for each time point reflect the mean score of all measures collected within that time frame.
Outcome measures
| Measure |
Person-Centered Care
n=3768 Survey Records
Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visit.
Person-Centered Care: Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visi
|
Measurement-Based Care
n=3705 Survey Records
Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
Measurement-Based Care: Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
|
|---|---|---|
|
Shared Decision Making Questionnaire (SDM-Q-9)
Baseline
|
74.082 Units on a scale
Standard Deviation 24.162
|
73.69 Units on a scale
Standard Deviation 24.271
|
|
Shared Decision Making Questionnaire (SDM-Q-9)
Month 3: Every record 0< month <=3
|
72 Units on a scale
Standard Deviation 18.699
|
83.703 Units on a scale
Standard Deviation 8.411
|
|
Shared Decision Making Questionnaire (SDM-Q-9)
Month 6: Every record 3< month <=6
|
75.946 Units on a scale
Standard Deviation 22.206
|
76.12 Units on a scale
Standard Deviation 21.756
|
|
Shared Decision Making Questionnaire (SDM-Q-9)
Month 8: Every record 6< month <=8
|
74.692 Units on a scale
Standard Deviation 22.911
|
74.014 Units on a scale
Standard Deviation 22.852
|
|
Shared Decision Making Questionnaire (SDM-Q-9)
Month 12: Every record 8< month <=12
|
76.148 Units on a scale
Standard Deviation 23.389
|
77.629 Units on a scale
Standard Deviation 19.988
|
|
Shared Decision Making Questionnaire (SDM-Q-9)
Month16: Every record 12< month <=16
|
75.736 Units on a scale
Standard Deviation 21.823
|
76.325 Units on a scale
Standard Deviation 22.733
|
|
Shared Decision Making Questionnaire (SDM-Q-9)
Month 18: Every record 16< month <=18
|
78.682 Units on a scale
Standard Deviation 21.648
|
76.554 Units on a scale
Standard Deviation 21.015
|
|
Shared Decision Making Questionnaire (SDM-Q-9)
Month 20: Every record 18< month <=20
|
76.728 Units on a scale
Standard Deviation 19.737
|
75.72 Units on a scale
Standard Deviation 21.73
|
|
Shared Decision Making Questionnaire (SDM-Q-9)
Month 24: Every record 20< month
|
77.822 Units on a scale
Standard Deviation 20.898
|
77.082 Units on a scale
Standard Deviation 21.801
|
SECONDARY outcome
Timeframe: Baseline and every eight months during the two-year intervention phasePopulation: Multiple records can be measured from the same participant at the same time period, so N can be greater than the unique number of participants except for the baseline
Patient hopefulness will be assessed using a single question: "Overall, how hopeful does the patient feel about his/her life?" Responses are on a scale of 1 through 10 with 1=No Hope and 10=Filled with Hope. Hopefulness scores for each time point reflect the mean score of all measures collected within that time frame.
Outcome measures
| Measure |
Person-Centered Care
n=3769 Survey Records
Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visit.
Person-Centered Care: Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visi
|
Measurement-Based Care
n=3706 Survey Records
Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
Measurement-Based Care: Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
|
|---|---|---|
|
Hope
Baseline
|
6.008 Units on a scale
Standard Deviation 2.469
|
6.003 Units on a scale
Standard Deviation 2.413
|
|
Hope
Month 3: Every record 0< month <=3
|
6.5 Units on a scale
Standard Deviation 2.082
|
4 Units on a scale
Standard Deviation 1.732
|
|
Hope
Month 6: Every record 3< month <=6
|
6.078 Units on a scale
Standard Deviation 2.483
|
5.984 Units on a scale
Standard Deviation 2.303
|
|
Hope
Month 8: Every record 6< month <=8
|
6.073 Units on a scale
Standard Deviation 2.471
|
5.959 Units on a scale
Standard Deviation 2.439
|
|
Hope
Month 12: Every record 8< month <=12
|
6.118 Units on a scale
Standard Deviation 2.409
|
6.105 Units on a scale
Standard Deviation 2.338
|
|
Hope
Month16: Every record 12< month <=16
|
6.166 Units on a scale
Standard Deviation 2.413
|
6.164 Units on a scale
Standard Deviation 2.145
|
|
Hope
Month 18: Every record 16< month <=18
|
6.583 Units on a scale
Standard Deviation 2.176
|
6.185 Units on a scale
Standard Deviation 2.2
|
|
Hope
Month 20: Every record 18< month <=20
|
6.225 Units on a scale
Standard Deviation 2.245
|
6.092 Units on a scale
Standard Deviation 2.316
|
|
Hope
Month 24: Every record 20< month
|
6.374 Units on a scale
Standard Deviation 2.348
|
6.312 Units on a scale
Standard Deviation 2.196
|
SECONDARY outcome
Timeframe: Baseline and every eight months during the two-year intervention phasePopulation: Multiple records can be measured from the same participant at the same time period, so N can be greater than the unique number of participants except for the baseline
Medication side effects will be assessed using a single question: "How much is the patient troubled by medication side effects?" Responses are on a scale of 1 through 10 with 1=Not Bothered at all by side effects and 10=Very Bothered by side effects. Medication side effect scores for each time point reflect the mean score of all measures collected within that time frame.
Outcome measures
| Measure |
Person-Centered Care
n=3766 Survey Records
Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visit.
Person-Centered Care: Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visi
|
Measurement-Based Care
n=3702 Survey Records
Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
Measurement-Based Care: Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
|
|---|---|---|
|
Medication Side Effects
Baseline
|
3.935 Units on a scale
Standard Deviation 2.759
|
3.849 Units on a scale
Standard Deviation 2.746
|
|
Medication Side Effects
Month 3: Every record 0< month <=3
|
3.75 Units on a scale
Standard Deviation 2.217
|
4.333 Units on a scale
Standard Deviation 3.215
|
|
Medication Side Effects
Month 6: Every record 3< month <=6
|
3.527 Units on a scale
Standard Deviation 2.469
|
3.878 Units on a scale
Standard Deviation 2.654
|
|
Medication Side Effects
Month 8: Every record 6< month <=8
|
3.884 Units on a scale
Standard Deviation 2.726
|
3.858 Units on a scale
Standard Deviation 2.82
|
|
Medication Side Effects
Month 12: Every record 8< month <=12
|
3.67 Units on a scale
Standard Deviation 2.763
|
3.687 Units on a scale
Standard Deviation 2.738
|
|
Medication Side Effects
Month16: Every record 12< month <=16
|
3.728 Units on a scale
Standard Deviation 2.67
|
3.717 Units on a scale
Standard Deviation 2.609
|
|
Medication Side Effects
Month 18: Every record 16< month <=18
|
3.373 Units on a scale
Standard Deviation 2.674
|
3.502 Units on a scale
Standard Deviation 2.604
|
|
Medication Side Effects
Month 20: Every record 18< month <=20
|
3.751 Units on a scale
Standard Deviation 2.745
|
3.72 Units on a scale
Standard Deviation 2.749
|
|
Medication Side Effects
Month 24: Every record 20< month
|
3.531 Units on a scale
Standard Deviation 2.705
|
3.595 Units on a scale
Standard Deviation 2.602
|
SECONDARY outcome
Timeframe: Baseline and every eight months during the two-year intervention phasePopulation: Multiple records can be measured from the same participant at the same time period, so N can be greater than the unique number of participants except for the baseline
PAM is a 13-item scale that assesses the knowledge, skills, and confidence of patients essential to managing their own health and health care. Response options are: Strongly Disagree, Disagree, Agree, and Strongly Agree. The activation scale for the PAM ranges from 0 to 100. The lower values represent a poor outcome while higher values represent a better outcome. Overall possible range was 0 to 91.6. PAM scores for each time point reflect the mean score of all measures collected within that time frame.
Outcome measures
| Measure |
Person-Centered Care
n=3065 Survey Records
Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visit.
Person-Centered Care: Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visi
|
Measurement-Based Care
n=3081 Survey Records
Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
Measurement-Based Care: Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
|
|---|---|---|
|
Patient Activation Measure (PAM)
Baseline
|
62.707 Units on a scale
Standard Deviation 15.321
|
62.467 Units on a scale
Standard Deviation 15.635
|
|
Patient Activation Measure (PAM)
Month 3: Every record 0< month <=3
|
47.75 Units on a scale
Standard Deviation 7.932
|
60.467 Units on a scale
Standard Deviation 7.81
|
|
Patient Activation Measure (PAM)
Month 6: Every record 3< month <=6
|
63.979 Units on a scale
Standard Deviation 15.814
|
60.908 Units on a scale
Standard Deviation 14.959
|
|
Patient Activation Measure (PAM)
Month 8: Every record 6< month <=8
|
62.978 Units on a scale
Standard Deviation 14.82
|
62.826 Units on a scale
Standard Deviation 15.275
|
|
Patient Activation Measure (PAM)
Month 12: Every record 8< month <=12
|
63.205 Units on a scale
Standard Deviation 14.945
|
64.04 Units on a scale
Standard Deviation 16.678
|
|
Patient Activation Measure (PAM)
Month16: Every record 12< month <=16
|
63.741 Units on a scale
Standard Deviation 14.852
|
63.034 Units on a scale
Standard Deviation 15.478
|
|
Patient Activation Measure (PAM)
Month 18: Every record 16< month <=18
|
64.73 Units on a scale
Standard Deviation 14.668
|
63.413 Units on a scale
Standard Deviation 14.389
|
|
Patient Activation Measure (PAM)
Month 20: Every record 18< month <=20
|
63.664 Units on a scale
Standard Deviation 14.593
|
63.642 Units on a scale
Standard Deviation 15.07
|
|
Patient Activation Measure (PAM)
Month 24: Every record 20< month
|
63.952 Units on a scale
Standard Deviation 14.887
|
63.895 Units on a scale
Standard Deviation 15.289
|
SECONDARY outcome
Timeframe: Baseline and every eight months during the two-year intervention phasePopulation: Multiple records can be measured from the same participant at the same time period, so N can be greater than the unique number of participants except for the baseline
The BASIS-24 identifies a wide range of symptoms and problems that occur across the psychiatric diagnostic spectrum. There are 5 ordered responses either ranging from No Difficulty to Extreme Difficulty or from None of the Time to All of the Time. Each of 24 questions is scored on a 5 point scale (from 0 to 4 where 0 is the lowest severity and 4 is the highest). The overall BASIS-24 score is a weighted sum that is computed by multiplying the rating for each question by its weight and totaling the weighted ratings for each question. Overall possible range was 0 to 3.99. BASIS-24 scores for each time point reflect the mean score of all measures collected within that time frame.
Outcome measures
| Measure |
Person-Centered Care
n=3566 Survey Records
Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visit.
Person-Centered Care: Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visi
|
Measurement-Based Care
n=3527 Survey Records
Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
Measurement-Based Care: Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
|
|---|---|---|
|
Behavior and Symptom Identification Scale (BASIS-24)
Baseline
|
1.496 Units on a scale
Standard Deviation 0.737
|
1.483 Units on a scale
Standard Deviation 0.726
|
|
Behavior and Symptom Identification Scale (BASIS-24)
Month 3: Every record 0< month <=3
|
1.418 Units on a scale
Standard Deviation 0.552
|
2.03 Units on a scale
Standard Deviation 0.622
|
|
Behavior and Symptom Identification Scale (BASIS-24)
Month 6: Every record 3< month <=6
|
1.291 Units on a scale
Standard Deviation 0.776
|
1.449 Units on a scale
Standard Deviation 0.666
|
|
Behavior and Symptom Identification Scale (BASIS-24)
Month 8: Every record 6< month <=8
|
1.386 Units on a scale
Standard Deviation 0.724
|
1.431 Units on a scale
Standard Deviation 0.767
|
|
Behavior and Symptom Identification Scale (BASIS-24)
Month 12: Every record 8< month <=12
|
1.324 Units on a scale
Standard Deviation 0.782
|
1.432 Units on a scale
Standard Deviation 0.739
|
|
Behavior and Symptom Identification Scale (BASIS-24)
Month16: Every record 12< month <=16
|
1.3 Units on a scale
Standard Deviation 0.724
|
1.362 Units on a scale
Standard Deviation 0.722
|
|
Behavior and Symptom Identification Scale (BASIS-24)
Month 18: Every record 16< month <=18
|
1.179 Units on a scale
Standard Deviation 0.696
|
1.357 Units on a scale
Standard Deviation 0.737
|
|
Behavior and Symptom Identification Scale (BASIS-24)
Month 20: Every record 18< month <=20
|
1.252 Units on a scale
Standard Deviation 0.709
|
1.299 Units on a scale
Standard Deviation 0.704
|
|
Behavior and Symptom Identification Scale (BASIS-24)
Month 24: Every record 20< month
|
1.245 Units on a scale
Standard Deviation 0.699
|
1.305 Units on a scale
Standard Deviation 0.72
|
SECONDARY outcome
Timeframe: Baseline and every eight months during the two-year intervention phasePopulation: Multiple records can be measured from the same participant at the same time period, so N can be greater than the unique number of participants except for the baseline
The Sheehan Disability Scale measures the extent to which three major sectors in the person's life are impaired by psychiatric symptoms (work/school, social/leisure life, and family/home life). The 3 items are summed together to form a single measure of global functional impairment that ranges from 0 (unimpaired) to 30 (highly impaired). Sheehan Disability Scale scores for each time point reflect the mean score of all measures collected within that time frame.
Outcome measures
| Measure |
Person-Centered Care
n=3691 Survey Records
Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visit.
Person-Centered Care: Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visi
|
Measurement-Based Care
n=3590 Survey Records
Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
Measurement-Based Care: Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
|
|---|---|---|
|
Sheehan Disability Scale
Month 8: Every record 6< month <=8
|
10.385 Units on a scale
Standard Deviation 8.388
|
11.467 Units on a scale
Standard Deviation 9.167
|
|
Sheehan Disability Scale
Baseline
|
10.514 Units on a scale
Standard Deviation 8.727
|
10.826 Units on a scale
Standard Deviation 8.761
|
|
Sheehan Disability Scale
Month 3: Every record 0< month <=3
|
13.5 Units on a scale
Standard Deviation 8.347
|
19 Units on a scale
Standard Deviation 8.185
|
|
Sheehan Disability Scale
Month 6: Every record 3< month <=6
|
9.536 Units on a scale
Standard Deviation 8.776
|
10.737 Units on a scale
Standard Deviation 8.585
|
|
Sheehan Disability Scale
Month 12: Every record 8< month <=12
|
9.142 Units on a scale
Standard Deviation 8.49
|
11.278 Units on a scale
Standard Deviation 9.057
|
|
Sheehan Disability Scale
Month16: Every record 12< month <=16
|
9.116 Units on a scale
Standard Deviation 8.005
|
10.226 Units on a scale
Standard Deviation 8.537
|
|
Sheehan Disability Scale
Month 18: Every record 16< month <=18
|
8.209 Units on a scale
Standard Deviation 7.957
|
10.154 Units on a scale
Standard Deviation 8.59
|
|
Sheehan Disability Scale
Month 20: Every record 18< month <=20
|
9.151 Units on a scale
Standard Deviation 8.175
|
9.662 Units on a scale
Standard Deviation 7.858
|
|
Sheehan Disability Scale
Month 24: Every record 20< month
|
8.837 Units on a scale
Standard Deviation 7.767
|
9.716 Units on a scale
Standard Deviation 8.062
|
SECONDARY outcome
Timeframe: Baseline and every eight months during the two-year intervention phasePopulation: Multiple records can be measured from the same participant at the same time period, so N can be greater than the unique number of participants except for the baseline
Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form is a 16-item, self-report questionnaire for assessing quality of life in multiple domains (e.g., physical health, mood, leisure time activities, social relationships, and overall). Response items are on a 5-point scale ranging from Very Poor to Very Good. The scoring of the Q-LES-Q-SF involves summing only the first 14 items to yield a raw total score. The last two items are not included in the total score but are standalone items. The raw total score ranges from 14 to 70. The raw total score was transformed into a percentage maximum possible score using the following formula. The lower values/percentages represent a poor outcome while higher values/percentages represent a better outcome. Overall possible range was 0-100. QLESQ-SF scores for each time point reflect the mean score of all measures collected within that time frame.
Outcome measures
| Measure |
Person-Centered Care
n=3398 Survey Records
Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visit.
Person-Centered Care: Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visi
|
Measurement-Based Care
n=3359 Survey Records
Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
Measurement-Based Care: Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
|
|---|---|---|
|
Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (QLESQ-SF)
Baseline
|
54.922 Units on a scale
Standard Deviation 21.316
|
53.51 Units on a scale
Standard Deviation 20.758
|
|
Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (QLESQ-SF)
Month 3: Every record 0< month <=3
|
52.38 Units on a scale
Standard Deviation 16.003
|
37.5 Units on a scale
Standard Deviation 14.616
|
|
Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (QLESQ-SF)
Month 6: Every record 3< month <=6
|
57.756 Units on a scale
Standard Deviation 21.417
|
52.902 Units on a scale
Standard Deviation 21.231
|
|
Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (QLESQ-SF)
Month 8: Every record 6< month <=8
|
57.417 Units on a scale
Standard Deviation 20.472
|
53.271 Units on a scale
Standard Deviation 22.152
|
|
Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (QLESQ-SF)
Month 12: Every record 8< month <=12
|
59.037 Units on a scale
Standard Deviation 21.651
|
54.383 Units on a scale
Standard Deviation 20.661
|
|
Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (QLESQ-SF)
Month16: Every record 12< month <=16
|
58.018 Units on a scale
Standard Deviation 20.553
|
54.375 Units on a scale
Standard Deviation 20.337
|
|
Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (QLESQ-SF)
Month 18: Every record 16< month <=18
|
62.754 Units on a scale
Standard Deviation 20.621
|
54.31 Units on a scale
Standard Deviation 19.872
|
|
Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (QLESQ-SF)
Month 20: Every record 18< month <=20
|
60.396 Units on a scale
Standard Deviation 20.464
|
55.192 Units on a scale
Standard Deviation 20.609
|
|
Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (QLESQ-SF)
Month 24: Every record 20< month
|
59.881 Units on a scale
Standard Deviation 20.056
|
56.666 Units on a scale
Standard Deviation 20.068
|
SECONDARY outcome
Timeframe: Baseline, 8 months, 24 monthsPopulation: Based on participants who had available claims data.
Count of the number of medication checks and evaluation visits for each study participant for the 12 month period prior to and including the anchor date of the time point.
Outcome measures
| Measure |
Person-Centered Care
n=1064 Participants
Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visit.
Person-Centered Care: Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visi
|
Measurement-Based Care
n=1045 Participants
Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
Measurement-Based Care: Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
|
|---|---|---|
|
Engagement in Medication and Evaluation Visit
Baseline
|
6.356 medication checks and evaluation visits
Standard Deviation 4.22
|
6.785 medication checks and evaluation visits
Standard Deviation 4.006
|
|
Engagement in Medication and Evaluation Visit
8 months
|
5.977 medication checks and evaluation visits
Standard Deviation 4.586
|
6.851 medication checks and evaluation visits
Standard Deviation 3.94
|
|
Engagement in Medication and Evaluation Visit
24 months
|
5.517 medication checks and evaluation visits
Standard Deviation 4.803
|
5.691 medication checks and evaluation visits
Standard Deviation 4.839
|
SECONDARY outcome
Timeframe: Baseline, 8 months, 24 monthsPopulation: Based on participants who had available claims data.
Count of the number of psychotherapy visits for each study participant for the 12 month period prior to and including the anchor date of the time point.
Outcome measures
| Measure |
Person-Centered Care
n=1064 Participants
Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visit.
Person-Centered Care: Decision support center staffed by peers. Patient uses the CommonGround program prior to medication visit to prepare a personal report, with support from peer(s). The CommonGround report expresses goals for medication, how other strategies help with functioning, current problems, and medication side effects. Patient brings report into the medication visit. Prescriber and patient discuss medication options, and prescriber enters the shared decision into CommonGround during the visi
|
Measurement-Based Care
n=1045 Participants
Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
Measurement-Based Care: Clinic staff asks each patient to use a tablet computer to complete a brief assessment of symptoms and problems prior to medication visit. Prescriber views assessment results on office computer and discusses next steps in medication management with the patient.
|
|---|---|---|
|
Engagement in Psychotherapy Visit
Baseline
|
8.706 psychotherapy visits
Standard Deviation 12.972
|
9.679 psychotherapy visits
Standard Deviation 12.313
|
|
Engagement in Psychotherapy Visit
8 months
|
7.825 psychotherapy visits
Standard Deviation 12.461
|
9.369 psychotherapy visits
Standard Deviation 12.279
|
|
Engagement in Psychotherapy Visit
24 months
|
7.224 psychotherapy visits
Standard Deviation 12.728
|
6.864 psychotherapy visits
Standard Deviation 11.397
|
Adverse Events
Person-Centered Care
Serious events: 0 serious events
Other events: 0 other events
Deaths: 12 deaths
Measurement-Based Care
Serious events: 0 serious events
Other events: 0 other events
Deaths: 16 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Kelly Williams, Program Administrator
UPMC Center for High-Value Health Care
Phone: 412-454-1198
Email: [email protected]
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place