Implementing Patient-Reported Outcomes to Improve the Quality of Care for Weight of Patients with Schizophrenia.
"Enhancing QUality of Care In Psychosis" (EQUIP) was an eight-site clustered controlled trial of the implementation and effectiveness of patient-reported outcomes to support evidence-based practice and improve care for schizophrenia. Implementation sites chose to improve care for weight. Implementat...
| Publicado en: | Journal of Behavioral Health Services & Research Vol. 46; no. 1; pp. 129 - 140 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Jan2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=133985836&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 133985836 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10943412 2WS jtl: Journal of Behavioral Health Services & Research issn: 10943412 maglogo: N pubinfo: dt: Jan2019 vid: 46 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 133985836 133985836 NLM30465314 133985836 10.1007/s11414-018-9641-8 NLM30465314 133985836 ppf: 129 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Implementing Patient-Reported Outcomes to Improve the Quality of Care for Weight of Patients with Schizophrenia. aug: au: Young, Alexander S. Cohen, Amy N. Hamilton, Alison B. Hellemann, Gerhard Reist, Christopher Whelan, Fiona affil: Greater Los Angeles Veterans Healthcare Center, Los Angeles, CA, USA sug: subj: Health Personnel Psychosocial Factors Health Behavior Attitude of Health Personnel Mental Health Services Psychology Obesity Prevention and Control Obesity Complications Body Weight Psychological Tests Schizophrenia Drug Therapy Antipsychotic Agents Adverse Effects Clinical Competence Obesity Epidemiology Middle Age Weight Gain Antipsychotic Agents Therapeutic Use Male United States Female Human Adult Analysis of Variance Validation Studies Comparative Studies Evaluation Research Multicenter Studies Funding Source Middle Aged: 45-64 years Adult: 19-44 years Male Female ab: "Enhancing QUality of Care In Psychosis" (EQUIP) was an eight-site clustered controlled trial of the implementation and effectiveness of patient-reported outcomes to support evidence-based practice and improve care for schizophrenia. Implementation sites chose to improve care for weight. Implementation included monitoring patient-reported outcomes using kiosks, patient and staff education, quality improvement teams, and phone care management. Qualitative and quantitative methods compared implementation and effectiveness between sites for 13 months. Eighty percent of 801 randomly selected patients were overweight. Two hundred one clinicians varied in competency. Baseline use of behavioral weight services was low. At implementation sites, patients became 2.3 times more likely to use weight services compared with control sites (95% CI, 1.5-3.6; χ2 = 14.4; p < 0.01). There was no effect on the weight gain liability of medications prescribed. Controlling for baseline, patients' final weight at control sites was 5.9 ± 2.7 kg heavier than at implementation sites (F = 4.8, p = 0.03). Patient-reported outcomes can inform implementation of evidence-based practice and improvement in outcomes. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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