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Effects of COVID-19 on Patients in Adult Ambulatory Psychiatry: Using Patient-Rated Outcome Measures and Telemedicine

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dc.contributor.authorKablinger, Anita S.en
dc.contributor.authorGatto, Alyssa J.en
dc.contributor.authorO'Brien, Virginia C.en
dc.contributor.authorKo, Hayoungen
dc.contributor.authorJones, Sydneyen
dc.contributor.authorMcNamara, Robert S.en
dc.contributor.authorSharp, Hunter D.en
dc.contributor.authorTenzer, Martha M.en
dc.contributor.authorCooper, Lee D.en
dc.date.accessioned2022-03-18T16:35:07Zen
dc.date.available2022-03-18T16:35:07Zen
dc.date.issued2022-02-14en
dc.date.updated2022-03-18T16:18:37Zen
dc.description.abstractIntroduction: To examine the effects of coronavirus disease 2019 (COVID-19) on patients in an academic psychiatric ambulatory clinic, data from a measurement-based care (MBC) system were analyzed to evaluate impacts on psychiatric functioning in patients using telemedicine. Psychiatric functioning was evaluated for psychological distress (brief adjustment scale [BASE]-6), depression (patient health questionnaire [PHQ]-9), and anxiety (generalized anxiety disorder [GAD]-7), including initial alcohol (U.S. alcohol use disorders identification test) and substance use (drug abuse screening test-10) screening. Methods: This observational study included MBC data collected from November 2019 to March 2021. Patient-Reported Outcome Measures (PROMs) were examined to determine changes in symptomatology over the course of treatment, as well as symptom changes resulting from the pandemic. Patients were included in analyses if they completed at least one PROM in the MBC system. Results: A total of 2,145 patients actively participated in the MBC system completing at least one PROM, with engagement ranging from 35.07% to 83.50% depending on demographic factors, where completion rates were significantly different for age, payor status, and diagnostic group. Average baseline scores for new patients varied for the GAD-7, PHQ-9, and BASE-6. Within-person improvements in mental health before and after the pandemic were statistically significant for anxiety, depression, and psychological adjustment. Discussion: MBC is a helpful tool in determining treatment progress for patients engaging in telemedicine. This study showed that patients who engaged in psychiatric services incorporating PROMs had improvements in mental health during the COVID-19 pandemic. Additional research is needed exploring whether PROMs might serve as a protective or facilitative factor for those with mental illness during a crisis when in-person visits are not possible.en
dc.description.versionPublished versionen
dc.format.extent10 page(s)en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1089/tmj.2021.0642en
dc.identifier.eissn1556-3669en
dc.identifier.issn1078-3024en
dc.identifier.pmid35167369en
dc.identifier.urihttp://hdl.handle.net/10919/109358en
dc.language.isoenen
dc.publisherMary Ann Lieberten
dc.relation.urihttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000759600200001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=930d57c9ac61a043676db62af60056c1en
dc.rightsCreative Commons Attribution-NonCommercial 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectHealth Care Sciences & Servicesen
dc.subjectCOVID-19en
dc.subjecttelepsychiatryen
dc.subjectbehavioral healthen
dc.subjecttelemedicineen
dc.subjecte-Healthen
dc.subjectPSYCHOTHERAPYen
dc.subjectDISORDERen
dc.subjectIMPACTen
dc.subjectMedical Informaticsen
dc.subject0807 Library and Information Studiesen
dc.subject0903 Biomedical Engineeringen
dc.subject1117 Public Health and Health Servicesen
dc.titleEffects of COVID-19 on Patients in Adult Ambulatory Psychiatry: Using Patient-Rated Outcome Measures and Telemedicineen
dc.title.serialTelemedicine and e-Healthen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Psychiatry and Behavioral Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Psychiatry and Behavioral Medicine/Psychiatry and Behavioral Medicineen

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