Use of Patient-Reported Outcome Measures to Assess the Effectiveness of Hybrid Psychiatric Visits

Simple item page
dc.contributor.authorO'Brien, Virginia C.en
dc.contributor.authorKablinger, Anita S.en
dc.contributor.authorKo, Hayoungen
dc.contributor.authorJones, Sydney B.en
dc.contributor.authorMcNamara, Robert S.en
dc.contributor.authorPhenes, Ashlie R.en
dc.contributor.authorHankey, Maria Stacken
dc.contributor.authorGatto, Alyssa J.en
dc.contributor.authorTenzer, Martha M.en
dc.contributor.authorSharp, Hunter D.en
dc.contributor.authorCooper, Lee D.en
dc.date.accessioned2024-06-27T14:30:40Zen
dc.date.available2024-06-27T14:30:40Zen
dc.date.issued2024-06-12en
dc.description.abstractObjective: Little empirical evidence exists to support the effectiveness of hybrid psychiatric care, defined as care delivered through a combination of telephone, videoconferencing, and in-person visits. The authors aimed to investigate the effectiveness of hybrid psychiatric care compared with outpatient waitlist groups, assessed with patient-reported outcome measures (PROMs). Method: Participants were recruited from an adult psychiatry clinic waitlist on which the most common primary diagnoses were unipolar depression, generalized anxiety disorder, and bipolar disorder. Patients (N=148) were randomly assigned to one of two waitlist groups that completed PROMs once or monthly before treatment initiation. PROMs were used to assess symptoms of depression (Patient Health Questionnaire-9 [PHQ-9]), anxiety (Generalized Anxiety Disorder-7 [GAD-7]), and daily psychological functioning (Brief Adjustment Scale-6 [BASE-6]). Patient measures were summarized descriptively with means, medians, and SDs and then compared by using the Kruskal-Wallis test; associated effect sizes were calculated. PROM scores for patients who received hybrid psychiatric treatment during a different period (N=272) were compared with scores of the waitlist groups. Results: PROM assessments of patients who engaged in hybrid care indicated significant improvements in symptom severity compared with the waitlist groups, regardless of the number of PROMs completed while patients were on the waitlist. Between the hybrid care and waitlist groups, the effect size for the PHQ-9 score was moderate (d=0.66); effect sizes were small for the GAD-7 (d=0.46) and BASE-6 (d=0.45) scores. Conclusions: The findings indicate the clinical effectiveness of hybrid care and that PROMs can be used to assess this effectiveness.en
dc.description.versionAccepted versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1176/appi.ps.20230355en
dc.identifier.eissn1557-9700en
dc.identifier.issn1075-2730en
dc.identifier.orcidKablinger, Anita [0000-0002-7131-0036]en
dc.identifier.pmid38863328en
dc.identifier.urihttps://hdl.handle.net/10919/119542en
dc.language.isoenen
dc.publisherAmerican Psychiatric Associationen
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/38863328en
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectHybrid careen
dc.subjectOutpatient clinicsen
dc.subjectOutpatient treatmenten
dc.subjectPROMsen
dc.subjectPatient-reported outcomesen
dc.titleUse of Patient-Reported Outcome Measures to Assess the Effectiveness of Hybrid Psychiatric Visitsen
dc.title.serialPsychiatric Services (Washington, D.C.)en
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherJournal Articleen
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Faculty of Health Sciencesen
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
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/TEACH Membersen

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
HybridCare2.8.24 Final.pdf
Size:
262.69 KB
Format:
Adobe Portable Document Format
Description:
Accepted version
Download
License bundle
Now showing 1 - 1 of 1
Name:
license.txt
Size:
1.5 KB
Format:
Plain Text
Description:
Download

Collections

All Faculty Deposits
Scholarly Works, Psychology
Scholarly Works, Virginia Tech Carilion School of Medicine (VTCSOM)