Behavioral Monitoring in Primary Care
| Status: | Terminated |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 20 - 65 |
| Updated: | 12/9/2018 |
| Start Date: | December 22, 2016 |
| End Date: | March 7, 2017 |
Stress and anxiety can worsen quality of life in patients seen in primary care practices.
Patients at predetermined practices age 20-65 receive psychosocial screening instruments for
anxiety and quality of life (GAD7 and SF-12) at six month intervals for twenty-four months as
part of routine care. Assessing anxiety and quality of life every six months will provide
data to analyze whether anxiety and quality of life changes over time.
Patients who consent will also be asked at 6, 12, 18, and 24 months about medical utilization
of behavioral care or any medical care outside of University of Pittsburgh Medical Center in
order to be part of their research record for good clinical care. If patients received any
behavioral treatment, the patient will also be asked questions regarding the helpfulness of
this treatment.
This is an observational characterization study to understand the psychiatric and behavioral
needs of primary care patients. The follow-up questionnaires and medical record information
will look at the rates and predictors of hospitalizations and/ or behavioral health treatment
as a longitudinal way to track these symptoms over time. These resources are critical to
determine the need for embedded behavioral care in primary care settings.
Patients at predetermined practices age 20-65 receive psychosocial screening instruments for
anxiety and quality of life (GAD7 and SF-12) at six month intervals for twenty-four months as
part of routine care. Assessing anxiety and quality of life every six months will provide
data to analyze whether anxiety and quality of life changes over time.
Patients who consent will also be asked at 6, 12, 18, and 24 months about medical utilization
of behavioral care or any medical care outside of University of Pittsburgh Medical Center in
order to be part of their research record for good clinical care. If patients received any
behavioral treatment, the patient will also be asked questions regarding the helpfulness of
this treatment.
This is an observational characterization study to understand the psychiatric and behavioral
needs of primary care patients. The follow-up questionnaires and medical record information
will look at the rates and predictors of hospitalizations and/ or behavioral health treatment
as a longitudinal way to track these symptoms over time. These resources are critical to
determine the need for embedded behavioral care in primary care settings.
Patients who are receiving or seeking medical care at University of Pittsburgh Medical Center
CMI practices are given the GAD7(anxiety) and SF-12(quality of life) as a part of routine
medical care. Patient scores become part of the EMR (Epic). A best practice alert will be
generated for patients in the age range of 20-65 (inclusive) and in the targeted GAD7 score
range (GAD7 ≥5) to prompt the provider to obtain consent. Within 2-4 weeks after consent, a
UPMC research team member will administer via phone a brief, approximately 10 minute
questionnaire for patients who score ≥10 on the GAD7 questionnaire and have signed consent.
This DSM5 cross-cutting measure level 1 is a validated screening tool capturing primary
psychiatric symptoms present across a range of disorders. A secure database will be
maintained within the UPMC firewall where all patient information will be de-identified.
Routine care safety protocols are in place if a patient's anxiety/stress worsens. At 6,12,18,
and 24 months post-consent, the research team will contact the patient by phone to complete
routine questionnaires (GAD7 and SF-12) if questionnaires have not been completed in clinic
at an appointment or via the patient portal, MyUPMC. As part of the study, the patient will
complete the Medical Utilization/Follow up questionnaire by phone with the research team at
the 6, 12, 18, and 24 month time points. If the patient had any behavioral health treatment
the research team will also ask the Helpfulness Questionnaire at the six month time point. In
addition to these questionnaires, the research team will access Epic records to understand
medical utilization.
CARe will provide the information from the medical record.
CMI practices are given the GAD7(anxiety) and SF-12(quality of life) as a part of routine
medical care. Patient scores become part of the EMR (Epic). A best practice alert will be
generated for patients in the age range of 20-65 (inclusive) and in the targeted GAD7 score
range (GAD7 ≥5) to prompt the provider to obtain consent. Within 2-4 weeks after consent, a
UPMC research team member will administer via phone a brief, approximately 10 minute
questionnaire for patients who score ≥10 on the GAD7 questionnaire and have signed consent.
This DSM5 cross-cutting measure level 1 is a validated screening tool capturing primary
psychiatric symptoms present across a range of disorders. A secure database will be
maintained within the UPMC firewall where all patient information will be de-identified.
Routine care safety protocols are in place if a patient's anxiety/stress worsens. At 6,12,18,
and 24 months post-consent, the research team will contact the patient by phone to complete
routine questionnaires (GAD7 and SF-12) if questionnaires have not been completed in clinic
at an appointment or via the patient portal, MyUPMC. As part of the study, the patient will
complete the Medical Utilization/Follow up questionnaire by phone with the research team at
the 6, 12, 18, and 24 month time points. If the patient had any behavioral health treatment
the research team will also ask the Helpfulness Questionnaire at the six month time point. In
addition to these questionnaires, the research team will access Epic records to understand
medical utilization.
CARe will provide the information from the medical record.
Inclusion Criteria:
- receiving or seeking medical care at UPMC CMI
- ages 20-65
- GAD7 (anxiety questionnaire) score ≥ 5
- Speaks English speaking
- Capable of understanding and providing consent or assent
Exclusion Criteria:
- under age 20 and older than 65
- GAD7 score <5
- patients with acute back pain
We found this trial at
1
site
200 Lothrop St
Pittsburgh, Pennsylvania 15213
Pittsburgh, Pennsylvania 15213
Phone: 412-864-0523
University of Pittsburgh Medical Center UPMC is one of the leading nonprofit health systems in...
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