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Title

HIV provider documentation and actions following patient reports of at-risk behaviors and conditions when identified by a web-based point-of-care-assessment

Authors

HM Crane, PK Crane, JT Tufano, et al

Network Affiliation

Other

Organization

 

Journal Name

AIDS and Behavior

Publication Date

2/15/2017

PubMed Search

https://www.ncbi.nlm.nih.gov/pubmed/28205041

Link to full-text

 

PMID

28205041

Abstract

​We compared same-day provider medical record documentation and interventions addressing depression and risk behaviors before and after delivering point-of-care patient-reported outcomes (PROs) feedback for patients who self-reported clinically relevant levels of depression or risk behaviors. During the study period (1 January 2006-15 October 2010), 2289 PRO assessments were completed by HIV-infected patients. Comparing the 8 months before versus after feedback implementation, providers were more likely to document depression (74% before vs. 87% after feedback, p = 0.02) in patients with moderate-to-severe depression (n = 317 assessments), at-risk alcohol use (41 vs. 64%, p = 0.04, n = 155) and substance use (60 vs. 80%, p = 0.004, n = 212). Providers were less likely to incorrectly document good adherence among patients with inadequate adherence after feedback (42 vs. 24%, p = 0.02, n = 205). While PRO feedback of depression and adherence were followed by increased provider intervention, other domains were not. Further investigation of factors associated with the gap between awareness and intervention are needed in order to bridge this divide.

Keywords

 

Topic

Adherence; Behavior; Substance Abuse

Attachments

Created at 2/21/2017 11:10 AM by Davis, Gregory P
Last modified at 2/21/2017 11:10 AM by Davis, Gregory P