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Using patient-reported outcome measures for program evaluation: Design and findings on intention-to-treat outcomes from the Veterans Outcome Assessment survey.

Abstract：

:The Veterans Outcomes Assessment (VOA) program surveys Veteran Health Administration (VHA) patients when they begin mental health treatment and at follow-up at three months to obtain patient-reported outcomes measures (PROM). It complements VA's evolving program in measurement-based care by providing additional data that can be useful for program evaluation including assessments of patients who have not been seen for ongoing mental health care. In principle, it provides data on intention-to-treat outcomes for program evaluation to complement the outcomes for patients who are receiving ongoing treatment that can be derived from measurement-based care. VOA findings confirm differences in outcomes between patients who have continued to be seen for treatment and those who have not. Patients in general mental health clinics with no encounters between the baseline and follow-up assessments who reported discontinuing care because they did not want or need treatment improved more, and those who discontinued due to problems improved less than those who remained in treatment. Experience with VOA has identified a number of issues that must be addressed before it is possible to use intention-to-treat outcomes for program evaluation.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Katz IR,Resnick SG,Kasprow WJ,Boden MT,Cherkasova E,Fielstein EM,Trafton JA,Hoff RA

doi

10.1016/j.psychres.2020.113226

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

113226

eissn

0165-1781

issn

1872-7123

pii

S0165-1781(20)31406-2

journal_volume

291

pub_type

杂志文章

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