Health Status in Adults With Chronic Conditions: Intervention Strategies for Improving Patient-Reported Outcomes
Alfredo J Selim1, Shirley X Qian, William Rogers
1Center for Health Quality, Outcomes, and Economic Research, VA Medical Center, Bedford, Massachusetts (Drs Selim and Kazis and Ms Qian); Health Outcomes Unit and the Center for the Assessment of Pharmaceutical Practices, and the Department of Health Law, Policy and Management, Boston University School of Public Health, Massachusetts (Drs Selim, Rogers, and Kazis and Mss Simmons and Sonis); Section of General Internal Medicine and Emergency Services, Boston VA Health Care System, West Roxbury, Massachusetts, and Boston University School of Medicine Massachusetts (Dr Selim); FDA Center for Biologics Evaluation and Research, Silver Spring, Maryland (Dr Arya); and McGill University, Montreal, Quebec, Canada (Dr Shapiro).
Abstract:
This literature review analyzes 418 articles from 2 periods (2000-2010 and 2011-2017) to provide interpretative guidelines for the change in physical (PCS) and mental component summaries (MCS) of well-established patient-reported measures (MOS SF-36 V1, HOS SF-12, VR-36, and VR-12). The magnitude of the intervention effects was calculated using baseline and follow-up data. Results were similar across the 2 periods, although the effects of social and behavioral interventions are less consistent and are smaller for PCS. Both single interventions and multicomponent interventions met the moderate to large effect size criterion for PCS and MCS.
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