Values-Based Interventions in Patient Engagement for Those with Complex Needs

Area of Science:

• Health Services Research
• Psychology
• Healthcare Management

Background:

• High-needs, high-cost (HNHC) patients represent a significant challenge in healthcare systems.
• Coordinated care management is crucial for improving outcomes in complex patient populations.
• Integrating psychological approaches can enhance patient engagement and treatment adherence.

Purpose of the Study:

• To evaluate a novel intervention combining a psychological, values-based approach with coordinated care management.
• To assess the impact of this integrated intervention on HNHC patients' daily functioning, well-being, and engagement.
• To explore provider experiences with implementing the values-based approach and integrated evaluation system.

Main Methods:

• A pilot study involving 18 HNHC patients over 6 months.
• Utilized an integrated comprehensive health record system for patient engagement.
• Collected data on daily functioning, depression, working alliance, stages of change, and well-being.
• Included qualitative monitoring of provider experiences.

Main Results:

• HNHC patients demonstrated significant improvement in daily functioning over 4 months.
• No other significant changes were observed in the measured outcomes over time.
• Patients reported mild depression, strong provider working alliances, contemplation stage of change, and moderate well-being.
• Variability in assessment completion and data collection timing was noted.

Conclusions:

• The integrated values-based intervention shows preliminary positive impact on HNHC patient daily functioning.
• Provider feedback suggests the evaluation tools can inform patient interactions.
• Patient literacy levels and implementation adjustments are important considerations for data collection and intervention success.