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Related Experiment Video

Updated: Jan 19, 2026

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

Stephanie L Barker1, Nick J Maguire1, Sophiya Das2

  • 1Department of Psychology, University of Southampton, Southampton, United Kingdom.

Population Health Management
|September 11, 2019
PubMed
Summary
This summary is machine-generated.

This study evaluated a values-based intervention for high-needs, high-cost patients. The intervention improved daily functioning, showing promise for complex care management.

Keywords:
care coordinationcomplex needshigh needs-high costvalues-based intervention

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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.