Clinical trial NCT02906423: Results From a Health System-wide Implementation of a Quality of Life Questionnaire
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Medical Oncology
Cardiology
Integrative Medicine
Physical and Rehabilitation Medicine
Orthopedics
Spine
Palliative Care
Pulmonary Medicine
Primary Care
Keywords: Quality of Life
Patient-Centered Care
Patient Outcome Assessment
Lead sponsor: Allina Health System
Sponsor class: OTHER
First posted: 2016-09-20
Enrollment: 43000
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: ECOLOGIC_OR_COMMUNITY
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: This study is a retrospective chart review of up to 75,000 patients seen at an Allina Health facility who completed a Patient Reported Outcomes Measurement Information System Global Short Form (PROMIS-10) questionnaire between July 1, 2012 and December 31, 2016. Service line programs in which this questionnaire was deployed included the following: cardiac rehabilitation, heart failure, care management, physical and mental rehabilitation, integrative medicine, oncology, orthopedic, palliative care, pulmonary rehabilitation, primary care, and spine. Patients over 17 years of age who completed a PROMIS-10 questionnaire in an Allina Health clinic between July 1, 2012 and December 31, 2016 will be included in the study.

Brief summary: The purpose of this retrospective chart review pilot study is to research the results and scores of the QOL questionnaire implemented across Allina Health clinics. This study will investigate average QOL scores by clinical population and demographic group, the change in scores over time, and the effect of clinical interventions on QOL scores. The results will provide insight into QOL trends within different patient populations and provide guidance regarding optimal treatment plans so that Allina caregivers can positively impact patients' QOL.

Detailed description: Quality measures, including quality of life (QOL), have become an increasingly important area of interest for health systems across the country. Systematic approaches to collect patient QOL data are needed to properly understand and act on this information. At Allina Health, the process of systematically collecting this information began in July, 2012. The information is not only collected by providers, but used to enhance the patient experience and provide patients with an active voice in their care. By considering QOL as another vital sign, Allina caregivers have an instantaneous understanding of the patient's health status and can utilize the data in real time. Additionally, by collecting this information at each visit, providers also have a longitudinal perspective of the patient's QOL and the health of the population of individuals under their care. Consequently, they can provide patients with resources and support that can have a positive impact on their health and well-being.

The purpose of this retrospective chart review pilot study is to research the results and scores of the QOL questionnaire implemented across Allina Health clinics. This study will investigate average QOL scores by clinical population and demographic group, the change in scores over time, and the effect of clinical interventions on QOL scores. The results will provide insight into QOL trends within different patient populations and provide guidance regarding optimal treatment plans so that Allina caregivers can positively impact patients' QOL.

Eligibility criteria: Inclusion Criteria:

* patients seen at an Allina Health outpatient facility who complete a PROMIS-10 questionnaire between July 1, 2012 and December 31, 2016.

Exclusion Criteria:

* patients who did not allow their records to be used for research purposes are not included in the study

Primary outcomes:
measure: To investigate average baseline QOL scores by clinical population, demographic group, and across all of Allina Health.
timeFrame: July, 2012- December, 2014
Secondary outcomes:
measure: To analyze the change in QOL scores over time by clinical population and demographic group and across Allina Health.
timeFrame: July, 2012- December, 2014
measure: To study the effect of programmatic clinical interventions on QOL scores by population.
timeFrame: July, 2012- December, 2014
Other outcomes:
Locations:
city: Minneapolis
country: United States
facility: Abbott Northwestern Hospital
state: Minnesota
Study officials:
References:
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citation: Wolever RQ, Abrams DI, Kligler B, Dusek JA, Roberts R, Frye J, Edman JS, Amoils S, Pradhan E, Spar M, Gaudet T, Guarneri E, Homel P, Amoils S, Lee RA, Berman B, Monti DA, Dolor R. Patients seek integrative medicine for preventive approach to optimize health. Explore (NY). 2012 Nov-Dec;8(6):348-52. doi: 10.1016/j.explore.2012.08.005.
citation: Howie L, Hirsch B, Locklear T, Abernethy AP. Assessing the value of patient-generated data to comparative effectiveness research. Health Aff (Millwood). 2014 Jul;33(7):1220-8. doi: 10.1377/hlthaff.2014.0225.
citation: Glasgow RE, Kaplan RM, Ockene JK, Fisher EB, Emmons KM. Patient-reported measures of psychosocial issues and health behavior should be added to electronic health records. Health Aff (Millwood). 2012 Mar;31(3):497-504. doi: 10.1377/hlthaff.2010.1295.