Patient-reported outcomes can inform implementation of evidence-based practice and improvement in outcomes, according to a recent study that investigated Enhancing QUality of Care in Psychosis (EQUIP), an 8-site clustered controlled trial of the implementation and effectiveness of patient-reported outcomes to support evidence-based practice and improve care for schizophrenia. Implementation sites chose to improve care for weight, which included monitoring patient-reported outcomes using kiosks, patient and staff education, quality improvement teams, and phone care management. Qualitative and quantitative methods compared implementation and effectiveness between sites for 13 months. Key finding included:
- 80% of 801 randomly selected patients were overweight.
- 201 clinicians varied in competency.
- Baseline use of behavioral weight services was low.
- At implementation sites, patients became 2.3 times more likely to use weight services compared with control sites.
- There was no effect on the weight gain liability of medications prescribed.
- Controlling for baseline, patients’ final weight at control sites was 5.9 ± 2.7 kg heavier than at implementation sites (F=4.8).
Young AS, Cohen AN, Hamilton AB, Hellemann G, Reist C, Whelan F. Implementing patient-reported outcomes to improve the quality of care for weight of patients with schizophrenia. [Published online ahead of print November 21, 2018]. J Behav Health Serv Res. doi:10.1007/s11414-018-9641-8.