Table 1Study Outcomes, Covariates, and Data Sources

Outcomes/covariatesData source(s)WhenHow assessed
Primary outcomes
 Activation in careService userBaseline and every 6 mo during intervention phasePAM68
 Health statusaService userBaseline and every 6 mo during intervention phaseSF-12v269
 Engagement in primary/specialty carePA DHS claims dataUpdated every 6 moFrequency of visits in 12-mo periods
Secondary outcomes
 HopeService userBaseline and every 6 mo during intervention phaseSingle-item hope measure70
 Quality of lifeService userBaseline and every 6 mo during intervention phaseQ-LES-Q-SF71
 Functional statusService userBaseline and every 6 mo during intervention phaseSheehan Disability Index72
 Satisfaction with careService userBaseline and every 6 mo during intervention phasePACIC73
 Medication adherenceCommunity Care and PA DHS claims dataUpdated every 6 moMedication possession ratio in 6-mo periods74
 Emergent careCommunity Care and PA DHS claims dataUpdated every 6 moFrequency of inpatient or emergency department claims in 12-mo periods
 Laboratory monitoringPA DHS claims dataUpdated every 6 moFrequency of laboratory monitoring: lipids, glucose, and HgbA1c in 12-mo periods
Covariates
 Engagement in interventionsCommunity Care claims dataUpdated every 6 moLow, medium, or high intervention engagement based on behavioral health service user as a proxy
 Social supportService userBaseline and every 6 mo during intervention phaseISEL75
 Severity of mental illnessCommunity Care claims dataBaselineInpatient behavioral health service use in the past 6 mo
 Medical stabilityPA DHS claims dataBaselineCCI76
 Demographic characteristicsCommunity Care administrative/claims dataBaselineAge, gender, race, SMI diagnosis, anxiety diagnosis, or substance use diagnosis
Process
 Implementation facilitators and barriersService users; CMHC providersBaseline; 12 mo and 24 mo during intervention phaseQualitative interviews

Abbreviations: CCI, Charlson Comorbidity Index; CHMC, community mental health center; HgbA1c, hemoglobin A1c; ISEL, Interpersonal Support Evaluation List; PACIC, Patient Assessment of Chronic Illness Care; PA DHS, Pennsylvania Department of Human Services; PAM, Patient Activation Measure; QLES-Q-SF, Quality of Life Enjoyment and Satisfaction Questionnaire; SF-12v2, 12-item Short Form Health Survey version 2; SMI, severe mental illness.

aMental health and physical health subscale results from SF-12v2 are reported separately.

From: Using Wellness Coaches and Extra Support to Improve the Health and Wellness of Adults with Serious Mental Illness

Cover of Using Wellness Coaches and Extra Support to Improve the Health and Wellness of Adults with Serious Mental Illness
Using Wellness Coaches and Extra Support to Improve the Health and Wellness of Adults with Serious Mental Illness [Internet].
Schuster J, Reynolds C III, Carney T, et al.
Copyright © 2019. UPMC Center for High-Value Health Care. All Rights Reserved.

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