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Patient Activation, Depressive Symptoms, and Self-Rated Health: Care Management Intervention Effects among High-Need, Medically Complex Adults

Author

Listed:
  • Cynthia F. Corbett

    (College of Nursing, University of South Carolina, Columbia, SC 29208, USA)

  • Kenn B. Daratha

    (School of Nursing & Human Physiology, Gonzaga University and Providence Sacred Heart Medical Center, Spokane, WA 99258, USA)

  • Sterling McPherson

    (College of Medicine, Washington State University, Spokane, WA 992002, USA)

  • Crystal L. Smith

    (College of Medicine, Washington State University, Spokane, WA 992002, USA)

  • Michael S. Wiser

    (CHAS Health, Spokane, WA 99202, USA)

  • Brenda K. Vogrig

    (CHAS Health, Spokane, WA 99202, USA)

  • Sean M. Murphy

    (Population Health Sciences, Weill Cornell Medicine, New York, NY 10065, USA)

  • Roy Cantu

    (CHAS Health, Spokane, WA 99202, USA)

  • Dennis G. Dyck

    (Department of Psychology, Washington State University, Spokane, WA 992002, USA)

Abstract

The purpose of this randomized controlled trial ( n = 268) at a Federally Qualified Health Center was to evaluate the outcomes of a care management intervention versus an attention control telephone intervention on changes in patient activation, depressive symptoms and self-rated health among a population of high-need, medically complex adults. Both groups had similar, statistically significant improvements in patient activation and self-rated health. Both groups had significant reductions in depressive symptoms over time; however, the group who received the care management intervention had greater reductions in depressive symptoms. Participants in both study groups who had more depressive symptoms had lower activation at baseline and throughout the 12 month study. Findings suggest that patients in the high-need, medically complex population can realize improvements in patient activation, depressive symptoms, and health status perceptions even with a brief telephone intervention. The importance of treating depressive symptoms in patients with complex health conditions is highlighted.

Suggested Citation

  • Cynthia F. Corbett & Kenn B. Daratha & Sterling McPherson & Crystal L. Smith & Michael S. Wiser & Brenda K. Vogrig & Sean M. Murphy & Roy Cantu & Dennis G. Dyck, 2021. "Patient Activation, Depressive Symptoms, and Self-Rated Health: Care Management Intervention Effects among High-Need, Medically Complex Adults," IJERPH, MDPI, vol. 18(11), pages 1-14, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5690-:d:562384
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    References listed on IDEAS

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    1. repec:aph:ajpbhl:10.2105/ajph.2017.303985_5 is not listed on IDEAS
    2. Thomas R. Miller & Fredric D. Wolinsky, 2007. "Self-Rated Health Trajectories and Mortality Among Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 62(1), pages 22-27.
    3. Kangovi, S. & Mitra, N. & Grande, D. & Huo, H. & Smith, R.A. & Long, J.A., 2017. "Community health worker support for disadvantaged patients with multiple chronic diseases: A randomized clinical trial," American Journal of Public Health, American Public Health Association, vol. 107(10), pages 1660-1667.
    4. Irene Bos-Touwen & Marieke Schuurmans & Evelyn M Monninkhof & Yvonne Korpershoek & Lotte Spruit-Bentvelzen & Inge Ertugrul-van der Graaf & Niek de Wit & Jaap Trappenburg, 2015. "Patient and Disease Characteristics Associated with Activation for Self-Management in Patients with Diabetes, Chronic Obstructive Pulmonary Disease, Chronic Heart Failure and Chronic Renal Disease: A ," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-15, May.
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