Table 3.
Chronic Illness Care, Care Experience, Symptom, and Functional Outcomes
| Unadjusted estimates, mean (SD) | Intervention difference | |||
|---|---|---|---|---|
| Baseline | 12 months | Model estimates of within group difference (95% CI) | P value (overall model) | |
| Primary outcomes | ||||
| PACIC | ||||
| Activation | ||||
| Intervention | 2.89 (1.21) | 3.71 (1.16) | 0.81 (0.5 to 1.1) | |
| Usual care | 3.20 (1.26) | 3.24 (1.39) | 0.02 (− 0.3 to 0.30) | < .001 |
| Decision | ||||
| Intervention | 2.94 (1.16) | 3.70 (1.03) | 0.74 (0.5 to 1.0) | |
| Usual care | 3.11 (1.12) | 3.29 (1.26) | 0.13 (− 0.1 to 0.4) | < .001 |
| Goals | ||||
| Intervention | 2.55 (1.08) | 3.31 (1.13) | 0.75 (0.5 to 1.0) | |
| Usual care | 2.82 (1.15) | 3.00 (1.29) | 0.13 (− 0.1 to 0.4) | < .001 |
| Counseling | ||||
| Intervention | 2.73 (1.24) | 3.64 (1.13) | 0.92 (0.7 to 1.2) | |
| Usual care | 3.04 (1.34) | 3.17 (1.34) | 0.04 (− 0.2 to 0.3) | < .001 |
| Coordination | ||||
| Intervention | 2.19 (1.04) | 3.00 (1.12) | 0.81 (0.6 to 1.0) | |
| Usual care | 2.21 (1.04) | 2.50 (1.19) | 0.24 (0.0 to 0.5) | < .001 |
| Total scale score | ||||
| Intervention | 2.66 (.99) | 3.47 (.97) | 0.81 (0.6 to 1.0) | |
| Usual care | 2.85 (1.02) | 3.04 (1.13) | 0.10 (− 0.1 to 0.3) | < .001 |
| ACES | ||||
| Doctor-patient interaction | ||||
| Intervention | 74.02 (25.33) | 86.36 (16.94) | 11.62 (7.7 to 15.6) | |
| Usual care | 73.83 (27.0) | 75.32 (25.41) | 0.08 (− 4.1 to 4.3) | < .001 |
| Shared decision-making | ||||
| Intervention | 68.58 (30.98) | 86.04 (21.21) | 17.59 (9.6 to 25.6) | |
| Usual care | 80.95 (27.33) | 80.80 (28.49) | − 0.47 (− 8.7 to 7.8) | .003 |
| Coordination | ||||
| Intervention | 63.04 (31.48) | 83.43 (21.28) | 21.15 (16.1 to 26.2) | |
| Usual care | 60.0 (33.98) | 65.60 (32.58) | 4.16 (− 1.2 to 9.5) | < .001 |
| Access | ||||
| Intervention | 64.49 (28.71) | 80.31 (21.18) | 16.06 (11.3 to 20.9) | |
| Usual care | 58.80 (30.02) | 61.30 (28.44) | 1.67 (− 3.4 to 6.8) | < .001 |
| Staff | ||||
| Intervention | 71.31 (30.24) | 83.14 (23.78) | 11.85 (6.1 to 17.6) | |
| Usual care | 70.90 (29.56) | 73.98 (28.27) | 2.92 (− 3.1 to 9.0) | .04 |
| Total scale score | ||||
| Intervention | 67.97 (24.16) | 83.33 (16.78) | 15.48 (11.8 to 19.2) | |
| Usual care | 66.69 (25.09) | 69.87 (23.72) | 1.94 (− 2.0 to 5.9) | < .001 |
| PAM-13 | ||||
| Intervention | 2.10 (0.44) | 2.17 (.47) | 0.06 (− 0.0 to 0.1) | |
| Usual care | 2.13 (0.44) | 2.19 (.44) | 0.06 (− 0.0 to 0.1) | .97 |
| BASIS-R | ||||
| Depression/functioning | ||||
| Intervention | 1.63 (.68) | 1.49 (.73) | − 0.12 (− 0.2 to 0.0) | |
| Usual care | 1.71 (.72) | 1.61 (.69) | − 0.10 (− 0.2 to 0.0) | .75 |
| Interpersonal relationships | ||||
| Intervention | 2.42 (.89) | 2.46 (0.99) | 0.0 (− 0.1 to 0.1) | |
| Usual care | 2.39 (.89) | 2.46 (0.84) | 0.07 (− 0.1 to 0.2) | .52 |
| Self-harm | ||||
| Intervention | 1.56 (1.09) | 1.51 (1.16) | − 0.05 (− 0.2 to 0.1) | |
| Usual care | 1.77 (1.07) | 1.61 (1.13) | − 0.12 (− 0.3 to 0.1) | .60 |
| Emotional lability | ||||
| Intervention | 0.35 (.68) | 0.31 (.69) | − 0.02 (− 0.1 to 0.1) | |
| Usual care | 0.18 (.45) | 0.16 (0.41) | − 0.01 (− 0.1 to 0.1) | .88 |
| Psychosis | ||||
| Intervention | 0.88 (.79) | 0.72 (.76) | − 0.16 (− 0.3 to − 0.1) | |
| Usual care | 0.65 (.65) | 0.64 (0.73) | 0.01 (− 0.1 to 0.1) | .05 |
| VR-12 | ||||
| MCS | ||||
| Intervention | 39.14 (11.02) | 42.39 (12.75) | 3.22 (1.2 to 5.2) | |
| Usual care | 37.10 (12.73) | 37.17 (12.20) | 0.31 (− 1.7 to 2.4) | .05 |
| PCS | ||||
| Intervention | 37.81(11.02) | 38.80 (10.99) | 0.29 (− 1.2 to 1.8) | |
| Usual care | 38.02 (10.62) | 37.19 (11.61) | − 0.47 (− 2.0 to 1.1) | .49 |
ACES Ambulatory Care Experiences Survey, PACIC Patient Assessment of Chronic Illness Care, PAM-13 13-item Patient Activation Measure, BASIS-R Behavior and Symptom Identification Scale Revised, VR-12 Veterans 12-Item Health Survey, MCS mental component score, PCS physical component score