The Patient Reported Outcomes as a Clinical Tool (PROACT) Pilot Study: What Can be Gained by Sharing Computerized Patient-Reported Mental Health and Substance Use Symptoms with Providers in HIV Care?

摘要: Substance use and mental health (SU/MH) disorders are insufficiently recognized in HIV care. We examined whether conveying SU/MH screening results to patients providers increased discussions action plans. Intervention participants completed a computerized patient-reported questionnaire before their visit; screened positive on ≥ 1 measure: depression, anxiety, PTSD symptoms, at-risk alcohol use, or drug use; reviewed decide which prioritize with provider. Screening clinical recommendations were conveyed via medical record. A historic control included screens but no conveyance patient The patient-provider encounter was audio-recorded, transcribed, coded. For the overall sample (n = 70; 38 control, 32 intervention), mean age (SD) 51.8 (10.3), 61.4% male, 82.9% Black. Overall, 93.8% raised intervention compared 50.0% (p < 0.001). Action plans made for 40.0% of 10.5% encounters (p = 0.049). Conveying plans, warranting further research on this address needs.