Michael Kozak|M. J. Mugavero|J. Ye|Inmaculada Aban|Sarah T. Lawrence|Christa R. Nevin|James L. Raper|Cheryl B. McCullumsmith|Joseph E. Schumacher|Heidi M. Crane|Mari M. Kitahata|Michael S. Saag|James H. Willig
Patient Reported Outcomes in Routine Care: Advancing Data Capture for HIV Cohort Research
Office of Infectious Diseases|Office of Infectious Diseases|Office of Infectious Diseases|Office of Infectious Diseases|Office of Infectious Diseases|University of Alabama at Birmingham|University of Washington|University of Washington|Office of Infectious Diseases|Office of Infectious Diseases
computerized collection standardized measures patient reported outcomes pros provides novel paradigm data capture point clinical care comparisons data pros electronic health records ehr lacking compare ehr pro capture depression substance abuse relationship adherence antiretroviral therapy artthis retrospective study includes hivpositive patients hiv clinic completed initial pro assessment april 2008july 2009 questionnaire includes measures depression phq9 substance abuse assist selfreported art adherence modeled using separate logistic regression analyses ehr vs prothe study included 782 participants ehr vs pro diagnosis current substance abuse 13 n 99 vs 6 n 45 p 0001 current depression 41 n 317 vs 12 n 97 p 0001 ehr model neither substance abuse 125 95 ci 070221 depression 093 95 ci 062140 significantly associated poor art adherence conversely pro model current substance abuse 278 95 ci 133581 current depression 193 95 ci 112333 associated poor art adherencethe explanatory characteristics pro model correlated best factors known associated poor art adherence substance abuse depression computerized capture pros part routine clinical care may prove complementary potentially transformative health informatics technology research patient care