Journal of general internal medicine
-
Multicenter Study Comparative Study
Use of PROMIS-29® in US Veterans: Diagnostic Concordance and Domain Comparisons with the General Population.
PROMIS® items have not been widely or systematically used within the Veterans Health Administration (VA). ⋯ We found that PROMIS-29® domains are selectively sensitive to expected differences between clinically-defined groups, suggesting their appropriateness as indicators of condition symptomology among Veterans. Notably, Veterans scored worse across all PROMIS-29(R) domains compared with population norms. Taken collectively, our findings suggest that PROMIS-29® may be a useful tool for VA providers to assess patient's physical and mental health, and because PROMIS® items are normed to the general population, this offers a way to compare the health of Veterans with the adult population at large and identify disparate areas for intervention.
-
Multicenter Study Pragmatic Clinical Trial
Proactive Population Health Strategy to Offer Tobacco Dependence Treatment to Smokers in a Primary Care Practice Network.
Population-based strategies can expand the reach of tobacco cessation treatment beyond clinical encounters. ⋯ Smokers responding to a population-based, proactive outreach strategy had better provision of tobacco cessation treatment when referred to either a health system-based or community-based program compared with usual care. The health system-based strategy outperformed the quitline-based one in several measures. Future work should aim to improve population reach and test the effect on smoking cessation rates.