Evidence map›Paper›PMID 37118561›Full record

ArticleJournal of general internal medicine2023

Clinical Validity of the PROMIS Healthcare Engagement 8-Item Short Form.

Rachel Kimerling, Donna M Zulman, Eleanor T Lewis, Benjamin D Schalet, Steven P Reise, Gisselle C Tamayo

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Changes in healthcare engagement during the COVID-19 pandemic.Journal of patient-reported outcomes · 2025
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Rachel KimerlingNational Center for PTSD, VA Palo Alto Health Care System, 795 Willow Rd, Menlo Park, CA, 94025, USA. rachel.kimerling@va.gov.ORCID 0000-0003-0996-4212
Donna M ZulmanCenter for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, CA, USA.
Eleanor T LewisProgram Evaluation and Resource Center, Office of Mental Health and Suicide Prevention, Veterans Health Administration, Washington, DC, USA.
Benjamin D SchaletDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Steven P ReiseDepartment of Psychology, University of California, Los Angeles, CA, USA.
Gisselle C TamayoNational Center for PTSD, VA Palo Alto Health Care System, 795 Willow Rd, Menlo Park, CA, 94025, USA.
VA Palo Alto Health Care System · USNorthwestern University · USUnited States Department of Veterans Affairs · USUniversity of California, Los Angeles · US

Funding

Development of a Patient-Reported Measure to Assess Healthcare EngagementI01HX002317 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI KIMERLING, RACHEL · 2018 to 2023
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HSRD VA I01 HX002317
6 · The paper itself

Abstract

backgroundHealthcare engagement is a key measurement target for value-based healthcare, but a reliable and valid patient-reported measure has not yet been widely adopted.

objectiveTo assess the validity of a newly developed patient-reported measure of healthcare engagement, the 8-item PROMIS Healthcare Engagement (PHE-8a).

designProspective cohort study of the association between healthcare engagement and quality of care over 1 year. We fit mixed effects models of quality indicators as a function of engagement scores, adjusting for age, race/ethnicity, rural residence, and risk scores.

participantsNational stratified random sample of 9552 Veterans receiving Veterans Health Administration care for chronic conditions (hypertension, diabetes) or mental health conditions (depression, post-traumatic stress disorder). MAIN MEASURES: Patient experience: Consumer Assessment of Health Plans and Systems communication and self-management support composites; no-show rates for primary care and mental health appointments; use of patient portal My HealtheVet; and Healthcare Effectiveness Data and Information Set electronic quality measures: HbA1c poor control, controlling high blood pressure, and hyperlipidemia therapy adherence. KEY

resultsHigher engagement scores were associated with better healthcare quality across all outcomes, with each 5-point increase (1/2 standard deviation) in engagement scores associated with statistically significant and clinically meaningful gains in quality. Across the continuum of low to high engagement scores, we observed a concomitant reduction in primary care no-show rates of 37% and 24% for mental health clinics; an increased likelihood of My HealtheVet use of 15.4%; and a decreased likelihood of poor diabetes control of 44%.

conclusionsThe PHE-8a is a brief, reliable, and valid patient-reported measure of healthcare engagement. These results confirm previously untested hypotheses that patient engagement can promote healthcare quality.

Indexed as

Diabetes MellitusVeteransHumansMental HealthPatient ComplianceProspective Studiesconsumer engagementpatient-reported outcome measuresquality indicatorsVeterans

Identifiers

PMID37118561
PMCPMC10361929
OpenAlexW4367304803

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.