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    Evaluation of Treatment Complexity and Initial Behavioral Health Screenings in Patients with Cystic Fibrosis

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    Author
    Celaya, Timothy
    Faqeeri, Zohal
    Lopez, Dania
    Nguyen, Christen
    Affiliation
    College of Pharmacy, The University of Arizona
    Issue Date
    2019
    Keywords
    Cystic Fibrosis
    Treatment Complexity Score
    Multi-Organ Genetic Disease
    Behavioral Health
    Comorbidity
    MeSH Subjects
    Cystic Fibrosis
    Comorbidity
    Adolescent
    Adult
    Advisor
    Phan, Hanna
    
    Metadata
    Show full item record
    Rights
    Copyright © is held by the author.
    Collection Information
    This item is part of the Pharmacy Student Research Projects collection, made available by the College of Pharmacy and the University Libraries at the University of Arizona. For more information about items in this collection, please contact Jennifer Martin, Associate Librarian and Clinical Instructor, Pharmacy Practice and Science, jenmartin@email.arizona.edu.
    Publisher
    The University of Arizona.
    Abstract
    Purpose: The purpose of this study is to investigate the potential association between patient factors, including treatment complexity score (TCS), and initial behavioral health screening outcomes in patients with cystic fibrosis (CF). Introduction: CF, a multi-organ genetic disease, often results in time-consuming treatment regimens, frequent hospitalizations, and disease progression. High treatment burden may contribute to behavioral health complications that can negatively impacting health outcomes. Methods: This was a secondary analysis of de-identified data from a quality improvement initiative on implementing guideline recommended behavior health screenings in an accredited, CF Care Center in patients ages 12 years and older. TCS was calculated using previous method in literature and modified to account for other chronic medications for comorbidities as well as CFTR modulator use. Inclusion criteria was complete medication data and generalized anxiety disorder-7 (GAD-7) and/or patient health questionnaire-9 (PHQ-9) results. Data included demographics and medications at time of initial screening. Statistical analysis consisted of descriptive statistics including Wilcoxon Rank Sum, Chi square, and Fisher's Exact tests. Results: A significant difference was observed within the demographic as well as GAD-7 and PHQ-9 classification in respect to pre-existing comorbidities of anxiety and depression, respectively. Within the modified treatment complexity score (MTC) grouped by PHQ-9 and GAD-7 score classification, no significant differences were seen. Conclusion: No significant difference was observed in modified TCS between patients who screened moderate to severe in the depression and anxiety screenings. Multiple patient specific factors may contribute to positive screenings describing the complex nature of behavioral health.
    Description
    Class of 2019 Abstract
    Collections
    Pharmacy Student Research Projects

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