@article{cfb093b490cd4adabc613bff4c778236,
title = "Who Is Most Burdened in Health Care? An Analysis of Responses to the ICAN Discussion Aid",
abstract = "Objective: To create a model based on patients{\textquoteright} characteristics that can predict the number of burdens reported using the ICAN Discussion Aid, to target use of this tool to patients likeliest to benefit. Patients and Methods: Six hundred thirty-five patients (aged ≥18 years) completed the ICAN Discussion Aid at a Scottsdale, Arizona, family medicine clinic. Patient characteristics were gathered from their health records. Regression trees with Poisson splitting criteria were used to model the data. Results: Our model suggests the patients with the most burdens had major depressive disorder, with twice as many overall burdens (personal plus health care burdens) than patients without depression. Patients with depression who were younger than 38 years had the highest number of personal burdens. A body mass index (BMI) of 26 or greater was associated with increased health care burden versus a BMI below 26. Conclusion: The number of burdens a patient will report on the ICAN Discussion Aid can be approximated based on certain patient characteristics. Adults with major depression, a BMI of 26 or greater, and younger age may have greater reported burdens on ICAN, but this finding needs to be validated in independent samples.",
keywords = "Arizona, Behavioral Medicine, Burden of Illness, Caregiver Burden, Chronic Disease, Clinical Medicine, Communication, Family Medicine, ICAN Discussion Aid, Mental Health, Patient-Centered Care, Shared Decision-Making",
author = "Steiger, {Kyle G.} and Boehmer, {Kasey R.} and Klanderman, {Molly C.} and Aamena Mookadam and Koneru, {Sethu Sandeep} and Montori, {Victor M.} and Martina Mookadam",
note = "Funding Information: Dr. Boehmer was supported as a Minnesota Learning Health System (MN-LHS) Scholar by the Agency for Healthcare Research and Quality (AHRQ) and Patient-Centered Outcomes Research Institute (PCORI) (grants K12HS026379 and T32HS026379) and by the National Institutes of Health{\textquoteright}s National Center for Advancing Translational Sciences (grant KL2TR002492). Additional support for MN-LHS scholars is offered by the University of Minnesota Office of Academic Clinical Affairs and the Division of Health Policy and Management, University of Minnesota School of Public Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the AHRQ, PCORI, or MN-LHS Mentored Career Development Program. The funder had no involvement in the study design; data collection, analysis, and interpretation; writing of the report; or the decision to submit the article for publication. Funding Information: K12HS026379 and T32HS026379) and by the National Institutes of Health{\textquoteright}s National Center for Advancing Translational Sciences (grant KL2TR002492). Additional support for MN-LHS scholars is offered by the University of Minnesota Office of Academic Clinical Affairs and the Division of Health Policy and Management, University of Minnesota School of Public Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the AHRQ, PCORI, or MN-LHS Mentored Career Development Program. The funder had no involvement in the study design; data collection, analysis, and interpretation; writing of the report; or the decision to submit the article for publication. Funding Information: Funding: Dr. Boehmer was supported as a Minnesota Learning Health System (MN-LHS) Scholar by the Agency for Healthcare Research and Quality (AHRQ) and Patient-Centered Outcomes Research Institute (PCORI) (grants Publisher Copyright: {\textcopyright} 2023 American Board of Family Medicine. All rights reserved.",
year = "2023",
month = mar,
doi = "10.3122/jabfm.2022.220251R1",
language = "English (US)",
volume = "36",
pages = "277--288",
journal = "Journal of the American Board of Family Medicine",
issn = "1557-2625",
publisher = "American Board of Family Medicine",
number = "2",
}