SunCloud Health Outcome Study Update
The study: Analysis looking at improvement rates using the OQ-45 to adults in 2018 and the early part of 2019 given at intake, weekly throughout treatment and at discharge. Independent variables were added to the study in order to look for statistically significant explanations for change. Variables added are: Sex, Age, Marital Status, Therapist while in tx at SCH, Psychiatrist while in tx at SCH, patient’s diagnosis at intake (PTSD, anorexia, binge eating disorder, bulimia, substance use disorder, anxiety, depression), previous LOC prior to admission to SCH (inpatient, residential, another IOP/PHP, referring o/p therapist, nothing), subjective risk profile assigned by staff at intake.
Review: We tested the population of patients who completed treatment at SunCloud Health with two or more recorded OQ-45 tests on record during their stay. The metric evaluated is improvement per week as measured by average weekly drop in OQ-45 score between admission and discharge. Subscales were not analyzed individually. There were 126 patients with complete records.
1. The mean OQ-45 improvement per week is statistically significant and equal to 3.28/week. (n=126, p <.001).
2. There is no statistically significant difference in treatment efficacy based on demographic differences. Demographics include sex, age, marital status.
3. There are no statistically significant differences between the average efficacy of any individual therapist or any individual psychiatrist (appendix ).
4. A patient’s previous level of care does have a major impact on their rate of improvement, BUT the incoming risk assessment does not. Patients who were previously in inpatient care show a much faster rate of improvement than any other category. The second fastest was no previous care, and the other categories were slower at a rate that was similar to one.
5. The intake assessments of risk had no bearing on the treatment efficacy. All three categories were statistically identical.
6. The intake diagnosis does have a notable impact in one regard: bulimia. Patients diagnosed with bulimia have a notably slower (and statistically significant) difference in their rate of improvement. This effect holds up when controlling for other Other diagnoses do not result in a statistically significant difference.
7. There is no relationship between patient satisfaction and OQ45 score improvement.
This report was produced with the much needed help of Brett A. Saranati, Ph.D. Brett is currently a Visiting Professor at Kellogg School of Management at Northwestern University and a Lecturer at Stanford University. Brett’s primary fields of specialization include business statistics, game theory, managerial economics and competitive strategy.