Final Research Report

View this project's final research report.

Peer-Review Summary

Peer review of PCORI-funded research helps make sure the report presents complete, balanced, and useful information about the research. It also assesses how the project addressed PCORI’s Methodology Standards. During peer review, experts read a draft report of the research and provide comments about the report. These experts may include a scientist focused on the research topic, a specialist in research methods, a patient or caregiver, and a healthcare professional. These reviewers cannot have conflicts of interest with the study.

The peer reviewers point out where the draft report may need revision. For example, they may suggest ways to improve descriptions of the conduct of the study or to clarify the connection between results and conclusions. Sometimes, awardees revise their draft reports twice or more to address all of the reviewers’ comments. 

Peer reviewers commented, and the researchers made changes or provided responses. The comments and responses included the following:

  • Reviewers asked for a stronger justification for the study design and the choice of outcomes measured. For example, they found it puzzling as to why the researchers chose to follow up on those patients who did not improve in the first part of the study, rather than follow up on those who improved. The researchers revised the report to explain that patients who had not shown improvement were at the highest risk for increased illness, morbidity, and mortality. The researchers designed the pilot intervention especially for patients who did not report improvement using the available services at the wellness center.
  • Reviewers asked for a more coherent presentation and synthesis of the findings in Aim 1 because it was not clear which outcomes were most important and merited further study. The researchers restructured the presentation of findings for Aim 1 to clarify.
  • Reviewers asked for greater recognition of the limitations introduced in the stakeholder-driven approach for selecting a control group that is unrepresentative in its motivation. The researchers added to their discussion of the limitations introduced by self-selection and using propensity-matched controls. They acknowledged that participants may not be representative of other people with serious mental illness who may be less motivated to address their physical health needs.
  • Reviewers expressed concern about missing data, such as the loss of some control subjects to follow-up. The researchers provided details on how much data was missing and they handled missing data in linear mixed models.

Conflict of Interest Disclosures

Project Information

Chyrell Bellamy, PhD, MSW
Yale University
Increasing Healthcare Choices and Improving Health Outcomes Among Persons with Serious Mental Illness

Key Dates

September 2013
October 2018

Study Registration Information


Has Results
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Health Conditions Health Conditions These are the broad terms we use to categorize our funded research studies; specific diseases or conditions are included within the appropriate larger category. Note: not all of our funded projects focus on a single disease or condition; some touch on multiple diseases or conditions, research methods, or broader health system interventions. Such projects won’t be listed by a primary disease/condition and so won’t appear if you use this filter tool to find them. View Glossary
Populations Populations PCORI is interested in research that seeks to better understand how different clinical and health system options work for different people. These populations are frequently studied in our portfolio or identified as being of interest by our stakeholders. View Glossary
Funding Opportunity Type
Intervention Strategy Intervention Strategies PCORI funds comparative clinical effectiveness research (CER) studies that compare two or more options or approaches to health care, or that compare different ways of delivering or receiving care. View Glossary
Research Priority Area
State State The state where the project originates, or where the primary institution or organization is located. View Glossary
Last updated: March 4, 2022