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Angela M. Stover, PhD
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Angela M. Stover, PhD

Assistant Professor
Health Policy and Management
  • 1101G McGavran-Greenberg Hall, CB #7411
  • Chapel Hill, NC 27599-7411
Dr. Stover is a health services researcher with expertise in developing and applying patient-reported outcomes (PROs). She is an associate member of Lineberger Comprehensive Cancer Center. Her research focuses on three areas: 1) clinical benefits of using PRO measures (e.g., symptom questionnaires) during routine care delivery; 2) testing aggregated PROs as a potential quality of care metric at the practice level; and 3) barriers and facilitators to implementing PRO measures into routine care delivery. She typically uses  qualitative (interviews, cognitive interviewing), quantitative, and implementation science methods in her work.

Dr. Stover serves as a co-investigator on two PCORI-funded studies. The first study is called “Patient-Reported Outcomes-Based Performance Metrics” (ME-1507-32079). This study is testing whether questionnaire scores can be aggregated to the practice level and tested as indicators of care quality. For example, adjusted percentages of patients who report nausea during chemotherapy at six practices will be examined. The field has explicit guidelines for treating nausea during chemotherapy, and thus a large proportion of patients reporting nausea may indicate poor care quality. The second is called “Electronic patient reporting of symptoms during outpatient cancer treatment: A national RCT” (IHS-1511-33392). This 50-site trial will determine if chemotherapy patients randomized to complete weekly ePROs between visits (with alerts to nurses) have better clinical outcomes (fewer ER visits, better survival, better quality of life). Dr. Stover also serves as an investigator and co-investigator on several other studies.

Prior to doctoral training, Dr. Stover was one of the original developers of NIH’s PROMIS (Patient-Reported Outcomes Measurement Information System) measures assessing symptoms across a variety of health conditions (U01-AR052155, University of Pittsburgh). Her publications have been cited over 800 times.

Representative Courses

HPM 794: Patient-Reported Outcomes Measurement and Application in Healthcare Research and Practice

Research Activities

  • Patient-reported outcomes (PROs)/health-related quality of life
  • Psychometrics
  • Questionnaire design
  • Cancer outcomes and care delivery 
  • Clinical benefits of using PRO measures (e.g., symptom questionnaires) during routine care delivery
  • Quality measurement and improvement
  • Implementation science
  • Practice facilitation to help community practices implement PROs into routine care
  • Cancer in older adults

Key Publications

Quality of life changes during the pre- to post-diagnosis period and treatment-related recovery time in older women with breast cancer. Stover AM, Mayer DK, Muss H, Wheeler SB, Lyons J, Reeve BB. (2014). Cancer, 120.

Integrating real-time, electronic patient-reported measures into cancer care: Cancer patients’ and clinicians’ perceptions of acceptability and value. (Chosen for inclusion in AcademyHealth's "Patient-Reported Outcomes (PRO) Implementation Toolkit”). Stover AM, Irwin D, Chen RC, Chera BS, Mayer DK, Muss H, Rosenstein DL, Shea TC, Wood WA, Lyons JC, Reeve BB. (2015). eGEMs (Generating Evidence and Methods to Improve Patient Outcomes), 2(1), Article 23.

Using patient-reported outcomes as a quality indicator in routine cancer care. Stover AM, Basch EM. (2016). Cancer, 122.

Item banks for measuring emotional distress from the Patient-Reported Outcomes Measurement Information System (PROMIS): depression, anxiety, & anger. Pilkonis PA, Choi SW, Reise SP, Stover AM, Riley WT, Cella D. (2001). Assessment, 18.

Education

BA, Psychology and Sociology, Westminster University, 1998

MA, Research Methodology, University of Pittsburgh, 2002

PhD, Health Behavior, University of North Carolina at Chapel Hill, 2015

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