Gillings School Directory

Angela M. Stover, PhD

Angela M. Stover, PhD

Assistant Professor
Department of Health Policy and Management
  • 1103D McGavran-Greenberg Hall, CB #7411
  • Chapel Hill, NC 27599-7411
Dr. Stover is a health services researcher with expertise in developing and implementing patient-reported outcomes (PROs). She is also 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 uses mixed methods and implementation science in her work.

Dr. Stover serves as an investigator on several PRO studies funded by PCORI and NIH. For example, she is a co-investigator on a national trial called “Electronic patient reporting of symptoms during outpatient cancer treatment: A national RCT” (IHS-1511-33392). This 50-site, cluster-randomized trial is examining whether chemotherapy patients completing weekly electronic PROs between visits (with automated alerts to nurses) have better clinical outcomes (fewer ER visits, better survival, better quality of life) than usual care. An example of her work on PRO-based performance metrics is as a co-investigator on a study 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.

Prior to her doctoral degree, Dr. Stover was one of the original developers of six PROMIS® (Patient-Reported Outcomes Measurement Information System ®) item banks assessing mental health and alcohol misuse (U01-AR052155: Pilkonis, University of Pittsburgh). Her publications have been cited over 1,500 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
  • PRO-based performance metrics
  • Implementation science
  • Practice facilitation to help community practices implement PROs into routine care

Key Publications

Using stakeholder engagement to overcome barriers to implementing Patient- Reported Outcomes (PROs) in cancer care delivery: Approaches from three prospective studies. “PRO-Cision” Medicine Toolkit. Stover AM, Tompkins Stricker C, Hammelef K, Henson S, Carr P, Jansen J, Deal A, Bennett AV, Basch EM. (2019). Med Care, 55(7), Supplement 1:S92–S99..

Harnessing the synergy between quality improvement science and implementation science in cancer: A call to action. Koczwara B, Stover AM, Davies L, Davis M, Fleisher L, Ramanadhan, Schroeck FR, Zullig LL, Chambers DA, Proctor E. (2018). J Oncol Pract., 14(6), 335-340.

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

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.

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.

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.


BA, Psychology and Sociology, Westminster University

MA, Research Methodology, University of Pittsburgh

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

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