Moore 1978.
Study characteristics | ||
Methods | Randomised trial, USA | |
Participants | 212 adults attending family practices. | |
Interventions | A note was attached to the patient's visit note indicating depression status as assessed with SDS. Intervention features Single simple feedback (one PROM at a single time) PROM(s) used as intervention: Zung self‐rating depression scale (SDS) Constructs measured: Symptoms Instrument categories/domains: Domain/Disease specific (mental health) Administration features Where PROMs administered: Clinical setting (e.g. waiting room, office, etc) How administered: Self‐administered and interviewer‐administered (patients unable to complete the self‐rating form were interviewed using the interviewer completed form) Format of PROMs questionnaire(s): Paper Feedback features Format of PROMs feedback: Paper How often information fed back: Once Who information fed back to: Clinicians Information fed back: Scores, Interpretation guidance |
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Outcomes | Main outcome: recognition of depression | |
Notes | No funding was reported for this study. The study period was not reported. Conflicts of interest were not reported. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Paper states quote:"For randomisation an on‐line random number generator was utilised." |
Allocation concealment (selection bias) | Low risk | Discrete labelling of patient files. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Due to nature of intervention not possible to blind patients and personnel. |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Due to nature of the intervention blinding of outcomes not possible: PROM used for feedback also used to assess outcome, patients were aware they received the intervention. |
Baseline outcome measurements similar | Low risk | None apparent |
Baseline characteristics similar | Low risk | T‐tests used to analyse demographics for differences ‐ no significance found. |
Incomplete outcome data (attrition bias) All outcomes | High risk | High rates of attrition, not adequately addressed |
Was study protected against contamination | Low risk | All the clients had numbered files so did not know which group they were allocated |
Selective reporting (reporting bias) | Unclear risk | Unclear whether selective reporting took place |