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. 2021 Oct 12;2021(10):CD011589. doi: 10.1002/14651858.CD011589.pub2

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
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. 
 
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