Zung 1983.
Study characteristics | ||
Methods | Randomised trial, USA | |
Participants | 143 adults (mean age years) attending a family medical practice with a positive screen for depression | |
Interventions | Feedback and prompts to evaluate further depending on need. Intervention features Multiple simple feedback (one PROM at multiple times) 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: Interviewer‐administered Format of PROMs questionnaire(s): Paper Feedback features Format of PROMs feedback: Paper How often information fed back: 2 times (second time after 4 weeks) Who information fed back to: Clinicians Information fed back: Scores, Previous scores |
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Outcomes | Main outcome: depression recognition | |
Notes | Funding source not reported. 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) | High risk | Random assignment ‐ not reported |
Allocation concealment (selection bias) | Unclear risk | Not reported |
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 | High risk | Not clear |
Baseline characteristics similar | Low risk | Statistically significant differences were found for sex |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Not clearly reported |
Was study protected against contamination | High risk | Clinicians were allocated within a clinic or clinics and it is possible that communication between intervention and control professionals could have occurred |
Selective reporting (reporting bias) | Low risk | None reported |
AEP: Adverse Events Profile;ASC: Assessment for Signal Clients; AUC: area under the curve; BDI: Beck Depression Inventory; CAGE: cut‐annoyed‐guilty‐eye; CDSS: Calgary Depression Scale for Schizophrenia; CES‐D: Center for Epidemiologic Studies Depression Scale; CG: control group; COOP: Dartmouth Cooperative Functional Assessment Charts; DIS: Diagnostic Interview Schedule; ED: eating disorder; EDept: emergency department; EORTC: European Organisation for Research and Treatment of Cancer; EQ‐5D: EuroQol 5 Dimensions; ESRA‐C: Electronic Self‐Report Assessment‐Cancer; ESRS: Manual for the Extrapyramidal Symptom Rating Scale; FACIT: Functional Assessment of Chronic Illness Therapy; FACT: Functional Assessment of Cancer Therapy; FSQ: Functional Status Questionnaire; G‐QoL: Global Quality of Life; GAF: Global Assessment of Functioning; GAS: Global Anxiety Score; GDS‐SF: Geriatric Depression Scale, short form; GHQ: General Health Questionnaire; GPs: general practitioners; HADS: Hospital Anxiety and Depression Scale; HASS: Highest Anxiety Subscale Score; HAM‐D: Hamilton Depression Rating Scale; HbA1c: glycated haemoglobin; HRS: Health risk assessment; HRQL/HRQOL: health‐related quality of life; IG: intervention group; IVR: interactive voice response; MDAS: Modified Dental Anxiety Scale; MDASI: M.D. Anderson Symptom Inventory; MQS: Medication Quantification Scale; NYHA: New York Heart Association; O/GP: oncologist/general practitioner; OARS ADL: Older Americans Resources and Services Activities of Daily Living Scale; OQ‐45: Outcome questionnaire 45; ORS: Outcome Rating Scale; PANSS: Positive and Negative Syndrome Scale; PC‐SAD: Primary Care Screener for Affective Disorders; PCP: primary care physician; PHQ: Patient Health Questionnaire; PRIME‐MD: Primary Care Evaluation of Mental Disorders; PROM: patient‐reported outcome measure; PROMIS: Patient‐Reported Outcomes Measurement Information System; QLQ‐C30: Quality of Life Questionnaire‐Core 30; QoL: quality of life; QOLIE: Quality of LIfe in Epilepsy Inventory; R&D: Research and Development; S‐QOL: Schizophrenia Quality of Life Questionnaire; SCL: Symptom Checklist; SD: standard deviation; SDS: Zung Self‐rating Depression Scale; SF‐36: Short Form Health Survey; SIP: Sickness Impact Profile; SPADE: Sleep disturbance, pain, anxiety, depression and low energy/fatigue; STAI‐S: Spielberger State Anxiety Inventory for State Anxiety; TAU: treatment as usual; TC; W: telephone caseworker; WCL: wait control list; WHOQOL: World Health Organization Quality of Life; WONCA: World Organization of Colleges, Academies and Academic Associations of General Practitioners/Family Physicians.