Cochrane · systematic review · CD011119

Routine use of patient reported outcome measures (PROMs) for improving treatment of common mental health disorders in adults

Kendrick, T, El‐Gohary, M, Stuart, B, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

Common Mental DisordersAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
9
current version
GRADE rated
6
No studies
2
Included studies
NR
No studies 2 · 22.2%Ungraded 1 · 11.1%Very low 0 · 0%Low 3 · 33.3%Moderate 3 · 33.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Treatment informed by feedback of patient reported outcome measures compared with treatment as usual

Population: People with common mental health disorders1
9 questions
OutcomeEffectEvidenceStatus / GRADE
Outcomes and length of
Treatment informed by feedback of patient reported outcome measures vs treatment
no estimate extractedNRNo studies
Mean improvement in symptom scores Outcome Questionnaire‐45 (OQ‐45) or Outcome Rating Scale (ORS)
Treatment informed by feedback of patient reported outcome measures vs treatment
no estimate extracted12 studies · 3696 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Health‐related quality of life Medical Outcomes Study Short Form (SF‐36)
Treatment informed by feedback of patient reported outcome measures vs treatment
no estimate extracted1 study · 583 participantsModerate
Downgraded: risk of bias, imprecision, indirectness
Adverse events PHQ‐9 questionnaire8
Treatment informed by feedback of patient reported outcome measures vs treatment
no estimate extracted1 study · 642 participantsModerate
Downgraded: risk of bias, imprecision, indirectness
Social functioning
Treatment informed by feedback of patient reported outcome measures vs treatment
no estimate extracted1 study · 262 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Costs
Treatment informed by feedback of patient reported outcome measures vs treatment
no estimate extracted0 studies · 0 participantsUngraded
Changes in the management of CMHDs Changes in drug therapy and referrals for specialist care
Treatment informed by feedback of patient reported outcome measures vs treatment
no estimate extracted2 studies · 1215 participantsModerate
Downgraded: risk of bias, imprecision, indirectness
Changes in the management of CMHDs Number of treatment sessions received
Treatment informed by feedback of patient reported outcome measures vs treatment
no estimate extracted7 studies · 2608 participantsLow
Downgraded: risk of bias, imprecision, indirectness
CI: Confidence interval
Treatment informed by feedback of patient reported outcome measures vs treatment
no estimate extractedNRNo studies