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Patient-reported outcome measures in community mental health teams: pragmatic evaluation of PHQ-9, GAD-7 and SWEMWBS.

Blenkiron, P; Goldsmith, L (2019) Patient-reported outcome measures in community mental health teams: pragmatic evaluation of PHQ-9, GAD-7 and SWEMWBS. BJPsych Bull, 43 (5). pp. 221-227. ISSN 2056-4694 https://doi.org/10.1192/bjb.2019.20
SGUL Authors: Goldsmith, Lucy Pollyanna

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Abstract

Aims and method We evaluated routine use, acceptability and response rates for the Patient Health Questionnaire (PHQ-9), Generalised Anxiety Disorder Scale (GAD-7) and Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS) within adult community mental health teams. Measures were repeated 3 months later. Professionals recorded the setting, refusal rates and cluster diagnosis. Results A total of 245 patients completed 674 measures, demonstrating good initial return rates (81%), excellent scale completion (98-99%) and infrequent refusal/unsuitability (11%). Only 32 (13%) returned follow-up measures. Significant improvements occurred in functioning (P = 0.01), PHQ-9 (P = 0.02) and GAD-7 (P = 0.003) scores (Cohen's d = 0.52-0.77) but not in SWEMWBS (P = 0.91) scores. Supercluster A had higher initial PHQ-9 and GAD-7 scores (P < 0.001) and lower SWEMWBS scores (P = 0.003) than supercluster B. Supercluster C showed the greatest functional impairment (P = 0.003). Clinical implications PHQ-9 and GAD-7 appear acceptable as patient-reported outcome measures in community mental health team. SWEMWBS seems insensitive to change. National outcome programmes should ensure good follow-up rates. Declaration of interest None.

Item Type: Article
Additional Information: © The Authors 2019 This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Community mental health teams, out-patient treatment, outcome studies, patients, rating scales, Community Mental Health Services, Service Users, Rating Scales, Outcome Assessment (Health Care), Outpatient Clinics, Hospital
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: BJPsych Bull
ISSN: 2056-4694
Language: eng
Dates:
DateEvent
October 2019Published
22 March 2019Published Online
21 February 2019Accepted
Publisher License: Creative Commons: Attribution 4.0
PubMed ID: 30898178
Go to PubMed abstract
URI: http://openaccess.sgul.ac.uk/id/eprint/110700
Publisher's version: https://doi.org/10.1192/bjb.2019.20

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