Evidence map›Paper›PMID 33541362›Full record

ArticleHealth and quality of life outcomes2021

Responsiveness of PROMIS and Patient Health Questionnaire (PHQ) Depression Scales in three clinical trials.

Kurt Kroenke, Timothy E Stump, Chen X Chen, Jacob Kean, Teresa M Damush, Matthew J Bair, Erin E Krebs, Patrick O Monahan

3 registry-linked trialsAbstract read
In one paragraph

Article in Health and quality of life outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01236521 nacompletednot on this map

Care Management for the Effective Use of Opioids (CAMEO)

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2011 to 2015Enrolled261ConditionsLow Back Pain, PainArmsPharmacological (MED), Behavioral treatment (CBT)
NCT01507688 nacompletednot on this map

Stroke Self-Management: Effect on Function and Stroke Quality of Life

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2013 to 2019Enrolled258ConditionsStrokeArmsStroke Self-Management
NCT01583985 nacompletednot on this map

Strategies for Prescribing Analgesics Comparative Effectiveness (SPACE) Trial

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2013 to 2017Enrolled265ConditionsBack Pain, OsteoarthritisArmsOpioid-intensive prescribing strategy, Opioid-avoidant prescribing strategy
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Measurement properties and interpretability of the PROMIS item banks in stroke patients: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Association of Air Pollution and Socioeconomic Deprivation with Depression and Pain.International journal of environmental research and public health · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Sleep quality and lymphedema in breast cancer survivors: a mixed method analysis.Journal of cancer survivorship : research and practice · 2025
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kurt KroenkeDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA. kkroenke@regenstrief.org.ORCID http://orcid.org/0000-0002-0114-4669
Timothy E StumpDepartment of Biostatistics, Indiana University Fairbanks School of Public Health and School of Medicine, Indianapolis, IN, USA.
Chen X ChenIndiana University School of Nursing, Indianapolis, IN, USA.
Jacob KeanDepartment of Population Health Sciences, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Teresa M DamushDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Matthew J BairDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Erin E KrebsCenter for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, Minneapolis, MN, USA.
Patrick O MonahanDepartment of Biostatistics, Indiana University Fairbanks School of Public Health and School of Medicine, Indianapolis, IN, USA.

Funding

Responsiveness and Clinical Validity of PROMIS Pain and Depression MeasuresR01AR064081 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI MONAHAN, PATRICK O. · 2012 to 2015
$938k
Strategies for Prescribing Analgesics Comparative Effectiveness (SPACE) TrialI01HX000671 · VA · RLR VA MEDICAL CENTER · PI KREBS, ERIN ELIZABETH · 2013 to 2013
–
Damush HSR&D Research Career Scientist Award ApplicationIK6HX002715 · VA · RLR VA MEDICAL CENTER · PI DAMUSH, TERESA M. · 2020 to 2024
–
HSRD VA I01 HX000671HSRD VA IK6 HX002715NIAMS NIH HHS R01 AR064081
6 · The paper itself

Abstract

backgroundThe PROMIS depression scales are reliable and valid measures that have extensive normative data in general population samples. However, less is known about how responsive they are to detect change in clinical settings and how their responsiveness compares to legacy measures. The purpose of this study was to assess and compare the responsiveness of the PROMIS and Patient Health Questionnaire (PHQ) depression scales in three separate samples.

methodsWe used data from three clinical trials (two in patients with chronic pain and one in stroke survivors) totaling 651 participants. At both baseline and follow-up, participants completed four PROMIS depression fixed-length scales as well as legacy measures: Patient Health Questionnaire 9-item and 2-item scales (PHQ-9 and PHQ-2) and the SF-36 Mental Health scale. We measured global ratings of depression change, both prospectively and retrospectively, as anchors to classify patients as improved, unchanged, or worsened. Responsiveness was assessed with standardized response means, statistical tests comparing change groups, and area-under-curve analysis.

resultsThe PROMIS depression and legacy scales had generally comparable responsiveness. Moreover, the four PROMIS depression scales of varying lengths were similarly responsive. In general, measures performed better in detecting depression improvement than depression worsening. For all measures, responsiveness varied based on the study sample and on whether depression improved or worsened.

conclusionsBoth PROMIS and PHQ depression scales are brief public domain measures that are responsive (i.e., sensitive to change) and thus appropriate as outcome measures in research as well as for monitoring treatment in clinical practice. Trial registration ClinicalTrials.gov ID: NCT01236521, NCT01583985, NCT01507688.

Indexed as

Patient Health QuestionnaireSeverity of Illness IndexAdultAgedChronic PainClinical Trials as TopicDepressionFemaleHumansMaleMental HealthMiddle AgedPain MeasurementPatient Outcome AssessmentPatient Reported Outcome MeasuresQuality of LifeDepressionPHQ-9PROMISPsychometricsResponsivenessSensitivity to change

Identifiers

PMID33541362
PMCPMC7860196

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.