Evidence map›Paper›PMID 38863328›Full record

Trial reportPsychiatric services (Washington, D.C.)2024

Use of Patient-Reported Outcome Measures to Assess the Effectiveness of Hybrid Psychiatric Visits.

Virginia C O'Brien, Anita S Kablinger, Hayoung Ko, Sydney B Jones, Robert S McNamara, Ashlie R Phenes, Maria Stack Hankey, Alyssa J Gatto, Martha M Tenzer, Hunter D Sharp and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychiatric services (Washington, D.C.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Evaluating the Use of Anxiety Patient-Reported Outcome Measures (PROMs) in Dementia Clinical Trials: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2026
    Pooled it
  2. Article
  3. 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

11 authors.

Virginia C O'BrienDepartment of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Roanoke (O'Brien, Kablinger, McNamara, Phenes); Department of Psychology, Virginia Tech, Blacksburg (Ko, Jones, Cooper); Health Analytics Research Team, Carilion Clinic, Roanoke, Virginia (Stack Hankey, Tenzer, Sharp); Department of Psychology, Brown University, Providence, Rhode Island (Gatto).
Anita S KablingerDepartment of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Roanoke (O'Brien, Kablinger, McNamara, Phenes); Department of Psychology, Virginia Tech, Blacksburg (Ko, Jones, Cooper); Health Analytics Research Team, Carilion Clinic, Roanoke, Virginia (Stack Hankey, Tenzer, Sharp); Department of Psychology, Brown University, Providence, Rhode Island (Gatto).
Hayoung KoDepartment of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Roanoke (O'Brien, Kablinger, McNamara, Phenes); Department of Psychology, Virginia Tech, Blacksburg (Ko, Jones, Cooper); Health Analytics Research Team, Carilion Clinic, Roanoke, Virginia (Stack Hankey, Tenzer, Sharp); Department of Psychology, Brown University, Providence, Rhode Island (Gatto).
Sydney B JonesDepartment of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Roanoke (O'Brien, Kablinger, McNamara, Phenes); Department of Psychology, Virginia Tech, Blacksburg (Ko, Jones, Cooper); Health Analytics Research Team, Carilion Clinic, Roanoke, Virginia (Stack Hankey, Tenzer, Sharp); Department of Psychology, Brown University, Providence, Rhode Island (Gatto).
Robert S McNamaraDepartment of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Roanoke (O'Brien, Kablinger, McNamara, Phenes); Department of Psychology, Virginia Tech, Blacksburg (Ko, Jones, Cooper); Health Analytics Research Team, Carilion Clinic, Roanoke, Virginia (Stack Hankey, Tenzer, Sharp); Department of Psychology, Brown University, Providence, Rhode Island (Gatto).
Ashlie R PhenesDepartment of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Roanoke (O'Brien, Kablinger, McNamara, Phenes); Department of Psychology, Virginia Tech, Blacksburg (Ko, Jones, Cooper); Health Analytics Research Team, Carilion Clinic, Roanoke, Virginia (Stack Hankey, Tenzer, Sharp); Department of Psychology, Brown University, Providence, Rhode Island (Gatto).
Maria Stack HankeyDepartment of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Roanoke (O'Brien, Kablinger, McNamara, Phenes); Department of Psychology, Virginia Tech, Blacksburg (Ko, Jones, Cooper); Health Analytics Research Team, Carilion Clinic, Roanoke, Virginia (Stack Hankey, Tenzer, Sharp); Department of Psychology, Brown University, Providence, Rhode Island (Gatto).
Alyssa J GattoDepartment of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Roanoke (O'Brien, Kablinger, McNamara, Phenes); Department of Psychology, Virginia Tech, Blacksburg (Ko, Jones, Cooper); Health Analytics Research Team, Carilion Clinic, Roanoke, Virginia (Stack Hankey, Tenzer, Sharp); Department of Psychology, Brown University, Providence, Rhode Island (Gatto).
Martha M TenzerDepartment of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Roanoke (O'Brien, Kablinger, McNamara, Phenes); Department of Psychology, Virginia Tech, Blacksburg (Ko, Jones, Cooper); Health Analytics Research Team, Carilion Clinic, Roanoke, Virginia (Stack Hankey, Tenzer, Sharp); Department of Psychology, Brown University, Providence, Rhode Island (Gatto).
Hunter D SharpDepartment of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Roanoke (O'Brien, Kablinger, McNamara, Phenes); Department of Psychology, Virginia Tech, Blacksburg (Ko, Jones, Cooper); Health Analytics Research Team, Carilion Clinic, Roanoke, Virginia (Stack Hankey, Tenzer, Sharp); Department of Psychology, Brown University, Providence, Rhode Island (Gatto).
Lee D CooperDepartment of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Roanoke (O'Brien, Kablinger, McNamara, Phenes); Department of Psychology, Virginia Tech, Blacksburg (Ko, Jones, Cooper); Health Analytics Research Team, Carilion Clinic, Roanoke, Virginia (Stack Hankey, Tenzer, Sharp); Department of Psychology, Brown University, Providence, Rhode Island (Gatto).

Funding

The integrated Translational Health Research Institute of Virginia (iTHRIV): Using Data to Improve HealthUL1TR003015 · NCATS · UNIVERSITY OF VIRGINIA · PI BROWN, DONALD E, JOHNSTON, KAREN C. · 2019 to 2023
$20.3M
RESEARCH TRAINING IN CHILD MENTAL HEALTHT32MH019927 · NIMH · RHODE ISLAND HOSPITAL (PROVIDENCE, RI) · PI Kristen G Benito, Anthony Spirito · 1994 to 2026
$7.8M
NCATS NIH HHS UL1 TR003015NIMH NIH HHS T32 MH019927
6 · The paper itself

Abstract

objectiveLittle empirical evidence exists to support the effectiveness of hybrid psychiatric care, defined as care delivered through a combination of telephone, videoconferencing, and in-person visits. The authors aimed to investigate the effectiveness of hybrid psychiatric care compared with outpatient waitlist groups, assessed with patient-reported outcome measures (PROMs).

methodParticipants were recruited from an adult psychiatry clinic waitlist on which the most common primary diagnoses were unipolar depression, generalized anxiety disorder, and bipolar disorder. Patients (N=148) were randomly assigned to one of two waitlist groups that completed PROMs once or monthly before treatment initiation. PROMs were used to assess symptoms of depression (Patient Health Questionnaire-9 [PHQ-9]), anxiety (Generalized Anxiety Disorder-7 [GAD-7]), and daily psychological functioning (Brief Adjustment Scale-6 [BASE-6]). Patient measures were summarized descriptively with means, medians, and SDs and then compared by using the Kruskal-Wallis test; associated effect sizes were calculated. PROM scores for patients who received hybrid psychiatric treatment during a different period (N=272) were compared with scores of the waitlist groups.

resultsPROM assessments of patients who engaged in hybrid care indicated significant improvements in symptom severity compared with the waitlist groups, regardless of the number of PROMs completed while patients were on the waitlist. Between the hybrid care and waitlist groups, the effect size for the PHQ-9 score was moderate (d=0.66); effect sizes were small for the GAD-7 (d=0.46) and BASE-6 (d=0.45) scores.

conclusionsThe findings indicate the clinical effectiveness of hybrid care and that PROMs can be used to assess this effectiveness.

Indexed as

Patient Reported Outcome MeasuresAdultAnxiety DisordersBipolar DisorderDepressive DisorderFemaleHumansMaleMental Health ServicesMiddle AgedTelemedicineTelephoneVideoconferencingWaiting ListsHybrid careOutpatient clinicsOutpatient treatmentPatient-reported outcomesPROMs

Identifiers

PMID38863328
PMCPMC12204591

What OpenQuestion holds

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Registered trials

None linked

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.