%0 Journal Article
%@ 1438-8871
%I JMIR Publications
%V 20
%N 6
%P e10001
%T Comparing Approaches to Mobile Depression Assessment for Measurement-Based Care: Prospective Study
%A Bauer,Amy M
%A Baldwin,Scott A
%A Anguera,Joaquin A
%A Areán,Patricia A
%A Atkins,David C
%+ Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific Street, Box 356560, Seattle, WA, 98195 6560, United States, 1 2062218385, abauer1@uw.edu
%K Patient Health Questionnaire
%K depression
%K mobile health
%K symptom assessment
%D 2018
%7 19.06.2018
%9 Original Paper
%J J Med Internet Res
%G English
%X Background: To inform measurement-based care, practice guidelines suggest routine symptom monitoring, often on a weekly or monthly basis. Increasingly, patient-provider contacts occur remotely (eg, by telephone and Web-based portals), and mobile health tools can now monitor depressed mood daily or more frequently. However, the reliability and utility of daily ratings are unclear. Objective: This study aimed to examine the association between a daily depressive symptom measure and the Patient Health Questionnaire-9 (PHQ-9), the most widely adopted depression self-report measure, and compare how well these 2 assessment methods predict patient outcomes. Methods: A total of 547 individuals completed smartphone-based measures, including the Patient Health Questionnaire-2 (PHQ-2) modified for daily administration, the PHQ-9, and the Sheehan Disability Scale. Multilevel factor analyses evaluated the reliability of latent depression based on the PHQ-2 (for repeated measures) between weeks 2 and 4 and its correlation with the PHQ-9 at week 4. Regression models predicted week 8 depressive symptoms and disability ratings with daily PHQ-2 and PHQ-9. Results: The daily PHQ-2 and PHQ-9 are highly reliable (range: 0.80-0.88) and highly correlated (r=.80). Findings were robust across demographic groups (age, gender, and ethnic minority status). Daily PHQ-2 and PHQ-9 were comparable in predicting week 8 disability and were independent predictors of week 8 depressive symptoms and disability, though the unique contribution of the PHQ-2 was small in magnitude. Conclusions: Daily completion of the PHQ-2 is a reasonable proxy for the PHQ-9 and is comparable to the PHQ-9 in predicting future outcomes. Mobile assessment methods offer researchers and clinicians reliable and valid new methods for depression assessment that may be leveraged for measurement-based depression care. 
%M 29921564
%R 10.2196/10001
%U http://www.jmir.org/2018/6/e10001/
%U https://doi.org/10.2196/10001
%U http://www.ncbi.nlm.nih.gov/pubmed/29921564