Is the PHQ-2 a Good Measure to Inform Providers About Patient Well-Being and Functioning? Data From the Veterans Health and Life Survey

Bibliographic Data

ID9102683
AuthorsDavid E Reed (0000-0003-0109-5999, University of Washington, corresponding author), Charles C Engel (0000-0002-9232-3389, Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA), Scott Coggeshall (Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA), Martha Michel (Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA), Bella Etingen (0000-0003-1325-9073, Research and Development Service, Dallas VA Medical Center, Dallas, TX, USA), Rendelle E Bolton (0000-0003-1621-8277, Center for Health Optimization and Implementation Research), Kurt Kroenke (0000-0002-0114-4669, Regenstrief Institute, Indianapolis, IN, corresponding author), Barbara G Bokhour (0000-0001-8238-0745, Center for Health Optimization and Implementation Research), Steven B Zeliadt (0000-0003-3900-743X, University of Washington, corresponding author)
Year2024
Volume62
Issue12
PagesS76-S83
Publication date2024-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000002069
PMID39514499
OpenAlexW4404166049
LanguageEN
Citations received1
References cited29

BACKGROUND: Health care systems are increasingly focused on assessing patient well-being and functioning. The objective of the current analysis was to evaluate a pragmatic question: to what extent and in what way can the PHQ-2, a routinely collected screening measure, be used to help clinicians and a learning health system understand the well-being and functioning of its beneficiaries? METHODS: The current analysis focused on 2872 Veterans who completed a large-scale longitudinal survey about health and wellness for whom we were able to link survey responses to PHQ-2 scores recorded in their electronic health records (EHR). Regression analyses examined the cross-sectional and longitudinal associations between PHQ-2 scores recorded in the EHR and measures of well-being (life satisfaction, purpose in life, and social health) and functioning (pain severity and interference, physical and mental health, and perceived stress). RESULTS: Veterans were aged 65 years on average (11% women). PHQ-2 scores were correlated cross-sectionally with all well-being and functioning measures; however, there was minimal variance accounted for. Changes in the PHQ-2 over time were associated with 3 measures: purpose in life (b = -0.19; 95% CI: -0.34, -0.04), mental health functioning (b = -0.29, 95% CI: -0.54, -0.04), and perceived stress (b = 0.13; 95% CI: 0.02, 0.24). CONCLUSIONS: The PHQ-2 was minimally associated with patient well-being and functioning, with more work needed on how the PHQ-2 may be used in large health care settings within the context of VA Whole Health. Assessment of well-being is critical as VA's Whole Health transformation continues, and identifying strategies for well-being measurement is an integral next step

Data mining · Depressive symptoms · Measure (data warehouse) · MEDLINE · Patient Health Questionnaire · Psychiatry · Computer Science · Healthcare professionals’ stress and burnout · Medicine · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes · Psychology · Gerontology

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