Key result
COSMIN manual provides methodological guidelines and a risk of bias checklist for PROM systematic reviews.
Why the study?
Existing mental health screening tools for postsecondary students lack standardization and student codevelopment, prompting the adaptation and evaluation of HEARTSMAP-U.
Does the HEARTSMAP-U digital psychosocial self-screening tool accurately identify psychiatric concerns in postsecondary students compared to clinician-administered interviews?
Does the HEARTSMAP-U digital psychosocial self-screening tool accurately identify psychiatric concerns in postsecondary students compared to clinician-administered interviews?
HEARTSMAP-U shows promise as a highly sensitive, though less specific, psychosocial self-screening tool for postsecondary students.
Supports standardized PROM evaluation in mental health; leaves open direct validation of tools like HEARTSMAP-U in students.
Background Existing screening tools for mental health issues among postsecondary students have several challenges, including a lack of standardization and codevelopment by students. HEARTSMAP-U was adapted to address these issues. Objective This study aimed to evaluate the suitability of HEARTSMAP-U as a self-screening tool for psychosocial issues among postsecondary students by evaluating its validity evidence and clinical utility. Methods A prospective cohort study was conducted with University of British Columbia Vancouver students to evaluate HEARTSMAP-U’s predictive validity and convergent validity. Participating students completed baseline and 3-month follow-up assessments via HEARTSMAP-U and a clinician-administered interview. Results In a diverse student sample (n=100), HEARTSMAP-U demonstrated high sensitivity (95%-100%) in identifying any psychiatric concerns that were flagged by a research clinician, with lower specificity (21%-25%). Strong convergent validity (r=0.54-0.68) was demonstrated when relevant domains and sections of HEARTSMAP-U were compared with those of other conceptually similar instruments. Conclusions This preliminary evaluation suggests that HEARTSMAP-U may be suitable for screening in the postsecondary educational setting. However, a larger-scale evaluation is necessary to confirm and expand on these findings.
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Virk et al. (2023) studied Patient-Reported Outcome Measures (PROMs). The COSMIN manual provides a comprehensive methodological guideline and risk of bias checklist for conducting systematic reviews of Patient-Reported Outcome Measures.
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