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After the Assessment

Understand your Outcomes tab

An empty Outcomes tab is the normal starting point. Here is what fills it, and what the tab shows at each stage on the way.

7 steps · 4 min read

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You

Open Outcomes under Activity

An empty Outcomes tab is the normal starting point, not a fault. A reading is one completed assessment, and the change statistics on this tab need two of them on the same measure from the same patient. If you have sent assessments but no follow-ups yet, you will see counts and latest scores here, but no change statistics. If you have sent nothing yet, the tab shows a single quiet card. The tab sits under Activity.

Illustration: the Outcomes tab before any patient has completed an assessment.

No completed assessments to draw on yet.

Outcome statistics need a first and a later reading of the same measure for the same patient. Sending a follow-up to a patient you have already assessed is what makes this page fill in.

You

Send the same measure again

Outcomes needs a first and a later reading of the same measure for the same patient. Send a follow-up from the patient's page, or set up a recurring check-in so it goes out on a schedule you choose.

Choose Assessment

AllMood & AnxietyADHD & AutismTrauma
PHQ-9 (Depression)
GAD-7 (Anxiety)
K10 (Distress)
DASS-21
Patient

The patient's second reading

Nothing changes at their end: the same link, the same pacing. Once that reading is in, the patient counts as a pair on that measure: their first reading and their latest.

Automatic

Building toward change statistics

Below five paired patients, a measure sits in a quiet card called Building toward change statistics. Five dots show how many pairs it has so far, and each paired patient is listed with their dates and both scores. Nothing is calculated from them yet.

Illustration: two measures building toward change statistics, showing their paired patients and how many pairs each measure has so far.

Building toward change statistics

Change statistics for a measure appear once five patients have a first and a later completed reading.

GAD-7

2 of 12 patients have two or more readings · 27 readings

Lisa Simpson

12 Mar to 5 May · 2 readings

16 → 11

Bart Simpson

3 Apr to 28 May · 2 readings

14 → 12

K10

1 of 9 patients have two or more readings · 19 readings

Ralph Wiggum

8 Apr to 30 May · 2 readings

24 → 22
Automatic

Change statistics at five patients

The card draws each of those patients as a point, grouped into improved, within typical variation, or deteriorated. The Jacobson and Truax reliable change index decides which group, so a patient only lands in an outer group when their change is larger than the measure's own measurement error. The d and CI in the card's headline are the size of the average movement and how settled that figure is. The card carries this definition at its foot, so you do not have to remember it.

Illustration: a PHQ-9 measure card with five paired patients grouped as improved, within typical variation, or deteriorated.

PHQ-9

Depression moved toward the non-clinical end (d 0.61, CI 0.22 to 1.00).

Caseload, first to latest reading

Improved · 3

Lisa166
Bart145
Milhouse199

Within typical variation · 1

Ned98

Deteriorated · 1

Homer1822

n 5 patients

Automatic

Latest scores on other instruments

Some measures never reach a change statistic, and that is by design. Screeners and many other measures have no published reliability figures, so no change between readings is calculated for them. They appear further down the tab, under a heading that says instruments, which means the same thing here. Each patient's latest reading sits on that measure's published score bands, ranges like Low Risk or High Risk.

Illustration: measures without published reliability figures, showing each patient's latest score placed on that measure's published score bands.

Latest scores on other instruments

Each patient's most recent completed reading, whole practice.

2 of 9 measures shown

PTSD Checklist for DSM-5 (PCL-5)

n 12

Minimal 5 · Mild 3 · Moderate 2 · Moderately Severe 1 · Severe 1

AUDIT Alcohol Use Disorders Identification Test

n 10

Abstinent 2 · Low Risk 4 · Risky 2 · High Risk 1 · Possible Dependence 1

Automatic

At the top, what every number counts

At the top of the tab, a coverage strip splits your completed assessments into what these statistics could draw on and what they could not. Each bucket is counted directly, not estimated. Every section below states its own scope, so you always know whether a number covers the whole practice or only the assessments you sent.

Frequently asked questions

What does the effect size on a measure card tell me?
It describes uncontrolled change between a first and a latest reading in this caseload, and it renders with its confidence interval and the number of patients behind it. Some of that change is regression to the mean and who remained in therapy. It describes the caseload, not the practitioner.
Why is my Outcomes tab empty?
Because every statistic here needs two completed readings of the same measure from the same patient. A practice that has only sent first assessments has nothing to compare yet. Sending follow-ups to patients you have already assessed is what fills the tab.
Why does a measure need five patients before it shows statistics?
A reliable change count or an effect size drawn from one or two patients is noise dressed as a finding. Five paired patients is the floor applied before any statistic is drawn. Below that the readings are still listed for you, exactly as recorded, without a change calculation.
Which measures can show change statistics?
Six today: DASS-21, PHQ-9, GAD-7, K10, CORE-10 and WFIRS-S. These are the measures with citation-verified reliability figures published, which is what a reliable change index needs. Every other measure still appears under latest scores on other instruments, placed on its own severity bands.

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