Final Research Report

This project's final research report is expected to be available by March 2023.

Journal Citations

Related Journal Citations

Peer-Review Summary

Peer review of PCORI-funded research helps make sure the report presents complete, balanced, and useful information about the research. It also assesses how the project addressed PCORI’s Methodology Standards. During peer review, experts read a draft report of the research and provide comments about the report. These experts may include a scientist focused on the research topic, a specialist in research methods, a patient or caregiver, and a healthcare professional. These reviewers cannot have conflicts of interest with the study.

The peer reviewers point out where the draft report may need revision. For example, they may suggest ways to improve descriptions of the conduct of the study or to clarify the connection between results and conclusions. Sometimes, awardees revise their draft reports twice or more to address all of the reviewers’ comments. 

Peer reviewers commented and the researchers made changes or provided responses. Those comments and responses included the following:

  • Reviewers noted that there was some confusion about the group comparisons as a result of the second round of randomization only for participants in the Telepsychiatry/Telepsychology Enhanced Referral (TER) group if they had not engaged in the available intervention. These participants were randomized at six months to either continue in the TER group or enter a Phone Enhanced Referral group for the next six months. The researchers clarified that they included all participants who entered the TER group at baseline, regardless of their intervention group at 12 months, in the main comparison of TER against Telepsychiatry Collaborative Care.
  • Reviewers asked the researchers to expand their explanation about the data that were imputed to account for missing information, especially if the variables that that were imputed included outcome variables. The researchers explained that they imputed all variables with missing data and provided articles justifying this approach as reducing bias and improving the precision of study findings.
  • Reviewers felt that the study would have been strengthened by the addition of a usual care comparison group. The researchers admitted that journal reviewers also felt that was a limitation of the study. However, the researchers pointed out this study was specifically funded as a comparative effectiveness trial of the two telehealth interventions which have already been proven to be better than usual care; therefore the absence of a usual care comparison group should not be considered a limitation in this report.

Project Information

John C. Fortney, PhD
University of Washington
Study to Promote Innovation in Rural Integrated Telepsychiatry (SPIRIT)

Key Dates

August 2015
October 2022

Study Registration Information


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Health Conditions Health Conditions These are the broad terms we use to categorize our funded research studies; specific diseases or conditions are included within the appropriate larger category. Note: not all of our funded projects focus on a single disease or condition; some touch on multiple diseases or conditions, research methods, or broader health system interventions. Such projects won’t be listed by a primary disease/condition and so won’t appear if you use this filter tool to find them. View Glossary
Populations Populations PCORI is interested in research that seeks to better understand how different clinical and health system options work for different people. These populations are frequently studied in our portfolio or identified as being of interest by our stakeholders. View Glossary
Intervention Strategy Intervention Strategies PCORI funds comparative clinical effectiveness research (CER) studies that compare two or more options or approaches to health care, or that compare different ways of delivering or receiving care. View Glossary
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Last updated: September 7, 2022