Care References

Safety prompts, auto-linked outcomes, and the guidance behind them for each integrative modality. Reference only — defer to local policy and clinical judgment.

Integrative modalities Outcome measures

MRS ISI PHQ-9 HFRDIS PROMIS-GPH

PROMIS-GPH — PROMIS Global Physical Health

Higher T-scores indicate better global physical health — improvement trends up. Scale T-score.

Clinically significant change (MCID)

5 points

≈5 T-score points (half-SD convention; 2–6 reported)

Clinical cutoff

Impaired (T < 40, 1 SD below mean)

Score interpretation

< 35PoorSignificant impairment; intervene
35–44Below averageSupport and monitor
45–55AveragePopulation norm
> 55Above average

Publications & guidelines

HealthMeasures — Interpreting PROMIS scores
Hays et al. 2009 — PROMIS global health items (Qual Life Res)

Thresholds are commonly cited values — confirm against current literature and your protocol.