15.1.810. tablet_qt/tasks/phq15.cpp

/*
    Copyright (C) 2012, University of Cambridge, Department of Psychiatry.
    Created by Rudolf Cardinal (rnc1001@cam.ac.uk).

    This file is part of CamCOPS.

    CamCOPS is free software: you can redistribute it and/or modify
    it under the terms of the GNU General Public License as published by
    the Free Software Foundation, either version 3 of the License, or
    (at your option) any later version.

    CamCOPS is distributed in the hope that it will be useful,
    but WITHOUT ANY WARRANTY; without even the implied warranty of
    MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
    GNU General Public License for more details.

    You should have received a copy of the GNU General Public License
    along with CamCOPS. If not, see <https://www.gnu.org/licenses/>.
*/

#include "phq15.h"
#include "common/textconst.h"
#include "maths/mathfunc.h"
#include "lib/stringfunc.h"
#include "lib/uifunc.h"
#include "questionnairelib/questionnaire.h"
#include "questionnairelib/qumcqgrid.h"
#include "questionnairelib/qutext.h"
#include "tasklib/taskfactory.h"
#include "tasklib/taskregistrar.h"
using mathfunc::noneNull;
using mathfunc::sumInt;
using mathfunc::scorePhrase;
using mathfunc::totalScorePhrase;
using stringfunc::strnum;
using stringfunc::strnumlist;
using stringfunc::strseq;

const int FIRST_Q = 1;
const int N_QUESTIONS = 15;
const QString QPREFIX("q");

const QString Phq15::PHQ15_TABLENAME("phq15");


void initializePhq15(TaskFactory& factory)
{
    static TaskRegistrar<Phq15> registered(factory);
}


Phq15::Phq15(CamcopsApp& app, DatabaseManager& db, const int load_pk) :
    Task(app, db, PHQ15_TABLENAME, false, false, false)  // ... anon, clin, resp
{
    addFields(strseq(QPREFIX, FIRST_Q, N_QUESTIONS), QMetaType::fromType<int>());

    load(load_pk);  // MUST ALWAYS CALL from derived Task constructor.
}


// ============================================================================
// Class info
// ============================================================================

QString Phq15::shortname() const
{
    return "PHQ-15";
}


QString Phq15::longname() const
{
    return tr("Patient Health Questionnaire-15");
}


QString Phq15::description() const
{
    return tr("Self-scoring of 15 common somatic symptoms (relevant to "
              "somatoform disorders).");
}


// ============================================================================
// Instance info
// ============================================================================

bool Phq15::isComplete() const
{
    return noneNull(values(applicableQuestionFieldNames()));
}


QStringList Phq15::summary() const
{
    return QStringList{
        totalScorePhrase(totalScore(), maxScore()),
        scorePhrase(xstring("n_severe_symptoms"),
                    nSevereSymptoms(), nQuestions()),
    };
}


QStringList Phq15::detail() const
{
    using stringfunc::bold;
    using uifunc::yesNo;
    const QString spacer = " ";
    const int n_severe = nSevereSymptoms();
    const bool somatoform_likely = n_severe >= 3;
    const int total_score = totalScore();
    const QString severity = total_score >= 15
            ? TextConst::severe()
            : (total_score >= 10 ? TextConst::moderate()
                                 : (total_score >= 5 ? TextConst::mild()
                                                     : TextConst::none()));

    QStringList lines = completenessInfo();
    lines += fieldSummaries("q", "_s", spacer, QPREFIX, FIRST_Q, N_QUESTIONS);
    lines.append("");
    lines += summary();
    lines.append("");
    lines.append(xstring("exceeds_somatoform_cutoff") + spacer +
                 bold(yesNo(somatoform_likely)));
    lines.append(xstring("symptom_severity") + spacer + bold(severity));
    return lines;
}


OpenableWidget* Phq15::editor(const bool read_only)
{
    const NameValueOptions options{
        {xstring("a0"), 0},
        {xstring("a1"), 1},
        {xstring("a2"), 2},
    };
    QVector<QuestionWithOneField> qfields;
    for (int i : applicableQuestionNumbers()) {
        qfields.append(QuestionWithOneField(xstring(strnum("q", i)),
                                            fieldRef(strnum(QPREFIX, i))));
    }

    QuPagePtr page((new QuPage{
        (new QuText(xstring("stem")))->setBold(true),
        new QuMcqGrid(qfields, options),
    })->setTitle(xstring("title")));

    auto questionnaire = new Questionnaire(m_app, {page});
    questionnaire->setReadOnly(read_only);
    return questionnaire;
}


// ============================================================================
// Task-specific calculations
// ============================================================================

QVector<int> Phq15::applicableQuestionNumbers() const
{
    QVector<int> questions;
    for (int q = FIRST_Q; q <= N_QUESTIONS; ++q) {
        if (q == 4 && !isFemale()) {
            continue;  // Q4 is for women only
        }
        questions.append(q);
    }
    return questions;
}


QStringList Phq15::applicableQuestionFieldNames() const
{
    return strnumlist(QPREFIX, applicableQuestionNumbers());
}


int Phq15::totalScore() const
{
    return sumInt(values(applicableQuestionFieldNames()));
}


int Phq15::nQuestions() const
{
    return isFemale() ? N_QUESTIONS : N_QUESTIONS - 1;
}


int Phq15::maxScore() const
{
    return 2 * nQuestions();
}


int Phq15::nSevereSymptoms() const
{
    int n = 0;
    for (const QString& fieldname : applicableQuestionFieldNames()) {
        n += valueInt(fieldname) >= 2;
    }
    return n;
}