Dataset Information

Physician Intervention to Positive Depression Screens Among Adolescents in Primary Care.

ABSTRACT:

Purpose

The objective of this study was to determine the effectiveness of computer-based screening and physician feedback to guide adolescent depression management within primary care.

Methods

We conducted a prospective cohort study within two clinics of the computer-based depression screening and physician feedback algorithm among youth aged 12-20 years between October 2014 and October 2015 in Marion County (Indianapolis), Indiana.

Results

Our sample included 2,038 youth (51% female; 60% black; mean age = 14.6 years [standard deviation = 2.1]). Over 20% of youth screened positive for depression on the Patient Health Questionnaire-2 and 303 youth (14.8%) screened positive on the Patient Health Questionnaire-9 (PHQ-9). The most common follow-up action by physicians was a referral to mental health services (34.2% mild, 46.8% moderate, and 72.2% severe range). Almost 11% of youth in the moderate range and 22.7% of youth in the severe range were already prescribed a selective serotonin reuptake inhibitor. When predicting mental health service referral, significant predictors in the multivariate analysis included clinic site (40.2% vs. 73.9%; p < .0001) and PHQ-9 score (severe range 77.8% vs. mild range 47.5%; p < .01). Similarly, when predicting initiation of selective serotonin reuptake inhibitors, only clinic site (28.6% vs. 6.9%; p < .01) and PHQ-9 score (severe range 46.7% vs. moderate range 10.6%; p < .001) were significant.

Conclusions

When a computer-based decision support system algorithm focused on adolescent depression was implemented in two primary care clinics, a majority of physicians utilized screening results to guide clinical care.

SUBMITTER: Aalsma MC

PROVIDER: S-EPMC6053652 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature

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Publications

Physician Intervention to Positive Depression Screens Among Adolescents in Primary Care.

Aalsma Matthew C MC Zerr Ashley M AM Etter Dillon J DJ Ouyang Fangqian F Gilbert Amy Lewis AL Williams Rebekah L RL Hall James A JA Downs Stephen M SM

The Journal of adolescent health : official publication of the Society for Adolescent Medicine 20171123 2

<h4>Purpose</h4>The objective of this study was to determine the effectiveness of computer-based screening and physician feedback to guide adolescent depression management within primary care.<h4>Methods</h4>We conducted a prospective cohort study within two clinics of the computer-based depression screening and physician feedback algorithm among youth aged 12-20 years between October 2014 and October 2015 in Marion County (Indianapolis), Indiana.<h4>Results</h4>Our sample included 2,038 youth ( ...[more]

PMID: 29174939

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Dataset Information

Physician Intervention to Positive Depression Screens Among Adolescents in Primary Care.

Purpose

Methods

Results

Conclusions

Publications

Physician Intervention to Positive Depression Screens Among Adolescents in Primary Care.

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