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Tablet-Based Screening of Depressive Symptoms in Quito, Ecuador: Efficiency in Primary Care

Depression is a frequent yet overlooked occurrence in primary health care clinics worldwide. Depression and related health screening instruments are available but are rarely used consistently. The availability of technologically based instruments in the assessments offers novel approaches for gather...

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Autores principales: Grunauer, Michelle, Schrock, David, Fabara, Eric, Jimenez, Gabriela, Miller, Aimee, Lai, Zongshan, Kilbourne, Amy, McInnis, Melvin G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3947872/
https://www.ncbi.nlm.nih.gov/pubmed/24693425
http://dx.doi.org/10.1155/2014/845397
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author Grunauer, Michelle
Schrock, David
Fabara, Eric
Jimenez, Gabriela
Miller, Aimee
Lai, Zongshan
Kilbourne, Amy
McInnis, Melvin G.
author_facet Grunauer, Michelle
Schrock, David
Fabara, Eric
Jimenez, Gabriela
Miller, Aimee
Lai, Zongshan
Kilbourne, Amy
McInnis, Melvin G.
author_sort Grunauer, Michelle
collection PubMed
description Depression is a frequent yet overlooked occurrence in primary health care clinics worldwide. Depression and related health screening instruments are available but are rarely used consistently. The availability of technologically based instruments in the assessments offers novel approaches for gathering, storing, and assessing data that includes self-reported symptom severity from the patients themselves as well as clinician recorded information. In a suburban primary health care clinic in Quito, Ecuador, we tested the feasibility and utility of computer tablet-based assessments to evaluate clinic attendees for depression symptoms with the goal of developing effective screening and monitoring tools in the primary care clinics. We assessed individuals using the 9-item Patient Health Questionnaire, the Quick Inventory of Depressive Symptoms-Self-Report, the 12-item General Health Questionnaire, the Clinical Global Impression Severity, and a DSM-IV checklist of symptoms. We found that 20% of individuals had a PHQ9 of 8 or greater. There was good correlation between the symptom severity assessments. We conclude that the tablet-based PHQ9 is an excellent and efficient method of screening for depression in attendees at primary health care clinics and that one in five people should be assessed further for depressive illness and possible intervention.
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spelling pubmed-39478722014-04-01 Tablet-Based Screening of Depressive Symptoms in Quito, Ecuador: Efficiency in Primary Care Grunauer, Michelle Schrock, David Fabara, Eric Jimenez, Gabriela Miller, Aimee Lai, Zongshan Kilbourne, Amy McInnis, Melvin G. Int J Family Med Research Article Depression is a frequent yet overlooked occurrence in primary health care clinics worldwide. Depression and related health screening instruments are available but are rarely used consistently. The availability of technologically based instruments in the assessments offers novel approaches for gathering, storing, and assessing data that includes self-reported symptom severity from the patients themselves as well as clinician recorded information. In a suburban primary health care clinic in Quito, Ecuador, we tested the feasibility and utility of computer tablet-based assessments to evaluate clinic attendees for depression symptoms with the goal of developing effective screening and monitoring tools in the primary care clinics. We assessed individuals using the 9-item Patient Health Questionnaire, the Quick Inventory of Depressive Symptoms-Self-Report, the 12-item General Health Questionnaire, the Clinical Global Impression Severity, and a DSM-IV checklist of symptoms. We found that 20% of individuals had a PHQ9 of 8 or greater. There was good correlation between the symptom severity assessments. We conclude that the tablet-based PHQ9 is an excellent and efficient method of screening for depression in attendees at primary health care clinics and that one in five people should be assessed further for depressive illness and possible intervention. Hindawi Publishing Corporation 2014 2014-02-17 /pmc/articles/PMC3947872/ /pubmed/24693425 http://dx.doi.org/10.1155/2014/845397 Text en Copyright © 2014 Michelle Grunauer et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Grunauer, Michelle
Schrock, David
Fabara, Eric
Jimenez, Gabriela
Miller, Aimee
Lai, Zongshan
Kilbourne, Amy
McInnis, Melvin G.
Tablet-Based Screening of Depressive Symptoms in Quito, Ecuador: Efficiency in Primary Care
title Tablet-Based Screening of Depressive Symptoms in Quito, Ecuador: Efficiency in Primary Care
title_full Tablet-Based Screening of Depressive Symptoms in Quito, Ecuador: Efficiency in Primary Care
title_fullStr Tablet-Based Screening of Depressive Symptoms in Quito, Ecuador: Efficiency in Primary Care
title_full_unstemmed Tablet-Based Screening of Depressive Symptoms in Quito, Ecuador: Efficiency in Primary Care
title_short Tablet-Based Screening of Depressive Symptoms in Quito, Ecuador: Efficiency in Primary Care
title_sort tablet-based screening of depressive symptoms in quito, ecuador: efficiency in primary care
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3947872/
https://www.ncbi.nlm.nih.gov/pubmed/24693425
http://dx.doi.org/10.1155/2014/845397
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