Implementation of PHQ-9 Depression Screening for HIV-Infected Patients in a Real-World Setting

被引:17
|
作者
Edwards, Malaika [1 ]
Quinlivan, Evelyn Byrd [1 ]
Bess, Kiana [2 ]
Gaynes, Bradley N. [3 ]
Heine, Amy [4 ]
Zinski, Anne [5 ]
Modi, Riddhi [5 ]
Pence, Brian W. [6 ]
机构
[1] Univ N Carolina, Infect Dis Clin, Inst Global Hlth & Infect Dis, Chapel Hill, NC 27514 USA
[2] Duke Univ, Infect Dis Clin, Durham, NC USA
[3] Univ N Carolina, Dept Psychiat, Psychiat Outpatient Serv, Chapel Hill, NC USA
[4] Univ N Carolina, Infect Dis Clin, Chapel Hill, NC USA
[5] Univ Alabama Birmingham, Sch Med, Div Infect Dis, Birmingham, AL USA
[6] Duke Univ, Durham, NC USA
来源
JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE | 2014年 / 25卷 / 03期
基金
美国国家卫生研究院;
关键词
depression; HIV; infectious diseases; PHQ-9; screening; ACTIVE ANTIRETROVIRAL THERAPY; MENTAL-ILLNESS; SUBSTANCE-ABUSE; UNITED-STATES; CARE; ROUTINE; PREVALENCE; DISORDERS; SYMPTOMS;
D O I
10.1016/j.jana.2013.05.004
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The prevalence of depression is 20%-30% for people living with HIV, and while it is associated with poorer adherence to antiretrovirals, it is often unrecognized by medical providers. Although it has been challenging for some health care settings to develop consistent depression screening mechanisms, it is feasible to create screening protocols using the nine-item Patient Health Questionnaire (PHQ-9). Establishing a depression screening and response protocol is an iterative process that involves preparing staff, determining screening frequency, and developing procedures for response and appropriate medical record documentation. While there are multiple issues and potential challenges during implementation, it is possible to incorporate systematic depression screening into HIV primary care in a manner that achieves staff buy-in, minimizes patient burden, streamlines communication, and efficiently uses the resources available in the medical setting.
引用
收藏
页码:243 / 252
页数:10
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