کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4139438 1272207 2015 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Primary Care Provider Training in Screening, Assessment, and Treatment of Adolescent Depression
ترجمه فارسی عنوان
آموزش و پرورش ارائه دهنده مراقبت های اولیه در غربالگری، ارزیابی و درمان افسردگی نوجوانان
کلمات کلیدی
افسردگی نوجوانان، مراقبت های اولیه، غربالگری، بیمار استاندارد
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

ObjectiveAdolescent depression is underrecognized and undertreated. Primary care providers (PCP) require training to successfully identify adolescents with depression. We examined the effects of a PCP training program in the screening, assessment, and treatment of adolescent depression (SAT-D) on adolescents' reports of PCP screening for adolescent depression at annual well visits and PCP SAT-D confidence and knowledge.MethodsPCP (n = 31) attended one SAT-D training program consisting of a 60-minute SAT-D seminar and a 60-minute standardized patient session where PCP practiced SAT-D skills. A pre–post design evaluated effects of training on PCP depression screening practices as reported by 3 groups of adolescent patients at well visits (n = 582 before, n = 525 at 2 to 8 months after training, n = 208 at 18 to 24 months after training). A generalized linear mixed effects logistic regression controlled for provider and patient demographics that may have influenced depression screening. PCP SAT-D self-reported confidence and objectively tested knowledge were assessed at baseline, immediately after training, and at 4 to 6 months after training.ResultsOn the basis of the regression analysis, PCP screening for adolescent depression increased significantly from pretraining (49%) to 2 to 8 months after training (68%, odds ratio 2.78, 95% confidence interval 2.10–3.68) and 18 to 24 months after training (74%, odds ratio 3.17, 95% confidence interval 2.16–4.67; both P < .0001). PCP SAT-D confidence and knowledge also significantly improved.ConclusionsPCP SAT-D training resulted in significant increases in primary care screening for adolescent depression that were maintained up to 24 months after training. Future studies should determine if changes in PCP screening improve identification of adolescent depression and patient outcomes for adolescents with depression.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Academic Pediatrics - Volume 15, Issue 3, May–June 2015, Pages 326–332
نویسندگان
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