Sign up for a new account.
And get access to
The latest T1D content
Research that matters
Our daily questions
Sign up by entering your info below.
Reset Your Password
We will email you instructions to reset your
Background/Objective: Routine monitoring for depression with a validated tool is recommended for patients with diabetes according to American Diabetes Association Standards of Medical Care. This quality improvement (QI) project aimed to increase depression screening at a Pediatric Diabetes Center by 50% over 3 months.
Methods: The PHQ-4 was identified to assess depression and anxiety for patients 11 and older. It asks four questions assessing distress (two from GAD-7 assessing anxiety, two from PHQ-9 assessing depression). If elevated scores are reported in either subgroup, the full GAD-7 and/or PHQ-9 are provided. Rates of screening were tracked monthly. Workflow was as follows: patient identification in rounds; PHQ-4 completion at check-in; provider review/input into EHR; provider psychoeducation and support. Multiple Plan-Do-Study-Act (PDSA) cycles were performed (provider education, patient handouts, paper to online administration (using a QR code).
Results: Prior to implementation, baseline depression screening was 0-4%. Following QI efforts, monthly depression screening rates were between 50-83%. The PHQ-4 was administered to 143 subjects. Positive distress was reported in 21 instances (16 unique patients) (10 = mild, 6 = moderate, 5 = severe). Patients were referred to community support (n = 6), social work (n = 3), neuropsychology/psychology (n = 5), or declined (n = 2).
This site uses Akismet to reduce spam. Learn how your comment data is processed.
Join our mailing list for more about T1D
- Unleash Generosity this GivingTuesdayby Samantha RobinsonNovember 30, 2021
- Meet the Expert: Building Relationships & Making Time to Connectby Jewels DoskiczNovember 29, 2021
- Black Friday Deals that Give Backby Samantha RobinsonNovember 26, 2021
- The Impact of Connections for People Living with T1Dby Dalyce WilsonNovember 24, 2021
- WIN – Giveaway to Celebrate National Diabetes Awareness Monthby Samantha RobinsonNovember 17, 2021