Mental health diagnosis by nurses using the Global Mental Health Assessment Tool: a validity and feasibility study

Sharma, Vimal; Lepping, Peter; Krishna, Murali; S, Durrani; Copeland, J. R. M.; Mottram, Pat; Parhee, Rashmi; Quinn, Bennett N. E.; Lane, Steven; Cummins, Anthony

doi:10.3399/bjgp08x299218

Cited by 23 publications

(27 citation statements)

References 11 publications

(11 reference statements)

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“…KAPPA 0.76 [95% CI (0.61, 0.91)]. There is good sensitivity of 0.73 95% CI (0.56, 0.90) and excellent specificity of 0.98 [95% CI (0.95, 1.00)] comparable with results from our earlier validation study [19]. Here we focus on feasibility, prevalence and usefulness of GMHAT/PC in this group of patients.…”

Section: Resultsmentioning

confidence: 53%

“…The same group showed that the GMHAT/PC can assist nurses who were not trained in mental health to make accurate mental health assessments and diagnosis in patients [19]. The inter-rater reliability based on symptom scores and the correlation between the Hospital Anxiety and Depression scale (HADS) and GMHAT/PC depression scores has been found to be good [20].…”

Section: Methodsmentioning

confidence: 99%

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Epidemilogical and clincial use of GMHAT-PC ( Global Mental Health assessment tool- primary care )in cardiac patients

Krishna

Lepping

Sharma

et al. 2009

Clinical Practice and Epidemiology in Mental Health

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BackgroundA computer assisted interview, the GMHAT/PC has been developed to assist General Practitioners and other Health Professionals to make a quick, convenient and comprehensive standardised mental health assessment. It has proved to be a reliable and valid tool in our previous studies involving General Practitioners and Nurses. Little is known about its use in cardiac rehabilitation settings.AimThe study aims to assess the feasibility of using a computer assisted diagnostic interview by nurses for patients attending Cardiac Rehabilitation Clinics and to examine the level of agreement between the GMHAT/PC diagnosis and a Psychiatrist clinical diagnosis. Prevalence of mental illness was also measured.DesignCross sectional validation and feasibility study.MethodsNurses using GMHAT/PC examined consecutive patients presenting to a cardiac rehabilitation centre. A total of 118 patients were assessed by nurses and consultant psychiatrist in cardiac rehabilitation centres. The kappa coefficient (κ), sensitivity, and specificity of the GMHAT/PC diagnosis were analysed as measures of validity. The time taken for the interview as well as feedback from patients and interviewers were indicators of feasibility. Data on prevalence of mental disorders in an outpatient cardiac rehabilitation setting was collected.ResultsThe mean duration of the interview was 14 minutes. Feedback from patients and interviewers indicated good practical feasibility. The agreement between GMHAT/PC interview-based diagnoses and consultant psychiatrists' ICD-10 criteria-based clinical diagnosis was good or excellent (κ = 0.76, sensitivity = 0.73, specificity = 0.90). The prevalence of mental disorders in this group was 22%, predominantly depression. Very few cases were on treatment.ConclusionGMHAT/PC can assist nurses in making accurate mental health assessments and diagnoses in a cardiac rehabilitation setting and is acceptable to cardiac patients. It can successfully be used to gather epidemiological data and help in managing mental health problems in this group of patients.

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Section: Resultsmentioning

confidence: 53%

Section: Methodsmentioning

confidence: 99%

Epidemilogical and clincial use of GMHAT-PC ( Global Mental Health assessment tool- primary care )in cardiac patients

Krishna

Lepping

Sharma

et al. 2009

Clinical Practice and Epidemiology in Mental Health

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“…From the 12 % of the population who accessed mental health services, one-third consulted community-based providers, mainly general practitioners (GP) who generally managed problems such as anxiety, depression and sleep disturbances [22]. However, GPs may have limited time in their practice as well as limited training and experience with mental health disorders [23]. EDs also provide some mental health services, but usually for patients who have an urgent or semi-urgent need [24], and the number of people accessing mental health services through the ED is increasing.…”

Section: Introductionmentioning

confidence: 99%

Protocol for a pragmatic randomised controlled trial to evaluate effects of a brief intervention for emergency department attendees who present with moderate or high levels of non-specific psychological distress: a pilot study

Lawrence

Fulbrook

2015

Pilot Feasibility Stud

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BackgroundScreening and brief intervention in the emergency department (ED) has almost exclusively focused on individuals with alcohol-use problems. The early detection of mental health problems before problems become severe will enable early intervention and support which may improve health and prevent further deterioration. The main aim of this pilot study is to provide evidence of the acceptance of a telephone intervention aimed at ED attendees with moderate or high psychological distress. This will be determined by recruitment rates, retention rates and participant satisfaction with the intervention. Secondary outcomes include whether socio-demographic variables have an impact on retention rates, and whether the intervention had any impact on psychological distress.Methods/DesignThis study will be a single-site pragmatic randomised controlled pilot study. Consenting ED attendees will be screened with the Kessler Psychological Distress Scales (K10). There will be three arms to the study: a moderate/high psychological distress group with or without intervention, and a low psychological distress group. Those with severe psychological distress will be excluded. All included participants will be followed-up at 1, 3, 6 and 12 months post-recruitment. Retention rates will be determined by successful completion of surveys at the follow-up time-points. Psychological distress will be measured by the K10 at all follow-up time-points.DiscussionThis study will provide information regarding the potential for screening and recruitment at an opportunistic hospital presentation. It will provide data for a future larger study with regard to participants accepting to be included in this study. Participant acceptability will be measured in terms of recruitment rates and retention rates measured by successful follow-ups over the following 12 months post-recruitment.Trial registrationAustralian and New Zealand Clinical Trials Registry ACTRN12614000031662. Registered 10/01/2014.

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“…The questions proceed in a clinical order along a tree-branch structure. The GMHAT/PC has been widely tested and now being tried to detect and manage mental disorders in primary and general health settings in English [25,26], Hindi [27], Arabic [28] and Spanish [29]. Further translations in various languages are in progress.…”

Section: A Practical Tool For Detecting and Managing Mental Disordersmentioning

confidence: 99%

Mental Health and Primary Care

Sharma¹

2017

J Healthc Commun

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Mental health diagnosis by nurses using the Global Mental Health Assessment Tool: a validity and feasibility study

Cited by 23 publications

References 11 publications

Epidemilogical and clincial use of GMHAT-PC ( Global Mental Health assessment tool- primary care )in cardiac patients

Epidemilogical and clincial use of GMHAT-PC ( Global Mental Health assessment tool- primary care )in cardiac patients

Protocol for a pragmatic randomised controlled trial to evaluate effects of a brief intervention for emergency department attendees who present with moderate or high levels of non-specific psychological distress: a pilot study

Mental Health and Primary Care

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