Perspectives on Implementing the Patient Health Questionnaire-4 in Low-Vision Service Organizations to Screen for Depression and Anxiety

Elsman, Ellen B. M.; Munster, Edine P J van; Nassau, Femke van; Verstraten, Peter; Nispen, Ruth M. A. van; Aa, Hilde P. A. van der

doi:10.1167/tvst.11.1.16

Cited by 7 publications

(9 citation statements)

References 47 publications

(52 reference statements)

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“…Training and standardized use of a screening instrument could help LVS workers to accurately identify depression and anxiety in their clients. While different screening instruments can be used for this purpose, the Patient Health Questionnaire (PHQ)-4 would be a good choice, since it is a short questionnaire to screen for depression and anxiety [28], can be used by healthcare providers without training in psychiatry [3], and is feasible for use in LVS organizations [29].…”

Section: Discussionmentioning

confidence: 99%

Improved intention, self-efficacy and social influence in the workspace may help low vision service workers to discuss depression and anxiety with visually impaired and blind adults

Munster

Verstraten³

et al. 2022

BMC Health Serv Res

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Background Depression and anxiety are common in visually impaired and blind adults, but often remain untreated in those who receive support from low vision service (LVS) organizations. This study aims to determine factors associated with discussing mental health by LVS workers. Methods A self-administered cross-sectional survey in one hundred LVS workers was performed. Data on current practice, symptom attribution, and determinants of the Integrated Change Model (i.e. predisposing and environmental factors, awareness, attitude, self-efficacy, social influence, confidence and barriers) were investigated. Multivariable logistic regression analysis was performed to determine predictors of discussing mental health problems in this population. Subsequently, internal validation was conducted using a bootstrapping method. Results Around 80% of the participants often discussed mental health with clients. Five factors were found to predict discussion of mental health: female gender (OR = 4.51; 95% confidence interval (CI) 0.98 to 21.61), higher education (OR = 3.39; CI 1.19 to 9.66), intention to discuss mental health problems (OR = 3.49; CI 1.20 to 10.15), higher self-efficacy (OR = 1.11; CI 1.02 to 1.20), and higher perceived social influence (OR = 1.15; CI 1.05 to 1.27). Good discrimination after internal validation was reflected by the area under the curve (0.850). Conclusions Previous studies indicate clients want healthcare providers to initiate discussions about mental health. However, still 20% of LVS workers do not discuss suspected depression or anxiety. In order to improve this, LVS organizations could address mental health as part of their care and provide training to ensure intention to discuss mental health problems, improve self-efficacy and create a supportive environment between colleagues.

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Section: Discussionmentioning

confidence: 99%

Improved intention, self-efficacy and social influence in the workspace may help low vision service workers to discuss depression and anxiety with visually impaired and blind adults

Munster

Verstraten³

et al. 2022

BMC Health Serv Res

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“…To our knowledge, there is a paucity of research examining the perceived clinical utility of suicide risk assessments and preventive interventions, such as the C-SSRS, or safety plans. Though there have been some such studies, including one exploring clinicians’ views and perceived usefulness of the ecological momentary assessment for difficult psychotherapy cases (Ellison, 2021), and one analyzing usability, feasibility, and possible barriers and facilitators for implementing Patient Health Questionnaire–4 in low-vision service organizations to screen for depression and anxiety (Elsman et al, 2022), more data are needed as it is important for the assessment of the implementation process and outcome of any intervention in a real-world setting. Our data suggest that high perceived clinical utility would be a facilitator to SCS implementation in clinical settings.…”

Section: Discussionmentioning

confidence: 99%

Perceived clinical utility of the suicide crisis syndrome: A multisite pilot study.

Mitelman¹,

Bafna²,

Rogers³

et al. 2023

Psychological Services

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Perceived usefulness in the clinical setting is important in the implementation of novel constructs and assessments. The suicide crisis syndrome (SCS) has been proposed and validated as a theoretical framework for assessing acute suicide risk, but clinicians' perceptions of the SCS have not yet been examined. In this study, we evaluated perceived utility of the SCS across several provider locations to assess its perceived value as a clinical tool. A sample of 47 practitioners across three sites who had received education about, but no implementation of, the SCS, and a separate sample of 52 practitioners at a site that had systematically implemented the SCS, completed a survey assessing its feasibility, appropriateness, acceptability, incremental helpfulness, and overall clinical utility. In both samples, clinicians reported favorable ratings for feasibility, appropriateness, acceptability, incremental helpfulness, and overall clinical utility. In Sample 1, clinicians with previous experience using the SCS reported significantly higher ratings for all categories except incremental helpfulness than those without prior SCS use. In Sample 2, there were no significant differences in ratings between participants with or without prior use of SCS. Comparison of the two samples found no significant differences in all categories except acceptability, as those in Sample 2 showed significantly higher ratings. Regardless of implementation, clinicians reported generally favorable perceptions of the SCS, and those from the implementation sample reported significantly higher acceptability of its use. This suggests that clinicians may be supportive of the use and implementation of the SCS in clinical settings. Impact StatementThe suicide crisis syndrome (SCS) is a new proposed diagnosis for identifying and assessing patients at imminent risk of suicide. This study investigates clinicians' perceptions of the SCS and finds that, overall, clinicians reported the SCS to be a clinically useful diagnostic tool. These results may support the implementation of the SCS in risk assessment protocols across clinical settings and improve suicide prevention efforts.

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“…Lower perceived barriers in Dutch healthcare providers could also be the result of increased attention for mental health in adults with VI over the years. This is reflected by research on evidence‐based care, use of screening instruments and training programmes related to depression and anxiety management in this population (Bartlett et al, 2021; Elsman et al, 2022; Nollett et al, 2020; Rees et al, 2010, 2012; Van der Aa et al, 2016; Van der Aa et al, 2015). Since the Dutch study was conducted last, this tendency could have encouraged integration of depression management in Dutch health care for people with VI, and may partly explain the Dutch LVCPs' positive attitudes towards detection of depression in this study.…”

Section: Discussionmentioning

confidence: 99%

Discussing depression in patients with visual impairment differs across countries: Validation of a prediction model in healthcare providers

Munster

Nispen

Nollett

et al. 2023

Acta Ophthalmologica

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Perspectives on Implementing the Patient Health Questionnaire-4 in Low-Vision Service Organizations to Screen for Depression and Anxiety

Cited by 7 publications

References 47 publications

Improved intention, self-efficacy and social influence in the workspace may help low vision service workers to discuss depression and anxiety with visually impaired and blind adults

Improved intention, self-efficacy and social influence in the workspace may help low vision service workers to discuss depression and anxiety with visually impaired and blind adults

Perceived clinical utility of the suicide crisis syndrome: A multisite pilot study.

Discussing depression in patients with visual impairment differs across countries: Validation of a prediction model in healthcare providers

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