Perspectives on Implementing the Patient Health Questionnaire-4 in Low-Vision Service Organizations to Screen for Depression and Anxiety.
Transl Vis Sci Technol
; 11(1): 16, 2022 01 03.
Article
in English
| MEDLINE | ID: covidwho-1968404
ABSTRACT
Purpose:
To describe the process of implementing a screening questionnaire for depression and anxiety, the Patient Health Questionnaire-4 (PHQ-4), in low-vision service (LVS) organizations.Methods:
This study consisted of three parts (1) a usability study combined with semistructured interviews, in which clients (n = 10) of LVS organizations expressed their preference for using the PHQ-4; (2) a feasibility study, in which the PHQ-4 was implemented on a small scale and its use was evaluated, involving health care providers (n = 6) and clients (n = 9); and (3) semistructured interviews to identify barriers and facilitators for implementing the PHQ-4 according to health care providers (n = 6) and managers (n = 4) of LVS organizations. Results were integrated into themes and linked to constructs of the Consolidated Framework for Implementation Research (CFIR).Results:
Six themes were derived from the substudies (1) quality of the intervention, (2) applicability for clients of LVS organizations, (3) attitude and needs of clients, (4) attitude of health care providers, (5) support within LVS organizations, and (6) embedment in current practice. Results could be linked to 12 CFIR constructs. The constructs "relative advantage," "patient needs and resources," and "available resources" emerged most prominently in our themes as either barrier or facilitator.Conclusions:
The PHQ-4 seems an appropriate screening instrument for use in LVS organizations because of its quality and adaptable use. It might provide opportunities to timely detect depression and anxiety, but challenges in implementing the PHQ-4 should be considered. Translational Relevance Barriers and facilitators for implementing the PHQ-4 may also apply to implementing other questionnaires in LVS organizations.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Depression
/
Patient Health Questionnaire
Type of study:
Diagnostic study
/
Experimental Studies
/
Observational study
/
Qualitative research
Limits:
Humans
Language:
English
Journal:
Transl Vis Sci Technol
Year:
2022
Document Type:
Article
Affiliation country:
Tvst.11.1.16
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