The Use of Electronic Health Record Tools to Improve Evidence-Based Treatment of Adolescent Depression in Primary Care.

Academic Pediatrics
Teryn BruniBlake Lancaster

Abstract

The aim of the current study was to evaluate primary care pediatrician (PCP) adoption of an electronic health record (EHR) documentation tool and their delivery of a behavioral activation (BA) intervention within their routine practice with adolescents who screened positive for depression. We used the RE-AIM framework to describe PCP adoption and implementation of EHR documentation tools and brief evidence-based protocols. Utilization was assessed using a customized toolbar (ie, actions toolbar) via retrospective chart review. A pre-post design was used to measure changes in PCP-reported knowledge, comfort, and feasibility managing depression before and after they were trained. A mixed-effects logistic regression model was used to analyze associations of resource utilization with depression severity. PCPs used the actions toolbar to document responses to elevated Patient Health Questionnaire (PHQ-9) scores for 29.80% of encounters. The PCPs utilized the BA protocol for 10.5% of encounters with elevated PHQ-9 scores. Higher depression severity categories were associated with significantly higher odds of utilization relative to mild severity. The training was rated highly acceptable and PCPs reported significant post-training inc...Continue Reading

References

Oct 1, 1973·The American Psychologist·C B Ferster
Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
Mar 13, 2002·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·A L OlsonA J Dietrich
Jun 1, 2002·Archives of Pediatrics & Adolescent Medicine·Jerry RushtonKelly Kelleher
Jan 20, 2005·JAMA : the Journal of the American Medical Association·Joan Rosenbaum AsarnowKenneth B Wells
Dec 7, 2005·Behavior Modification·Susan J Simonian
Sep 4, 2007·Pediatrics·Benjamin N Shain, UNKNOWN American Academy of Pediatrics Committee on Adolescence
Sep 14, 2007·Health Services Research·Ming Tai-SealeWeimin Zhang
Jan 13, 2009·Journal of Clinical Psychology in Medical Settings·Nicholas A CummingsJanet L Cummings
Jan 5, 2011·The British Journal of Psychiatry : the Journal of Mental Science·David EkersSimon Gilbody
Feb 1, 2011·Annual Review of Clinical Psychology·Sona DimidjianPeter M Lewinsohn
Feb 26, 2014·Pediatrics· Geoffrey R SimonUNKNOWN Bright Futures Periodicity Schedule Workgroup
Aug 27, 2014·JAMA : the Journal of the American Medical Association·Laura P RichardsonWayne Katon
Nov 16, 2014·The Journal of Behavioral Health Services & Research·Arwa NasirGina DiRenzo-Coffey
Jan 21, 2015·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Elizabeth McCauleySona Dimidjian
Sep 18, 2015·BMC Psychology·Mark S BauerAmy M Kilbourne
Nov 11, 2016·Families, Systems & Health : the Journal of Collaborative Family Healthcare·Prerna G AroraLawrence Wissow
Oct 11, 2017·Journal of the American Medical Informatics Association : JAMIA·Julia Adler-MilsteinVaishali Patel
Nov 28, 2017·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Matthew C AalsmaStephen M Downs
Jul 25, 2018·Current Psychiatry Reports·Valerie L Forman-Hoffman, Meera Viswanathan
Aug 23, 2018·Primary Health Care Research & Development·Blake LancasterKelly A Orringer
Oct 16, 2018·Behavior Modification·Gabriela A NagyMoria J Smoski
Mar 7, 2020·Journal of Pediatric Nursing·Taskina Chowdhury, Jane Dimmitt Champion

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Psychotherapy and Psychosomatics
David MischoulonMaurizio Fava
© 2021 Meta ULC. All rights reserved