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首页> 外文期刊>Journal of health care for the poor and underserved >Screening for Parental Depression in Urban Primary Care Practices: A Mixed Methods Study
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Screening for Parental Depression in Urban Primary Care Practices: A Mixed Methods Study

机译：在城市初级保健实践中筛查父母抑郁症：混合方法研究

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摘要

We sought to determine feasibility and acceptability of parental depression screening in urban pediatric practices. We recruited seven practices to participate. Patient Health Questionnaire-2, a validated two-item screening tool, was used to screen for depressive symptoms at 1-3 year old well visits. We conducted semi-structured interviews with clinicians to identify barriers and facilitators to screening. Of 8,621 eligible parents, 21.1% completed screening with site-specific rates ranging from 10.1% to 48.5%. Among those screened, 8.1% screened positive for depressive symptoms with site-specific rates ranging from 1.2% to 16.9%. Electronic alerts improved screening rates from 45/month to 170/month. Fifteen clinicians completed interviews and endorsed screening to provide help for families, build stronger ties with parents, and improve outcomes for children. However, insufficient time, need to complete activities with higher priority, lack of mental health availability, few resources for parents with limited English proficiency, and discomfort addressing depression were thought to limit screening.
机译：我们试图确定在城市儿科实践中进行父母抑郁筛查的可行性和可接受性。我们招募了七个实践参加。患者健康问卷2是一种经过验证的两项检查工具，用于在1-3岁的探访中筛查抑郁症状。我们与临床医生进行了半结构化访谈，以确定筛查的障碍和促进者。在8,621名合格的父母中，有21.1％的人完成了筛查，特定地点的比率从10.1％到48.5％。在这些筛查的人群中，有8.1％的抑郁症状筛查呈阳性，特定部位的比率在1.2％至16.9％之间。电子警报将筛选率从45 /月提高到170 /月。 15名临床医生完成了采访并通过了筛查，以为家庭提供帮助，与父母建立更牢固的联系并改善儿童的结局。但是，时间不足，需要优先完成的活动，缺乏心理健康，英语能力有限的父母很少有资源以及应对抑郁的不适感被认为限制了筛查。

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