Primary care provider training in screening, assessment, and treatment of adolescent depression

Elise M. Fallucco, Robbin D. Seago, Steven P. Cuffe, Dale Kraemer, Tim Wysocki

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Abstract Objective Adolescent depression is underrecognized and undertreated. Primary care providers (PCP) require training to successfully identify adolescents with depression. We examined the effects of a PCP training program in the screening, assessment, and treatment of adolescent depression (SAT-D) on adolescents' reports of PCP screening for adolescent depression at annual well visits and PCP SAT-D confidence and knowledge. Methods PCP (n = 31) attended one SAT-D training program consisting of a 60-minute SAT-D seminar and a 60-minute standardized patient session where PCP practiced SAT-D skills. A pre-post design evaluated effects of training on PCP depression screening practices as reported by 3 groups of adolescent patients at well visits (n = 582 before, n = 525 at 2 to 8 months after training, n = 208 at 18 to 24 months after training). A generalized linear mixed effects logistic regression controlled for provider and patient demographics that may have influenced depression screening. PCP SAT-D self-reported confidence and objectively tested knowledge were assessed at baseline, immediately after training, and at 4 to 6 months after training. Results On the basis of the regression analysis, PCP screening for adolescent depression increased significantly from pretraining (49%) to 2 to 8 months after training (68%, odds ratio 2.78, 95% confidence interval 2.10-3.68) and 18 to 24 months after training (74%, odds ratio 3.17, 95% confidence interval 2.16-4.67; both P <.0001). PCP SAT-D confidence and knowledge also significantly improved. Conclusions PCP SAT-D training resulted in significant increases in primary care screening for adolescent depression that were maintained up to 24 months after training. Future studies should determine if changes in PCP screening improve identification of adolescent depression and patient outcomes for adolescents with depression.

Original languageEnglish (US)
Article number673
Pages (from-to)326-332
Number of pages7
JournalAcademic Pediatrics
Volume15
Issue number3
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

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Primary Health Care
Therapeutics
Odds Ratio
Confidence Intervals
Education
Logistic Models
Regression Analysis
Demography

Keywords

  • adolescent depression
  • primary care
  • screening
  • standardized patient

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Primary care provider training in screening, assessment, and treatment of adolescent depression. / Fallucco, Elise M.; Seago, Robbin D.; Cuffe, Steven P.; Kraemer, Dale; Wysocki, Tim.

In: Academic Pediatrics, Vol. 15, No. 3, 673, 01.01.2015, p. 326-332.

Research output: Contribution to journalArticle

Fallucco, Elise M. ; Seago, Robbin D. ; Cuffe, Steven P. ; Kraemer, Dale ; Wysocki, Tim. / Primary care provider training in screening, assessment, and treatment of adolescent depression. In: Academic Pediatrics. 2015 ; Vol. 15, No. 3. pp. 326-332.
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