Abstract
Objective
To explore clinicians' and patients' perceptions of acceptability of an electronic
screening and decision support system for poststroke depression.
Design
A mixed-methods study involved participants from 2 convenience samples.
Setting
Outpatient stroke and rehabilitation clinics.
Participants
Stroke patients (n=62) completed surveys. Seven clinicians working at clinics targeted
by the depression screening process were interviewed using semi-structured interviews.
Interventions
Not applicable.
Main Outcome Measures
Patient data were analyzed from an acceptability survey. Qualitative data analysis
involved an inductive thematic approach with constant comparison.
Results
Most patients found screening easy to complete and understand, important, and a good
way of conveying information to the clinician. Most clinicians did not systematically
discuss mood disturbances, with attenuating factors and barriers to identification
both influencing identification. Variations in the management of mood centered on
the use of pharmacotherapy and role overlap with general practitioners. The screening
process assisted with identification and saved time during diagnosis and management.
Conclusions
The positive perceptions of patients and clinicians identified in this study support
the concept of routine screening and feedback for poststroke depression. This process
has the potential to improve poststroke depression practice to meet national guidelines;
however, evaluation of impact on patient outcome is required.
Keywords
List of abbreviations:
PHQ-9 (Patient Health Questionnaire-9), PSD (poststroke depression)To read this article in full you will need to make a payment
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References
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Article info
Publication history
Published online: September 27, 2012
Footnotes
Supported by the National Stroke Foundation.
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.
Identification
Copyright
© 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
