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Depression screening perceptions and practices in a primary care clinic: A mixed-methods study.

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Primary care providers understand depression screening goals but face barriers. Optimizing screening workflows and clearly explaining goals are crucial for effective implementation.

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Area of Science:

  • Primary Care Research
  • Mental Health Services
  • Health Psychology

Background:

  • Depression is common in primary care (PC), yet screening rates are suboptimal.
  • Barriers to effective depression screening in PC settings are not fully understood.

Purpose of the Study:

  • To investigate primary care providers' screening-related practices and beliefs.
  • To identify factors influencing depression screening implementation in primary care.

Main Methods:

  • A concurrent mixed-methods approach using surveys and semistructured interviews.
  • 36 primary care participants assessed attitudes, knowledge, beliefs, practices, and training related to depression screening.

Main Results:

  • Low training rates (52.8%) but high perceived understanding of screening purpose.
  • Screening completion assistance was common (83.3%); rephrasing items correlated with higher barriers.
  • Perceived screening importance positively correlated with competence (r = .50, p < .01).

Conclusions:

  • Screening is often case-by-case, influenced by perceived relevance and time constraints.
  • Clear communication of screening goals and optimized workflows are needed for universal depression screening.
  • Addressing provider concerns regarding administration, psychometrics, and goals is essential.