scholarly journals Mobile App Use by Primary Care Patients to Manage Their Depressive Symptoms: Qualitative Study

10.2196/10035 ◽  
2018 ◽  
Vol 20 (9) ◽  
pp. e10035 ◽  
Author(s):  
Alison Pung ◽  
Susan Louise Fletcher ◽  
Jane Maree Gunn
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
Qualitative Study ◽  
Mobile App ◽  
Primary Care Patients

scholarly journals Mobile Apps Use by Primary Care Patients to Manage Their Depressive Symptoms: A Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Alison Pung ◽  
Susan Louise Fletcher ◽  
Jane Maree Gunn
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
Skill Acquisition ◽  
Mobile Apps ◽  
Controlled Trial ◽  
Management Strategies ◽  
Health Sector ◽  
Mobile App ◽  
Primary Care Patients ◽  
Depression Management

BACKGROUND Mobile applications (apps) are emerging as tools with the potential to revolutionise the treatment of mental health conditions such as depression. At the forefront of community health sector, general practitioners (GPs) are in a unique position to guide the integration of technology and depression management, however little is currently known about how primary care patients with depressive symptoms are currently using apps. OBJECTIVE The aim of this study was to explore the natural patterns of mobile app use amongst patients with depressive symptoms, in order to facilitate understanding of the potential role for mobile apps in managing depressive symptoms in the community. METHODS Semi-structured phone interviews were conducted with primary care patients in Victoria, Australia, who reported symptoms of depression and were enrolled in a larger randomized controlled trial of depression care. Interviews explored current depression management strategies and the use of mobile apps (if any). Interviews were audio-recorded and transcribed verbatim. Inductive thematic analysis was iteratively conducted using QSR NVivo 11 Pro to identify emergent themes. RESULTS A total of 16 participants aged between 20 to 58 years took part in the interviews, with 11 reporting the use of at least one mobile app to manage depressive symptoms and 5 reporting no app use. A variety of apps were described including relaxation, mindfulness, cognitive, exercise, gaming, social media and wellbeing apps to aid with depressive symptoms. Amongst users, there were four main patterns of app use: skill acquisition, social connectedness, inquisitive trial, and safety netting. Factors that influenced app use included accessibility, perceptions of technology and personal compatibility. Healthcare providers also had a role in initiating app use. CONCLUSIONS Mobile apps are being utilised for self-management of depressive symptoms by primary care patients. This study provided insight into the natural patterns and perspectives of app use, which enhances understanding of how this technology may be integrated into the toolbox for the management of depression.

scholarly journals Development of cardiovascular health education program for primary care patients with hypertension in rural Nigeria: a qualitative study

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Aina Olufemi Odusola ◽  
Karien Stronks ◽  
Constance Schultsz ◽  
Marleen Hendriks ◽  
Oladimeji Akeem Bolarinwa ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Education ◽  
Qualitative Study ◽  
Education Program ◽  
Cardiovascular Health ◽  
Health Education Program ◽  
Rural Nigeria ◽  
Primary Care Patients

Integrating Clinical Nurse Specialists into the Treatment of Primary Care Patients with Depression

2003 ◽  
Vol 33 (1) ◽  
pp. 17-37 ◽  
Author(s):  
Ralph W. Swindle ◽  
Jaya K. Rao ◽  
Ahdy Helmy ◽  
Laurie Plue ◽  
X. H. Zhou ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Depressive Symptoms ◽  
Integrated Care ◽  
Medical Center ◽  
Treatment Plan ◽  
Intervention Group ◽  
Nurse Specialist ◽  
Clinical Nurse ◽  
Primary Care Patients

Objective: To examine the effectiveness of integrating generalist and specialist care for veterans with depression. Method: We conducted a randomized trial of patients screening positive for depression at two Veterans Affairs Medical Center general medicine clinic firms. Control firm physicians were notified prior to the encounter when eligible patients had PRIME-MD depression diagnoses. In the intervention firm, a mental health clinical nurse specialist (CNS) was to: design a treatment plan; implement that plan with the primary care physician; and monitor patients via telephone or visits at two weeks, one month and two months. Primary outcomes (depressive symptoms, patient satisfaction with health care) were collected at 3 and 12 months. Results: Of 268 randomized patients, 246 (92%) and 222 (83%) completed 3- and 12-month follow-up interviews. There were no between-group differences in depressive symptoms or satisfaction at 3 or 12 months. The intervention group had greater chart documentation of depression at baseline (63% versus 33%, p = 0.003) and a higher referral rate to mental health services at 3 months (27% versus 9%, p = 0.019). There was no difference in the rate of new prescriptions for, or adequate dosing of, anti-depressant medications. In 40% of patients, CNSs disagreed with the PRIME-MD depression diagnosis, and their rates of watchful waiting were correspondingly high. Conclusions: Implementing an integrated care model did not occur as intended. Experienced CNSs often did not see the need for treatment in many primary care patients identified by the PRIME-MD. Integrating integrated care models in actual practice may prove challenging.

Do measures of depressive symptoms function differently in people with spinal cord injury versus primary care patients: the CES-D, PHQ-9, and PROMIS®-D

2016 ◽  
Vol 26 (1) ◽  
pp. 139-148 ◽  
Author(s):  
Karon F. Cook ◽  
Michael A. Kallen ◽  
Charles Bombardier ◽  
Alyssa M. Bamer ◽  
Seung W. Choi ◽  
...  
Keyword(s):  
Primary Care ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Depressive Symptoms ◽  
Cord Injury ◽  
Primary Care Patients

scholarly journals Minimal-contact psychotherapy for sub-threshold depression in primary care

2004 ◽  
Vol 185 (5) ◽  
pp. 416-421 ◽  
Author(s):  
Godelief R. W. M. Willemse ◽  
Filip Smit ◽  
Pim Cuijpers ◽  
Bea G. Tiemens
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Depressive Symptoms ◽  
Major Depression ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Primary Care Patients ◽  
Minimal Contact

BackgroundSub-threshold depression is a prognostic variable for major depression. Interventions in sub-threshold depression may prevent the onset of new cases of major depression.AimsTo examine the effects of minimal-contact psychotherapy in primary care patients with sub-threshold depression on the onset of major depression, on the reduction in depressive symptoms and on health-related quality of life.MethodWe conducted a randomised trial in primary care, in which patients screened for sub-threshold depression were randomly assigned to minimal-contact psychotherapy (n=107) or to usual care (n=109).ResultsOne year after baseline, the incidence of major depressive disorder was found to be significantly lower in the psychotherapy group (12%) than in those receiving usual care (18%). Small but significant effects were also found on depressive symptoms and on aspects of health-related quality of life.ConclusionsPrimary care patients with sub-threshold depression can benefit from minimal-contact psychotherapy.

Depressive Symptoms in Elderly Chinese Primary Care Patients: Prevalence and Sociodemographic and Clinical Correlates

2019 ◽  
Vol 32 (6) ◽  
pp. 312-318 ◽  
Author(s):  
Bao-Liang Zhong ◽  
Yan-Min Xu ◽  
Wu-Xiang Xie ◽  
Xiu-Jun Liu ◽  
Zhuo-Wei Huang
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Depressive Symptoms ◽  
Mental Health Services ◽  
Health Services ◽  
Elderly Patients ◽  
Depression Scale ◽  
Clinical Correlates ◽  
Elderly Chinese ◽  
Primary Care Patients

Objective: To estimate the prevalence of depressive symptoms (depression thereafter) and to identify the sociodemographic and clinical correlates of depression in a sample of elderly patients treated in the primary care setting in Wuhan, China. Background: Primary care is an opportune setting for the management of late-life depression in China, but there have been no representative studies on the clinical epidemiology of depression in elderly Chinese primary care patients. Methods: In total, 752 elderly patients (≥ 65 years) were consecutively recruited from 13 primary care centers in Wuhan, China, and interviewed with a standardized questionnaire. Depression was assessed with the 15-item Geriatric Depression Scale (GDS-15). Results: Of the elderly Chinese primary care patients, 30.6% had depression (GDS-15 ≥ 5). Correlates of depression were an education level of primary school or less (odds ratio [OR]: 1.94, 95% confidence interval [CI]: 1.36-2.77, P < .001), poor financial status (OR: 2.19, 95% CI: 1.16-4.15, P = .016), lack of an exercise habit (OR: 1.40, 95% CI: 1.06-1.74, P = .023), 2 or more chronic medical conditions (OR: 1.90, 95% CI: 1.34-2.69, P < .001), and loneliness (OR: 3.53, 95% CI: 2.46-5.08, P < .001). Conclusions: Depression is prevalent among elderly Chinese primary care patients, indicating that elderly patients treated in primary care have a high level of need for mental health services in China. There is an urgent need to integrate mental health services into primary health care.

scholarly journals Depressive symptoms and marital adjustment among primary care patients with erectile dysfunction in Umuahia, Nigeria

2016 ◽  
Vol 22 (1) ◽  
pp. 6
Author(s):  
Nwaonu C. Nwakanma ◽  
John N. Ofoedu
Keyword(s):  
Primary Care ◽  
Erectile Dysfunction ◽  
Depressive Symptoms ◽  
Marital Adjustment ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Dyadic Adjustment ◽  
Primary Care Patients ◽  
Clinically Significant ◽  
Partner Involvement

<p><strong>Objectives:</strong> The aim of this study was to investigate the relationship between erectile dysfunction (ED), marital adjustment and depression. <br /><strong>Methods:</strong> The survey was conducted among primary care patients at Federal Medical Centre, Umuahia. Subjects were 678 married, male primary care patients; aged 20–70 years (mean age = 45 years). ED was assessed by International Index of Erectile Function 5 (IIEF-5) score, the presence of clinically significant depressive symptoms was assessed with the 5-item <br />version of the Center for Epidemiological Studies Depression Scale (CES-D), and marital adjustment was assessed with the Revised Dyadic Adjustment Scale (RDAS).<br /><strong>Results:</strong> The prevalence of probable depression by CES-D and ED by IIEF-5 score was 20.9% and 26.0%, respectively. Marital distress was rampant (62.0%) among subjects with ED (<em>p</em> &lt; 0.05, <em>χ</em>2 = 196.58). Erectile dysfunction was associated with marital adjustment (<em>p</em> &lt; 0.05). Partial correlation revealed that depression affects both ED and marital adjustment, and is closely related to both variables.<br /><strong>Conclusion:</strong> Partner involvement and screening for depression should be emphasised in the care of patients with ED.</p>

Sign in / Sign up

Export Citation Format

Share Document