15.50
Hdl Handle:
http://hdl.handle.net/10755/579144
Category:
Full-text
Format:
Text-based Document
Type:
Thesis
Level of Evidence:
Other
Research Approach:
Translational Research/Evidence-based Practice
Title:
Implementing a Monitoring and Feedback Program for Major Depression
Author(s):
Binyange, Martin
Advisors:
Williams, Kimberly A.; Giddings, Michelle
Degree:
DNP
Degree Year:
2015
Grantor:
University of South Alabama
Abstract:

Abstract

Background

Depression is a significant public health concern and deeply affects both the depressed person’s life and the lives of their family members. The purpose of this project is to improve the monitoring of patients with major depressive disorders while they are receiving treatment, in order to prevent harm to them and to reduce their current depressive symptoms.

Methods

 This project introduced improved provision of care by monitoring the response to treatment of major depression in a psychiatric outpatient clinic using the patient health questionnaire (PHQ-9). A convenience sample of 22 people who presented for psychiatric services were asked if they would be willing to participate in the project. Each patient consented and was given PHQ-9 forms to fill out. The scores of the initial and final PHQ-9 were compared for each patient to evaluate changes of major depression symptoms as response to patient treatment. The project duration was three months.

Results

            A paired-samples t test was calculated to compare the mean initial PHQ-9 scores to the mean final PHQ-9 scores. The mean on the initial PHQ-9 was 13.27 (sd = 5.522), and the mean on the final PHQ-9 was 3.50 (sd = 2.445). A significant decrease from the initial to final PHQ-9 scores was found t(21) = 12.981, < .001, indicating improvement to symptoms of major depression. 

Discussion

The use of PHQ-9 forms at the outpatient clinic for the monitoring of patients with major depression resulted in reduction of the symptoms of major depression in all the study participants as observed on the PHQ-9 final scores. The PHQ-9 instrument helped clinicians to pinpoint the most worsening symptoms of depression to adjust the treatment. The use of the PHQ-9 during patients follow up showed improvements of targeted symptoms as response to treatment.

Citation:
Binyange, M. (2015). Implementing a monitoring and feedback program for major depression (Doctoral capstone project). Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/579144
Keywords:
Major depression; patient health questionnaire; PHQ-9; depression monitoring; depression screening
MeSH:
Depression; Quality Improvement; Questionnaires; Feedback
Description:
A doctor of nursing practice (DNP) quality improvement project was conducted in an outpatient psychiatric clinic to implement a monitoring feedback program for major depression. The purpose of the project was to improve the monitoring of patient with major depressive disorder while they are receiving treatment. To achieve this, two goals that included prevention of patient harm and reduction of current depressive symptoms were set. These goals were achieved by assessing clinical outcomes that resulted from the appropriate use of the PHQ-9 tool, introduction of a systematic patient monitoring, and adjustment of treatment to improve depressive symptoms among the patients enrolled into the study.
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2015-10-05T19:18:53Z
Date of Publication:
2015-10-05

Full metadata record

DC FieldValue Language
dc.contributor.advisorWilliams, Kimberly A.en
dc.contributor.advisorGiddings, Michelleen
dc.contributor.authorBinyange, Martinen
dc.date.accessioned2015-10-05T19:18:53Zen
dc.date.available2015-10-05T19:18:53Zen
dc.date.issued2015-10-05en
dc.identifier.citationBinyange, M. (2015). Implementing a monitoring and feedback program for major depression (Doctoral capstone project). Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/579144en
dc.identifier.urihttp://hdl.handle.net/10755/579144en
dc.descriptionA doctor of nursing practice (DNP) quality improvement project was conducted in an outpatient psychiatric clinic to implement a monitoring feedback program for major depression. The purpose of the project was to improve the monitoring of patient with major depressive disorder while they are receiving treatment. To achieve this, two goals that included prevention of patient harm and reduction of current depressive symptoms were set. These goals were achieved by assessing clinical outcomes that resulted from the appropriate use of the PHQ-9 tool, introduction of a systematic patient monitoring, and adjustment of treatment to improve depressive symptoms among the patients enrolled into the study.en
dc.description.abstract<p align="center"><strong>Abstract</strong></p> <p><strong>Background </strong></p> <p>Depression is a significant public health concern and deeply affects both the depressed person’s life and the lives of their family members. The purpose of this project is to improve the monitoring of patients with major depressive disorders while they are receiving treatment, in order to prevent harm to them and to reduce their current depressive symptoms.</p> <p><strong>Methods</strong></p> <p> This project introduced improved provision of care by monitoring the response to treatment of major depression in a psychiatric outpatient clinic using the patient health questionnaire (PHQ-9). A convenience sample of 22 people who presented for psychiatric services were asked if they would be willing to participate in the project. Each patient consented and was given PHQ-9 forms to fill out. The scores of the initial and final PHQ-9 were compared for each patient to evaluate changes of major depression symptoms as response to patient treatment. The project duration was three months.</p> <p><strong>Results</strong></p> <p>            A paired-samples <em>t</em> test was calculated to compare the mean initial PHQ-9 scores to the mean final PHQ-9 scores. The mean on the initial PHQ-9 was 13.27 (<em>sd</em> = 5.522), and the mean on the final PHQ-9 was 3.50 (<em>sd </em>= 2.445). A significant decrease from the initial to final PHQ-9 scores was found <em>t</em>(21) = 12.981, <em>p </em>< .001, indicating improvement to symptoms of major depression.<em><span style="line-height: 115%; font-family: 'Times New Roman','serif'; font-size: 12pt; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;"> </span></em></p> <p><strong>Discussion</strong></p> <p>The use of PHQ-9 forms at the outpatient clinic for the monitoring of patients with major depression resulted in reduction of the symptoms of major depression in all the study participants as observed on the PHQ-9 final scores. The PHQ-9 instrument helped clinicians to pinpoint the most worsening symptoms of depression to adjust the treatment. The use of the PHQ-9 during patients follow up showed improvements of targeted symptoms as response to treatment.</p>en
dc.formatText-based Documenten
dc.rightsAn error occurred on the license name.*
dc.rights.uriAn error occurred getting the license - uri.*
dc.subjectMajor depressionen
dc.subjectpatient health questionnaireen
dc.subjectPHQ-9en
dc.subjectdepression monitoringen
dc.subjectdepression screeningen
dc.subject.meshDepressionen
dc.subject.meshQuality Improvementen
dc.subject.meshQuestionnairesen
dc.subject.meshFeedbacken
dc.titleImplementing a Monitoring and Feedback Program for Major Depressionen
dc.typeThesisen
thesis.degree.grantorUniversity of South Alabamaen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.en
thesis.degree.year2015en
dc.type.categoryFull-texten
dc.evidence.levelOtheren
dc.research.approachTranslational Research/Evidence-based Practiceen
dc.author.detailsMartin Binyange, DNP, PMHNP-BC, M.P.H, University of South Alabama, College of Nursing 5721 USA Drive N. RM 3059 Mobile, AL 36688-0002en
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