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Resident PGY 3
Henry Ford Hospital
Comparing the rate of positive PHQ-2 in self-administered paper versus provider administered verbal screening tools. The USPSTF recommends screening adults for depression in clinical practices that have systems in place to ensure accurate diagnosis, effective treatment, and follow-up. While there are many studies validating the self -administration of PHQ-2, research comparing this with provider administration of PHQ-2 is limited. We designed a retrospective study over a 3 year time period to determine whether verbal administration of the PHQ-2 questionnaire affects detection of positive screens.The study population consisted of 304 adult patients at satellite family medicine resident clinics. Control group consisted of patients who received paper PHQ-2 forms to be completed while waiting for healthcare provider. The intervention group received a verbal PHQ-2 administration by a member of healthcare team. A positive result was score >2.Our results demonstrated a positive PHQ2 response of 15.5% vs 10.5% in control vs interventional group respectively. The chi-square test p-value is 0.070, suggesting the presence of a statistically non-significant trend toward a higher detection of positive responses in the control group.While our data did not reach statistical significance, providers should take into consideration the administration method when approaching the results of their patients PHQ2 test. It may suggest paper self-administration is a more reliable means of screening for depression and calls into question our institution’s current practices. Further studies are needed to assess the validity of other administration methods.
Carolan, Rachel; Marshall, Diahann; Kulkarni, Pooja; Castro-Camero, Pamela; Abraham, Benjamin; Rezik, Berta; Islam, Sam; and Smith, Andrea, "Comparing the Rate of Positive PHQ-2 in Self-administered Paper versus Provider-administered Verbal Screening Tools" (2019). Quality Improvement. 4.