Improving recognition of depression among the older adult population
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Keirstin E. Uomoto, DNP, PMHRN-BC, CNE, Assistant Professor - Mount Saint Mary's University
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- Phi Lambda
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Depression is a common mental health disorder faced by older adults that can go undetected and untreated. It was determined that the project site was not using a screening tool for depression among their patient population to identify or treat possible depression. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of Yesavage's Geriatric Depression Scale-15 (GDS-15) would impact the identification of risk factors for depression and the initiation of pharmacological treatment, follow-up, and referral to a mental health specialist among adults 65 and older. The project took place in a primary care office in southern California over four weeks. The theoretical framework of the project was Hildegard Peplau’s theory of interpersonal relations and Kurt Lewin’s change theory. Data was obtained from the project site’s electronic medical record with a total sample size of 443 with n = 252 in the comparison group and n = 191 in the implementation group. A chi-square test was indicated a clinical and statistically significant improvement in the identification rate of depression X2 (1, N = 443) = 49.76, p = .000; and follow-up X2 (1, N = 70) = 23.94, p = .000. There was no statistically significant improvement in pharmacological treatment X2 (1, N = 70) = .001, p = .983 or referrals to a mental health provider X2 (1, N = 70) = 2.77, p = .096. Clinical significance was demonstrated as 100% of all 57 at-risk older adults in the implementation group received follow-up and treatment, either pharmacological or non-pharmacological. Recommendations include sustaining the project at the current site and disseminating the results.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28774802; ProQuest document ID: 2597824830. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Quasi-Experimental Study, Other |
Research Approach | Quantitative Research |
Keywords | Primary Care; Depression Screening; Older Adults |
Grantor | Grand Canyon University |
Advisor | Drafahl, Bridget; Kattan, David |
Level | DNP |
Year | 2021 |
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