Implementing a Monitoring and Feedback Program for Major Depression
Repository Posting Date2015-10-05T19:18:53Z
Author DetailsMartin Binyange, DNP, PMHNP-BC, M.P.H, University of South Alabama, College of Nursing 5721 USA Drive N. RM 3059 Mobile, AL 36688-0002
Level of EvidenceOther
Research ApproachTranslational Research/Evidence-based Practice
KeywordsMajor depression; patient health questionnaire; PHQ-9; depression monitoring; depression screening
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.
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.
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, p < .001, indicating improvement to symptoms of major depression.
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.
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.
Degree GrantorUniversity of South Alabama
Date of Publication2015-10-05
Citation of Original PublicationBinyange, M. (2015). Implementing a monitoring and feedback program for major depression (Doctoral capstone project). Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/579144
NotesThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
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