Screening and Evaluation Platform for Depression and Suicidality in Primary Healthcare

Fernando Cassola, Alexandre Costa, Ricardo Henriques, Artur Rocha, Marlene Sousa, Pedro Gomes, Tiago Ferreira, Carla Cunha, João Salgado

2017

Abstract

This work presents a screening and evaluation platform for depression and suicidality that has been tested in the scope of primary healthcare. The main objective is to improve the efficiency and effectiveness of screening processes. A web-based, decision support platform was provided for qualified healthcare professionals. The platform provides several assessment tools for patient evaluation and monitoring of their treatment, along with follow up appointment management. A preliminary evaluation process was carried out to understand the health professional’s satisfaction. This revealed there was general satisfaction with its integrated functions and all the provided methods of assessment. In conclusion, the project sustains the goal of improving the treatment outcomes for clinical depression by refining the screening methods and consequently increase the screening effectiveness and efficiency.

References

  1. Kashiyarndi., S. (2006). Clinical Decision Support Systems: A discussion on different methodologies used in Health Care. Marlaedalen University Sweden.
  2. Almeida, J. M. C., Xavier, M., Cardoso, G., Gonçalves Pereira, M., Gusmão, R., Corrêa, B., … António, J. (2013). Estudo Epidemiológico Nacional de Saúde Mental 1o Relatório. Faculdade de Ciências Médicas, Universidade Nova de Lisboa.
  3. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders. Diagnostic and Statistical Manual of Mental Disorders 4th edition TR. https://doi.org/10.1016/B978-1-4377-2242-0.00016-X.
  4. Brooke, J. (1996). SUS - A quick and dirty usability scale. Usability Evaluation in Industry, 189(194), 4-7. https://doi.org/10.1002/hbm.20701.
  5. Cameron, I. M., Crawford, J. R., Lawton, K., & Reid, I. C. (2008). Psychometric comparison of PHQ-9 and HADS for measuring depression severity in primary care. British Journal of General Practice, 58(546), 32-36. https://doi.org/10.3399/bjgp08X263794.
  6. Diamond, G., Levy, S., Bevans, K. B., Fein, J. A., Wintersteen, M. B., Tien, A., & Creed, T. (2010). Development, Validation, and Utility of InternetBased, Behavioral Health Screen for Adolescents. Pediatrics, 126(1).
  7. Farvolden, P., McBride, C., Bagby, R. M., & Ravitz, P. (2003). A Web-Based Screening Instrument for Depression and Anxiety Disorders in Primary Care. Journal of Medical Internet Research, 5(3), e23. https://doi.org/10.2196/jmir.5.3.e23.
  8. Fawcett, J. (1993). The morbidity and mortality of clinical depression. International Clinical Psycho pharmacology, 8(4), 217-20. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/8277138.
  9. Fothergill, K. E., Gadomski, A., Solomon, B. S., Olson, A. L., Gaffney, C. A., dosReis, S., & Wissow, L. S. (2013). Assessing the Impact of a Web-Based Comprehensive Somatic and Mental Health Screening Tool in Pediatric Primary Care. Academic Pediatrics, 13(4), 340-347. https://doi.org/10.1016/j.acap.2013.04.005.
  10. Jacobs, D. G., Ross Baldessarini, C. J., Conwell, Y., Fawcett, J. A., Horton, L., Meltzer, H., … Simon, R. I. (2003). Practice Guideline for the Assessment and Treatment of Patients With Suicidal Behaviors.
  11. Kleiboer, A., Smit, J., Bosmans, J., Ruwaard, J., Andersson, G., Topooco, N., … Riper, H. (2016). European COMPARative Effectiveness research on blended Depression treatment versus treatment-as-usual (ECOMPARED): study protocol for a randomized controlled, non-inferiority trial in eight European countries. Trials, 17(1), 387. https://doi.org/ 10.1186/s13063-016-1511-1.
  12. Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606-13. Retrieved from http://www.ncbi.nlm.nih.gov/ pubmed/11556941.
  13. Matcham, F., Carroll, A., Chung, N., Crawford, V., Galloway, J., Hames, A., … Hotopf, M. (2017). Smoking and common mental disorders in patients with chronic conditions: An analysis of data collected via a web-based screening system. General Hospital Psychiatry, 45, 12-18. https://doi.org/10.1016 /j.genhosppsych.2016.11.006.
  14. Mundt, J. C., Marks, I. M., Shear, M. K., & Greist, J. M. (2002). The Work and Social Adjustment Scale: a simple measure of impairment in functioning. The British Journal of Psychiatry, 180(5).
  15. O'Connor, E. A., Whitlock, E. P., Gaynes, B., & Beil, T. L. (2009). Screening for Depression in Adults and Older Adults in Primary Care. Screening for Depression in Adults and Older Adults in Primary Care: An Updated Systematic Review. Agency for Healthcare Research and Quality (US). Retrieved from http:// www.ncbi.nlm.nih.gov/pubmed/20722174.
  16. Oromendia, P., Bonillo, A., & Molinuevo, B. (2015). Webbased screening for Panic Disorder: Validity of a singleitem instrument. Journal of Affective Disorders, 180, 138-141. https://doi.org/10.1016/j.jad.2015.03.061.
  17. Rocha, A., Henriques, M. R., Lopes, J. C., Camacho, R., Klein, M., Modena, G., … Warmerdam, L. (2012). ICT4Depression: Service oriented architecture applied to the treatment of depression. In Proceedings - IEEE Symposium on Computer-Based Medical Systems. https://doi.org/10.1109/CBMS.2012.6266379.
  18. Silberschatz, A., Korth, H. F., & Sudarshan, S. (2011). Database System Concepts - 6th. ed. Database (Vol. 4). https://doi.org/10.1145/253671.253760.
  19. Siu, A. L., Bibbins-Domingo, K., Grossman, D. C., Baumann, L. C., Davidson, K. W., Ebell, M., … B, D. (2016). Screening for Depression in Adults. JAMA, 315(4), 380. https://doi.org/10.1001/jama.2015.18392.
  20. spms.min-saude.pt. (2017). Retrieved January 31, 2017, from http://spms.min-saude.pt/product/sclinicocsp/
  21. Stopdepression.pt. (2017). Retrieved January 31, 2017, from http://stopdepression.pt.
  22. van Ballegooijen, W., Riper, H., Cuijpers, P., van Oppen, P., & Smit, J. H. (2016). Validation of online psychometric instruments for common mental health disorders: a systematic review. BMC Psychiatry, 16, 45. https://doi.org/10.1186/s12888-016-0735-7.
  23. Warmerdam, L., Riper, H., Klein, M., van den Ven, P., Rocha, A., Ricardo Henriques, M., … Cuijpers, P. (2012). Innovative ICT solutions to improve treatment outcomes for depression: the ICT4Depression project. Studies in Health Technology and Informatics, 181, 339-343.
  24. Whitfield, G. (2010). Group cognitive-behavioural therapy for anxiety and depression. Advances in Psychiatric Treatment, 16(3).
  25. Williams, C., & Martinez, R. (2008). Increasing Access to CBT: Stepped Care and CBT Self-Help Models in Practice. Behavioural and Cognitive Psychotherapy, 36(6), 675. https://doi.org/10.1017/S135246580 8004864.
  26. World Health Organization. (2012). DEPRESSION A Global Public Health Concern.
Download


Paper Citation


in Harvard Style

Cassola F., Costa A., Henriques R., Rocha A., Sousa M., Gomes P., Ferreira T., Cunha C. and Salgado J. (2017). Screening and Evaluation Platform for Depression and Suicidality in Primary Healthcare . In Proceedings of the 3rd International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AWE, ISBN 978-989-758-251-6, pages 210-215. DOI: 10.5220/0006369002100215


in Bibtex Style

@conference{ict4awe17,
author={Fernando Cassola and Alexandre Costa and Ricardo Henriques and Artur Rocha and Marlene Sousa and Pedro Gomes and Tiago Ferreira and Carla Cunha and João Salgado},
title={Screening and Evaluation Platform for Depression and Suicidality in Primary Healthcare},
booktitle={Proceedings of the 3rd International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AWE,},
year={2017},
pages={210-215},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0006369002100215},
isbn={978-989-758-251-6},
}


in EndNote Style

TY - CONF
JO - Proceedings of the 3rd International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AWE,
TI - Screening and Evaluation Platform for Depression and Suicidality in Primary Healthcare
SN - 978-989-758-251-6
AU - Cassola F.
AU - Costa A.
AU - Henriques R.
AU - Rocha A.
AU - Sousa M.
AU - Gomes P.
AU - Ferreira T.
AU - Cunha C.
AU - Salgado J.
PY - 2017
SP - 210
EP - 215
DO - 10.5220/0006369002100215