Evidence map›Paper›PMID 28157277›Full record

ArticleThe primary care companion for CNS disorders2017

Predictors and Barriers to Mental Health Treatment Utilization Among Older Veterans Living With HIV.

Raeanne C Moore, María J Marquine, Elizabeth Straus, Colin A Depp, David J Moore, Dawn M Schiehser, Neil M Richtand, Dilip V Jeste, Lisa T Eyler

Abstract read
In one paragraph

Article in The primary care companion for CNS disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Raeanne C MooreDepartment of Psychiatry, University of California, San Diego, 220 Dickinson Drive, St B (8231), San Diego, CA 92103-8231. r6moore@ucsd.edu.
María J MarquineDepartment of Psychiatry, University of California San Diego, La Jolla, California, USA.
Elizabeth StrausCalifornia School of Professional Psychology, Alliant International University, San Diego, California, USA.
Colin A DeppVA San Diego Healthcare System, San Diego, California, USA.
David J MooreDepartment of Psychiatry, University of California San Diego, La Jolla, California, USA.
Dawn M SchiehserVA San Diego Healthcare System, San Diego, California, USA.
Neil M RichtandVA San Diego Healthcare System, San Diego, California, USA.
Dilip V JesteDepartment of Psychiatry, University of California San Diego, La Jolla, California, USA.
Lisa T EylerVA San Diego Healthcare System, San Diego, California, USA.
University of California, San Diego · USAlliant International University · USVA San Diego Healthcare System · US

Funding

FELLOWSHIP IN GERIATRIC MENTAL HEALTHT32MH019934 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Elizabeth W Twamley · 1994 to 2026
$9.5M
Real-Time Mobile Assessment of Daily Functioning Among Older HIV-Infected AdultsK23MH107260 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MOORE, RAEANNE CRISTINE · 2015 to 2018
$927k
Risk and mechanisms of neurocognitive impairment in older HIV-infected HispanicsK23MH105297 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MARQUINE, MARIA · 2015 to 2018
$694k
Cognitive Rehabilitation for Individuals with Parkinson's Disease and MCII01RX001691 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI SCHIEHSER, DAWN M. · 2016 to 2019
–
NIMH NIH HHS K23 MH105297NIMH NIH HHS K23 MH107260NIMH NIH HHS L30 MH104725NIMH NIH HHS T32 MH019934RRD VA I01 RX001691
6 · The paper itself

Abstract

objectiveTo identify key mood, social, and functional correlates of current participation in mental health treatment and barriers to participation in mental health treatment among older HIV infected (HIV+) veterans.

methodsHIV+ veterans (N = 150) aged ≥ 50 years receiving HIV-related medical care at the VA San Diego Healthcare System, San Diego, California, anonymously completed a survey assessing current self-reported mood, social support, daily functioning problems, mental health service utilization, and barriers to participating in mental health services. Veterans also completed the 2-item Patient Health Questionnaire (PHQ-2), a validated depression screening instrument frequently used in primary care settings. Data were collected from February 2014 to May 2014.

resultsOverall, 44% of participants screened positive for depressive symptomatology on the PHQ-2; 55% of those who screened positive were participating in mental health treatment. Of the 45% of veterans who screened positive on the PHQ-2 and were not in treatment, two-thirds (66%) stated they had been offered services; however, they were not engaging in or accepting the services. Regardless of PHQ-2 status, current self-reported depressive symptoms emerged as an independent, significant positive predictor of participation in mental health treatment (odds ratio = 5.98; 95% CI, 1.16-30.72; P = .03), whereas anxiety, HIV-related stigma, sufficiency of social support, and daily functioning problems were not associated with mental health treatment utilization. Primary reported barriers to mental health treatment included scheduling/availability, travel time and transportation, and discomfort with group settings.

conclusionsResults of this study suggest there may be a need to better engage older HIV+ veterans in depression-related treatment. The use of telehealth technology, such as teletherapy, electronic devices, and cell phone-based programs, may be beneficial in helping older HIV+ veterans overcome many barriers that restrict their participation in mental health treatment.

Indexed as

Patient Acceptance of Health CareVeteransAffectAgedAged, 80 and overAnxietyCaliforniaDepressive DisorderHIV InfectionsHospitals, VeteransHumansMiddle AgedPrevalenceSelf ReportSocial StigmaUnited States

Identifiers

PMID28157277
PMCPMC6057469
OpenAlexW2585875918

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.