Evidence map›Paper›PMID 28812372›Full record

ArticleAging & mental health2018

Factors associated with depression detection in a New Hampshire mental health outreach program.

Angela R Ghesquiere, Renee Pepin, Jennifer Kinsey, Stephen J Bartels, Martha L Bruce

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Aging & mental health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 25% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
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

5 authors at 2 institutions in 1 country.

Angela R Ghesquierea Brookdale Center for Healthy Aging, Hunter College , City University of New York , NY , USA.
Renee Pepinb Dartmouth Centers for Health and Aging , Lebanon , NH , USA.ORCID 0000-0003-2480-0136
Jennifer Kinseyc Seacoast Mental Health Center , Portsmouth , NH , USA.
Stephen J Bartelsd The Dartmouth Institute, Geisel School of Medicine at Dartmouth, and Dartmouth Centers for Health and Aging , Lebanon , NH , USA.
Martha L Bruced The Dartmouth Institute, Geisel School of Medicine at Dartmouth, and Dartmouth Centers for Health and Aging , Lebanon , NH , USA.
Dartmouth Institute for Health Policy and Clinical Practice · USCity University of New York · US

Funding

Training Geriatric Mental Health Services ResearchersT32MH073553 · NIMH · DARTMOUTH-HITCHCOCK CLINIC · PI BRUCE, MARTHA L · 2005 to 2019
$6.4M
Homecare Agency-Randomized Trial of Web Implementation Strategy for DepressionR01MH096441 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI BRUCE, MARTHA L · 2012 to 2015
$1.6M
NIMH NIH HHS R01 MH096441NIMH NIH HHS T32 MH073553
6 · The paper itself

Abstract

objectivesFor mental health outreach programs for older adults, accurately detecting depression is key to quality service provision. Multiple factors, including gender, cognitive impairment, or recent bereavement may affect depression detection, but this is under-studied. Therefore, we sought to both establish rates of depressive symptom detection and to examine factors associated with inaccuracies of detecting depression among participants in a mental health outreach program serving older adults.

methodWe conducted a chart review of 1126 cases in an older adult-focused mental health outreach program in New Hampshire, the Referral Education Assistance & Prevention (REAP) program. Accuracy of depression detection was identified by comparing screen-positive scores for depressive symptoms on the 15-item Geriatric Depression Scale (GDS) to depression identification by counselors on a 'presenting concerns' list.

resultsInaccurate depression detection (positive on the GDS but depression not identified by counselors) occurred in 27.6% of cases. Multivariate regression analyses indicated that anxiety, cognitive concerns, and rurality were all associated with detection innaccuracy.

conclusionThis study appears to be the first to examine factors influencing depression detection in a mental health outreach program. Future efforts should help ensure that all older mental health outreach clients have depression detected at optimal rates.

Indexed as

AgedAged, 80 and overCommunity Mental Health ServicesDepressionDiagnostic ErrorsGeriatric AssessmentHealth Services for the AgedHumansNew HampshirePreventive Health ServicesProgram EvaluationPsychiatric Status Rating ScalesRetrospective StudiesRural PopulationDepressiondetectionmental health outreachrural

Identifiers

PMID28812372
PMCPMC5815953
OpenAlexW2749998108

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.