Evidence map›Paper›PMID 28830798›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2017

Implementation of Depression Screening and Global Health Assessment in Pediatric Subspecialty Clinics.

Esti Iturralde, Rebecca N Adams, Regan C Barley, Rachel Bensen, Megan Christofferson, Sarah J Hanes, David M Maahs, Carlos Milla, Diana Naranjo, Avni C Shah and 4 more

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

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
10.7field-weighted citation impact, top 2% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Adolescent and caregiver perceptions of addressing mental health in inflammatory bowel disease.Journal of child health care : for professionals working with children in the hospital and community · 2025
    Article
  7. Review
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  11. Article
  12. Article
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  16. Article
  17. Review
  18. Electronic Mental Health Screening in a Pediatric Heart Failure and Transplant Clinic.Journal of clinical psychology in medical settings · 2021
    Article
  19. Article
  20. 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

14 authors at 1 institution in 1 country.

Esti IturraldeDivision of Endocrinology and Diabetes, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.
Rebecca N AdamsDivision of Endocrinology and Diabetes, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.
Regan C BarleyDivision of Endocrinology and Diabetes, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.
Rachel BensenDivision of Gastroenterology, Department of Pediatrics, Stanford Children's Inflammatory Bowel Disease Center, Stanford University School of Medicine, Stanford, California.
Megan ChristoffersonDivision of Gastroenterology, Department of Pediatrics, Stanford Children's Inflammatory Bowel Disease Center, Stanford University School of Medicine, Stanford, California.
Sarah J HanesDivision of Endocrinology and Diabetes, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.
David M MaahsDivision of Endocrinology and Diabetes, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.
Carlos MillaDivision of Pulmonary Medicine, Stanford Children's CysticFibrosis Center, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.
Diana NaranjoDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.
Avni C ShahDivision of Endocrinology and Diabetes, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.
Molly L TanenbaumDivision of Endocrinology and Diabetes, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.
Sruthi VeeravalliDivision of Pulmonary Medicine, Stanford Children's CysticFibrosis Center, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.
K T ParkDivision of Gastroenterology, Department of Pediatrics, Stanford Children's Inflammatory Bowel Disease Center, Stanford University School of Medicine, Stanford, California.
Korey K HoodDivision of Endocrinology and Diabetes, Department of Pediatrics, Stanford University School of Medicine, Stanford, California; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California. Electronic address: kkhood@stanford.edu.
Stanford University · US

Funding

Stanford Islet Research CoreP30DK116074 · NIDDK · STANFORD UNIVERSITY · PI Seung K Kim · 2017 to 2026
$19.5M
NIDDK NIH HHS P30 DK116074
6 · The paper itself

Abstract

purposeAdolescents with chronic illness face greater risk of psychosocial difficulties, complicating disease management. Despite increased calls to screen for patient-reported outcomes, clinical implementation has lagged. Using quality improvement methods, this study aimed to investigate the feasibility of standardized screening for depression and assessment of global health and to determine recommended behavioral health follow-up, across three pediatric subspecialty clinics.

methodsA total of 109 patients aged 12-22 years (median = 16.6) who were attending outpatient visits for treatment of diabetes (80% type 1), inflammatory bowel disease, or cystic fibrosis completed the 9-item Patient Health Questionnaire (PHQ-9) depression and Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Global Health measures on electronic tablets. Patients screening positive on the PHQ-9 received same-day behavioral health assessment and regular phone check-ins to facilitate necessary follow-up care.

resultsOverall, 89% of 122 identified patients completed screening during a 6-month window. Patients completed measures in a timely manner (within 3 minutes) without disruption to clinic flow, and they rated the process as easy, comfortable, and valuable. Depression scores varied across disease type. Patients rated lower global health relative to a previously assessed validation cohort. Depression and global health related significantly to certain medical outcomes. Fifteen percent of patients screened positive on the PHQ-9, of whom 50% confirmed attending behavioral health appointments within 6 months of screening.

conclusionsA standardized depression and global health assessment protocol implemented across pediatric subspecialties was feasible and effective. Universal behavioral health screening for adolescents and young adults living with chronic disease is necessary to meet programmatic needs in pediatric subspecialty clinics.

Indexed as

Health StatusPediatricsAdolescentAmbulatory Care FacilitiesChronic DiseaseDepressionFemaleHumansMaleMass ScreeningSurveys and QuestionnairesCystic fibrosisDepressionDiabetesGlobal healthInflammatory bowel diseaseMental healthPediatricScreening

Identifiers

PMID28830798
PMCPMC7162556
OpenAlexW2746765527

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.