ArticlePediatric diabetes2019
Implementing clinic-wide depression screening for pediatric diabetes: An initiative to improve healthcare processes.
Article in Pediatric diabetes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 31 citations in OpenAlex.
- Team-Effectiveness Barriers and Solutions to Depression Screening within a Pediatric Hospital Network: A Qualitative Study.Evidence-based practice in child and adolescent mental health · 2026Article
- Retrospective Rates of Positive Depression Screens in Pediatric Diabetes Using Two PHQ-9 Cutoff Scores: A Brief Report.Clinical practice in pediatric psychology · 2025Article
- A scoping review of the electronic collection and capture of patient reported outcome measures for children and young people in the hospital setting.PLOS digital health · 2025Article
- Routine use of patient-reported experience and outcome measures for children and young people: a scoping review.Systematic reviews · 2024Article
- Implementation Science and Pediatric Diabetes: A Scoping Review of the State of the Literature and Recommendations for Future Research.Current diabetes reports · 2024Article
- Improving routine mental health screening for depression and anxiety in a paediatric lupus clinic: a quality improvement initiative for enhanced mental healthcare.Lupus science & medicine · 2024Article
- Healthcare Professional Experiences and Opinions on Depression and Suicide in People With Diabetes.Journal of diabetes science and technology · 2024Article
- Patient-Reported Outcome Measures in Patients with Thrombotic Thrombocytopenic Purpura: A Systematic Review of the Literature.Journal of clinical medicine · 2023Review
- Implementation of Psychosocial Screening into Diabetes Clinics: Experience from the Type 1 Diabetes Exchange Quality Improvement Network.Current diabetes reports · 2023Review
- Remedy to Diabetes Distress (R2D2): Development protocol for a scalable screen-to-treat program for families of school-age children.Contemporary clinical trials · 2022Article
- Safeguarding children and young people requiring kidney replacement therapy: challenges and potential opportunities.Pediatric nephrology (Berlin, Germany) · 2022Article
- Follow-Up Mental Health Care in Youth and Young Adults With Type 1 Diabetes After Positive Depression Screen and/or Suicidal Ideation.Clinical diabetes : a publication of the American Diabetes Association · 2022Article
- Suicide Risk in Youth and Young Adults with Type 1 Diabetes: a Review of the Literature and Clinical Recommendations for Prevention.Current diabetes reports · 2021Review
- Electronic Mental Health Screening in a Pediatric Heart Failure and Transplant Clinic.Journal of clinical psychology in medical settings · 2021Article
- Multisite Examination of Depression Screening Scores and Correlates Among Adolescents and Young Adults With Type 2 Diabetes.Canadian journal of diabetes · 2021Article
- Mental Health Providers' Assessment of Parents' Reactions to their Children's Elevated Depressive Symptoms.Pediatric diabetes · 2021Article
- A pediatrician-friendly review of three common behavioral health screeners in pediatric practice: Findings and recommendations.Pediatric investigation · 2021Review
- A retrospective multisite examination of depression screening practices, scores, and correlates in pediatric diabetes care.Translational behavioral medicine · 2021Article
- Teaching Evidence-Based Medicine Through Facilitated Journal Clubs.PRiMER (Leawood, Kan.) · 2021Article
- Neurodevelopmental and Mental Health Screening for Patients with Turner Syndrome in Pediatric Endocrine Clinics: Results of a Pediatric Endocrine Society Survey.Hormone research in paediatrics · 2020Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveYouth with type 1 diabetes (T1D) endorse high rates of depressive symptoms, which can significantly impair self-management, glycemic control, and quality of life. Current guidelines recommend annual depression screening for all adolescents with T1D, but few models exist to implement screening procedures across clinics in this population. The primary aim of this project was to increase depression screening from 0% to 80% in four clinics, and to describe the structured quality improvement process to reach this goal.
methodsAll patients aged 12 to 21 years old with T1D at four participating clinics in a Midwestern hospital system were eligible to participate. Using a two-stage process, patients were administered the Patient Health Questionnaire (PHQ-2 plus PHQ-9 if positive) annually. Rates of depression screening by clinic site, rates of positive depression screens, social worker documentation of follow-up care, and associations with diabetes-related health outcomes were analyzed.
resultsOver 2 years, average depression screening rates increased from 0% to 75% across all clinics, and 89% of patients with a positive screen met with a social worker for a targeted mental health assessment. At initial screening, 7.6% of patients screened positive for at-risk depressive symptoms on the PHQ-2 and from that group, 6.7% additionally screened positive on the PHQ-9.
conclusionsAnnual depression screenings were feasibly implemented across four clinics and the use of real-time data listening and automated processes facilitated successful implementation. Future directions include further automation, targeted training and billing mechanisms, dissemination to non-metropolitan clinics, and further assessment of depression screening tools for adolescents with T1D.
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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.