Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/12876
Full metadata record
DC FieldValueLanguage
dc.contributor.authorMaxwell, Margareten_UK
dc.contributor.authorHarris, Fiona Margareten_UK
dc.contributor.authorHibberd, Carinaen_UK
dc.contributor.authorDonaghy, Edwarden_UK
dc.contributor.authorPratt, Rebekahen_UK
dc.contributor.authorWilliams, Chrisen_UK
dc.contributor.authorMorrison, Jillen_UK
dc.contributor.authorGibb, Jenniferen_UK
dc.contributor.authorWatson, Philipen_UK
dc.contributor.authorBurton, Chrisen_UK
dc.date.accessioned2018-02-08T23:48:39Z-
dc.date.available2018-02-08T23:48:39Z-
dc.date.issued2013-04en_UK
dc.identifier.urihttp://hdl.handle.net/1893/12876-
dc.description.abstractBACKGROUND: Routinely conducting case finding (also commonly referred to as screening) in patients with chronic illness for depression in primary care appears to have little impact. We explored the views and experiences of primary care nurses, doctors and managers to understand how the implementation of case finding/screening might impact on its effectiveness.METHODS: Two complementary qualitative focus group studies of primary care professionals including nurses, doctors and managers, in five primary care practices and five Community Health Partnerships, were conducted in Scotland.RESULTS: We identified several features of the way case finding/screening was implemented that may lead to systematic under-detection of depression. These included obstacles to incorporating case finding/screening into a clinical review consultation; a perception of replacing individualised care with mechanistic assessment, and a disconnection for nurses between management of physical and mental health. Far from being a standardised process that encouraged detection of depression, participants described case finding/screening as being conducted in a way which biased it towards negative responses, and for nurses, it was an uncomfortable task for which they lacked the necessary skills to provide immediate support to patients at the time of diagnosis.CONCLUSION: The introduction of case finding/screening for depression into routine chronic illness management is not straightforward. Routinized case finding/screening for depression can be implemented in ways that may be counterproductive to engagement (particularly by nurses), with the mental health needs of patients living with long term conditions. If case finding/screening or engagement with mental health problems is to be promoted, primary care nurses require more training to increase their confidence in raising and dealing with mental health issues and GPs and nurses need to work collectively to develop the relational work required to promote cognitive participation in case finding/screening.en_UK
dc.language.isoenen_UK
dc.publisherBioMed Centralen_UK
dc.relationMaxwell M, Harris FM, Hibberd C, Donaghy E, Pratt R, Williams C, Morrison J, Gibb J, Watson P & Burton C (2013) A qualitative study of primary care professionals' views of case finding for depression in patients with diabetes or coronary heart disease in the UK. <i>BMC Family Practice</i>, 14 (Article 46). https://doi.org/10.1186/1471-2296-14-46en_UK
dc.rights© 2013 Maxwell et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The electronic version of this article is the complete one and can be found online at: http://www.biomedcentral.com/1471-2296/14/46en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/2.0/en_UK
dc.subjectDepressionen_UK
dc.subjectCase findingen_UK
dc.subjectScreening,en_UK
dc.subjectPHQ9en_UK
dc.subjectDiabetesen_UK
dc.subjectCoronary heart diseaseen_UK
dc.subjectPrimary careen_UK
dc.titleA qualitative study of primary care professionals' views of case finding for depression in patients with diabetes or coronary heart disease in the UKen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/1471-2296-14-46en_UK
dc.citation.jtitleBMC Family Practiceen_UK
dc.citation.issn1471-2296en_UK
dc.citation.volume14en_UK
dc.citation.issueArticle 46en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderRoyal College of General Practionersen_UK
dc.contributor.funderChief Scientist Officeen_UK
dc.author.emailmargaret.maxwell@stir.ac.uken_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationCancer Care Research Centre - LEGACYen_UK
dc.contributor.affiliationUniversity of Minnesotaen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationRobert Gordon Universityen_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
dc.identifier.isiWOS:000332212700002en_UK
dc.identifier.scopusid2-s2.0-84875687616en_UK
dc.identifier.wtid708536en_UK
dc.contributor.orcid0000-0003-3318-9500en_UK
dc.contributor.orcid0000-0003-3258-5624en_UK
dc.contributor.orcid0000-0001-5556-4311en_UK
dcterms.dateAccepted2013-04-30en_UK
dc.date.filedepositdate2013-05-13en_UK
dc.relation.funderprojectPilot study of a practice nurse supported psychological self help intervention for patients with diabetes or coronary heart disease and co-morbid depressionen_UK
dc.relation.funderprojectThe Living Better Project: Improving the Mental well-being of people with diabetes and/or CHDen_UK
dc.relation.funderrefCZH/4/462en_UK
dc.relation.funderrefRCGPen_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorMaxwell, Margaret|0000-0003-3318-9500en_UK
local.rioxx.authorHarris, Fiona Margaret|0000-0003-3258-5624en_UK
local.rioxx.authorHibberd, Carina|0000-0001-5556-4311en_UK
local.rioxx.authorDonaghy, Edward|en_UK
local.rioxx.authorPratt, Rebekah|en_UK
local.rioxx.authorWilliams, Chris|en_UK
local.rioxx.authorMorrison, Jill|en_UK
local.rioxx.authorGibb, Jennifer|en_UK
local.rioxx.authorWatson, Philip|en_UK
local.rioxx.authorBurton, Chris|en_UK
local.rioxx.projectCZH/4/462|Chief Scientist Office|http://dx.doi.org/10.13039/501100000589en_UK
local.rioxx.projectRCGP|Royal College of General Practioners|en_UK
local.rioxx.freetoreaddate2013-05-13en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/2.0/|2013-05-13|en_UK
local.rioxx.filenameMaxwell_2013_A_qualitative_study_of_primary_care_professionals_views.pdfen_UK
local.rioxx.filecount1en_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

Files in This Item:
File Description SizeFormat 
Maxwell_2013_A_qualitative_study_of_primary_care_professionals_views.pdfFulltext - Published Version193.76 kBAdobe PDFView/Open


This item is protected by original copyright



A file in this item is licensed under a Creative Commons License Creative Commons

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

The metadata of the records in the Repository are available under the CC0 public domain dedication: No Rights Reserved https://creativecommons.org/publicdomain/zero/1.0/

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.