Practice guidelines and late-life depression assessment in long-term care

D A Banazak; P B Mullan; J C Gardiner; S Rajagopalan

doi:10.1046/j.1525-1497.1999.04028.x

Practice guidelines and late-life depression assessment in long-term care

J Gen Intern Med. 1999 Jul;14(7):438-40. doi: 10.1046/j.1525-1497.1999.04028.x.

Authors

D A Banazak¹, P B Mullan, J C Gardiner, S Rajagopalan

Affiliation

¹ Department of Psychiatry, Office of Medical Education Research and Development, Michigan State Univesity, East Lansing 48824-1316, USA.

Abstract

To determine how well nursing home physicians believe they can detect and treat depression, we conducted a national survey, eliciting a 63% response rate. More than 75% of respondents believed they detected and treated depression well. Excellent depression training (vs "good," "fair," "poor/none") was associated with better self-reported recognition (odds ratio [OR] 14.25; 95% confidence interval [CI] 1.81, 111.93) and treatment skills (OR 6.72; 95% CI 1. 91, 23.64). Screening tool use predicted greater self-assessed detection (OR 1.89; 95% CI 0.92, 3.87) and treatment competency (OR 2.00; 95% CI 1.14, 3.50). Practice guideline awareness was associated with greater self-reported treatment competency (OR 2.47; 95% CI 1.56, 3.91).

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Chi-Square Distribution
Clinical Competence
Depression / diagnosis*
Depression / therapy*
Health Knowledge, Attitudes, Practice*
Humans
Logistic Models
Long-Term Care*
Physicians, Family*
Practice Guidelines as Topic
Surveys and Questionnaires
United States