Date of Award
Spring 2018
Project Type
Clinical Doctorate
College or School
CHHS
Department
Nursing
Program or Major
Nursing
Degree Name
Other
First Advisor
Dayle Sharp
Abstract
Depression is one of the leading causes of disease and disability, often found in patients with long-term chronic physical conditions such as diabetes. Collaborative care, which includes care managers, has shown to improve depression outcomes in patients; usual care has been shown to be inadequate. This quality improvement project screened patients with diabetes for depression. Patients with an elevated depression screening score were provided care management support and rescreened every two weeks to evaluate depression symptoms. A small cohort of patients from two rural health clinics participated in the improvement project. The practices noted improvement in depression screening; patients who participated and received care management services had an overall improvement in Patient Health Questionnaire-9 (PHQ-9) scores and glycated hemoglobin (A1c) rates over the project period. The practice findings indicated that focusing on improved systems for rural health clinic patients with diabetes and depression may impact health outcomes, however, additional work needs to be done to determine sustainability in rural health clinics beyond the quality improvement project period. The quality improvement project limitations included study design and size.
Recommended Citation
Doyle, Marcy, "Depression Screening and Care Management in Diabetes Patients at Rural Health Clinics in Primary Care: Quality Improvement" (2018). DNP Scholarly Projects. 24.
https://scholars.unh.edu/scholarly_projects/24
Included in
Family Practice Nursing Commons, Psychiatric and Mental Health Nursing Commons, Public Health and Community Nursing Commons