GPs’ views on the use of depression screening and GP-targeted feedback: a qualitative study
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GPs’ views on the use of depression screening and GP-targeted feedback: a qualitative study. / Braunschneider, Lea-Elena; Lehmann, Marco; Magaard, Julia Luise; Seeralan, Tharanya; Marx, Gabriella; Eisele, Marion; Scherer, Martin; Löwe, Bernd; Kohlmann, Sebastian.
in: QUAL LIFE RES, Jahrgang 30, Nr. 11, 11.2021, S. 3279-3286.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - GPs’ views on the use of depression screening and GP-targeted feedback: a qualitative study
AU - Braunschneider, Lea-Elena
AU - Lehmann, Marco
AU - Magaard, Julia Luise
AU - Seeralan, Tharanya
AU - Marx, Gabriella
AU - Eisele, Marion
AU - Scherer, Martin
AU - Löwe, Bernd
AU - Kohlmann, Sebastian
N1 - © 2021. The Author(s).
PY - 2021/11
Y1 - 2021/11
N2 - PURPOSE: The first aim of this qualitative study was to identify general practitioners' (GPs') views on depression screening combined with GP-targeted feedback in primary care. The second aim was to determine the needs and preferences of GPs with respect to GP-targeted feedback to enhance the efficacy of depression screening.METHODS: A semistructured qualitative interview was conducted with officially registered GPs in Hamburg (Germany). Interviews were audio recorded and transcribed verbatim. An inductive approach was used to code the transcripts.RESULTS: Nine GPs (27 to 70 years; 5 male) from Hamburg, Germany, participated. Regarding depression screening combined with GP-targeted feedback, five thematic groups were identified: application of screening; screening and patient-physician relationships; GPs' attitudes towards screening; benefits and concerns related to screening; and GPs' needs and preferences regarding feedback. While the negative aspects of screening can be described in rather general terms (e.g., screening determines the mental health competence, screening threatens the doctor-patient relationship, revealing questions harm the patients), its advantages were very specific (e.g., promoting the identification of undetected cases, relief of the daily workload, wider communication channel to reach more patients). Standardized GP-targeted feedback of the screening results was perceived as helpful and purposeful. GPs preferred feedback materials that eased their clinical workload (e.g., short text with visuals, pictures, or images).CONCLUSION: Addressing GPs' needs is essential when implementing depression screening tools in clinical practice. To overcome prejudices and enhance the efficacy of screening, further education for GPs on the purpose and application on depression screening may be needed. Standardized GP-targeted feedback in combination with depression screening could be the missing link to improve the detection of depression in primary care.
AB - PURPOSE: The first aim of this qualitative study was to identify general practitioners' (GPs') views on depression screening combined with GP-targeted feedback in primary care. The second aim was to determine the needs and preferences of GPs with respect to GP-targeted feedback to enhance the efficacy of depression screening.METHODS: A semistructured qualitative interview was conducted with officially registered GPs in Hamburg (Germany). Interviews were audio recorded and transcribed verbatim. An inductive approach was used to code the transcripts.RESULTS: Nine GPs (27 to 70 years; 5 male) from Hamburg, Germany, participated. Regarding depression screening combined with GP-targeted feedback, five thematic groups were identified: application of screening; screening and patient-physician relationships; GPs' attitudes towards screening; benefits and concerns related to screening; and GPs' needs and preferences regarding feedback. While the negative aspects of screening can be described in rather general terms (e.g., screening determines the mental health competence, screening threatens the doctor-patient relationship, revealing questions harm the patients), its advantages were very specific (e.g., promoting the identification of undetected cases, relief of the daily workload, wider communication channel to reach more patients). Standardized GP-targeted feedback of the screening results was perceived as helpful and purposeful. GPs preferred feedback materials that eased their clinical workload (e.g., short text with visuals, pictures, or images).CONCLUSION: Addressing GPs' needs is essential when implementing depression screening tools in clinical practice. To overcome prejudices and enhance the efficacy of screening, further education for GPs on the purpose and application on depression screening may be needed. Standardized GP-targeted feedback in combination with depression screening could be the missing link to improve the detection of depression in primary care.
KW - Adult
KW - Aged
KW - Attitude of Health Personnel
KW - Depression/diagnosis
KW - Feedback
KW - Female
KW - General Practitioners
KW - Germany
KW - Humans
KW - Male
KW - Middle Aged
KW - Physician-Patient Relations
KW - Qualitative Research
U2 - 10.1007/s11136-020-02703-2
DO - 10.1007/s11136-020-02703-2
M3 - SCORING: Journal article
C2 - 33249538
VL - 30
SP - 3279
EP - 3286
JO - QUAL LIFE RES
JF - QUAL LIFE RES
SN - 0962-9343
IS - 11
ER -
