Practice guidelines and late-life depression assessment in long-term care.
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).
Department of Psychiatry, Office of Medical Education Research and Development, Michigan State Univesity, East Lansing 48824-1316, USA.
D A
DA
Banazak
P B
PB
Mullan
J C
JC
Gardiner
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S
Rajagopalan
D016009:Chi-Square Distribution; D002983:Clinical Competence; D003863:Depression / Q000175:diagnosis* / Q000628:therapy*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008134:Long-Term Care; D010821:Physicians, Family; D017410:Practice Guidelines as Topic; D011795:Surveys and Questionnaires; D014481:United States