title: Depression training program for eye health and rehabilitation professionals.
abstract: OBJECTIVE
  Depression often remains undetected in people with vision impairment. This study aimed to determine the effectiveness of a depression training program on practitioners' confidence, perceived barriers, and their likelihood of responding to depression in patients with vision impairment.
  
  
  METHODS
  This study was a pre and post single group evaluation involving 36 eye health and rehabilitation practitioners. Three 1.5-h group training sessions were held once a week for 3 consecutive weeks. The modules covered (1) understanding depression, (2) detecting depressive symptoms, and (3) developing and implementing referral pathways. Three main outcome measures were assessed: confidence in working with patients who may be depressed; perceived barriers to the recognition and management of depression; and likelihood of responding to depression.
  
  
  RESULTS
  The training significantly improved practitioners' confidence and reduced perceived barriers to managing depression (p < 0.001). After training, participants were significantly more likely to respond to depression in their patients (p < 0.001).
  
  
  CONCLUSIONS
  This preliminary study found that a brief training program is effective in increasing practitioners' ability to respond to depression in patients with vision impairment. Further work is required to determine whether these effects are sustained over time and result in improved recognition and management of depression in people with vision impairment.
authors.affiliation: Centre for Eye Research Australia, the Royal Victorian Eye and Ear Hospital, University of Melbourne, Victoria, Australia. grees@unimelb.edu.au
authors.forename: Gwyneth
authors.initials: G
authors.lastname: Rees
authors.forename: David
authors.initials: D
authors.lastname: Mellor
authors.forename: Matthew
authors.initials: M
authors.lastname: Heenan
authors.forename: Eva
authors.initials: E
authors.lastname: Fenwick
authors.forename: Jill E
authors.initials: JE
authors.lastname: Keeffe
authors.forename: Manjula
authors.initials: M
authors.lastname: Marella
authors.forename: Ecosse L
authors.initials: EL
authors.lastname: Lamoureux
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003863:Depression / Q000209:etiology*; D004493:Education / Q000592:standards*; D005260:Female; D006282:Health Personnel / Q000193:education*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009907:Optometry / Q000193:education*; D015354:Vision, Low / Q000523:psychology* / Q000534:rehabilitation*; D055815:Young Adult