title: Primary care providers' beliefs about teen and parent barriers to depression care.
abstract: OBJECTIVE
  Only one-third of US adolescents with depression obtain treatment for depression. Teen and parent barriers differ, but both contribute to low treatment rates. Primary care providers (PCPs) may be able to elicit and address such barriers, but little is known about their perceptions of teen and parent barriers, and whether they recognize these differences.
  
  
  METHODS
  We administered a survey to 58 PCPs assessing their perceptions of the importance of specific barriers to depression care for teens and parents using McNemar's test to examine differences.
  
  
  RESULTS
  Most PCPs believed barriers for parents included difficulty making appointments, worry about what others would think, and cost. PCPs believed barriers for teens included not wanting treatment and worry about what others would think. PCPs believed parents and teens differed in the extent to which they would perceive cost, difficulty in making appointments, and not wanting care as a barrier (p < .001).
  
  
  CONCLUSIONS
  Primary care providers recognize that teens and parents have different barriers to care, but may have discordant perceptions of the importance of certain barriers for teens and their parents. PCPs may need to probe parents and teens individually about barriers, which impede depression care to enhance shared decision making and treatment uptake.
authors.affiliation: *Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA; †Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA; ‡RAND Corporation, Pittsburgh, PA; §Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, PA; and ‖Department of Psychiatry, University of Pittsburgh School of Medicine; Pittsburgh, PA.
authors.forename: Ana
authors.initials: A
authors.lastname: Radovic
authors.forename: Coreen
authors.initials: C
authors.lastname: Farris
authors.forename: Kerry
authors.initials: K
authors.lastname: Reynolds
authors.forename: Evelyn C
authors.initials: EC
authors.lastname: Reis
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Miller
authors.forename: Bradley D
authors.initials: BD
authors.lastname: Stein
mesh_terms: D000293:Adolescent; D003863:Depression / Q000523:psychology / Q000628:therapy*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D010290:Parents / Q000523:psychology*; D058007:Physicians, Primary Care / Q000523:psychology* / Q000706:statistics & numerical data
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