title: Depression Screening in Chronic Disease Management: A Worksite Health Promotion Initiative.
abstract: This pilot project aimed to improve depression symptoms and quality-of-life measures for individuals in a worksite disease management program. Two hundred forty-three individuals were invited to participate, out of which 69 enrolled. The participants had a history of diabetes, hypertension, or hyperlipidemia, and demonstrated depression using the Patient Health Questionnaire-9 (PHQ-9). The project consisted of counseling sessions provided every 2 to 4 weeks by a family nurse practitioner. PHQ-9 scores and those of an instrument that measures quality of life, the Veteran's Rand-12 (VR-12), were compared pre-intervention and post-intervention to evaluate the effectiveness of the project. PHQ-9 and VR-12 Mental Health Component (MHC) scores improved significantly after 3 months of nurse practitioner-led individual counseling sessions. This project demonstrated that depression screening and therapeutic management, facilitated by a nurse practitioner, can improve depression and perceived quality of life in individuals with hypertension, hyperlipidemia, or type 2 diabetes.
authors.affiliation: Medical University of South Carolina jensene@musc.edu.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Jensen
authors.affiliation: Medical University of South Carolina.
authors.forename: Bonnie P
authors.initials: BP
authors.lastname: Dumas
authors.affiliation: Medical University of South Carolina.
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: Edlund
mesh_terms: D057179:Advanced Practice Nursing; D003863:Depression / Q000150:complications / Q000517:prevention & control* / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000523:psychology*; D006293:Health Promotion; D006801:Humans; D006949:Hyperlipidemias / Q000523:psychology; D006973:Hypertension / Q000523:psychology; D062405:Motivational Interviewing; D016272:Occupational Health; D010865:Pilot Projects; D057566:Self Report; D011795:Surveys and Questionnaires
keywords: advance practice nurses; chronic illnesses; continuous quality improvement; health coaching/motivational interviewing; mental health; occupational health and safety programs; occupational health and safety team