title: Impact of emergency department visit on disease self-management in adults with depression.
abstract: Unexpected health-endangering events that lead to an emergency department visit may be perceived as "wake-up calls" and induce significant changes in health-related behavior ("health shock" effect). This study uses two waves of a survey of 826 adults with depression and finds that having an emergency department visit(s) increased medication adherence by 7.6 percentage points ( p < 0.05) relative to non-emergency department visitors but had no significant effect on counseling attendance (0.02% points, p = 0.380). Emergency department visits may provide an opportune teachable moment to initiate targeted interventions for positive behavioral change in adults with depression.
authors.affiliation: 1 The Pennsylvania State University, USA.
authors.forename: Neeraj
authors.initials: N
authors.lastname: Bhandari
authors.affiliation: 1 The Pennsylvania State University, USA.
authors.forename: Yunfeng
authors.initials: Y
authors.lastname: Shi
authors.affiliation: 2 The University of Alabama at Birmingham, USA.
authors.forename: Larry R
authors.initials: LR
authors.lastname: Hearld
authors.affiliation: 3 Northwestern University Feinberg School of Medicine, USA.
authors.forename: Megan
authors.initials: M
authors.lastname: McHugh
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000928:Antidepressive Agents / Q000627:therapeutic use; D003376:Counseling / Q000706:statistics & numerical data; D003863:Depression / Q000523:psychology / Q000628:therapy*; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D000073278:Self-Management / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D000928:Antidepressive Agents
keywords: adherence; chronic illness; depression; emergency department; health behavior