A qualitative analysis of participant experiences with universal school-based depression screening.
A qualitative analysis of participant experiences with universal school-based depression screening.
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DOI：
10.1016/j.pmedr.2022.102073
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发表时间：
2023-02
影响因子：
2.8
通讯作者：
Stuckey, Heather
中科院分区：
文献类型：
--
作者：
Sekhar, Deepa L.;Hivner, Elizabeth;Molinari, Alissa;Allen, Kathleen;Stuckey, Heather
以学校为基础的抑郁症筛查受到参与社区的好评。主要障碍是有足够的人员来管理筛查转诊。学校规划实施需要针对预期挑战的支持。SHIELD是一项在美国宾夕法尼亚州公立高中进行的以学校为基础的普遍抑郁筛查的随机临床试验。接受筛查的青少年开始接受抑郁症治疗的可能性是未接受筛查的青少年的两倍。本定性研究的目的是了解通过SHIELD参与普遍筛查的社区的经验。从2021年4月至10月，对学校工作人员（n = 11）、家长（n = 4）和青少年（n = 7）进行了半结构化访谈。开发了一个码本，其中20%的音频文本编码为评分者间信度（工作人员k = 0.88，家长k = 0.90，青少年k = 0.74）。两位编码员将剩余的转录本分开并单独编码，用于主题内容分析。研究确定了三个主题：1)抑郁症筛查广受欢迎；筛选的主要挑战是没有足够的人员来管理转诊；3)学校工作人员建议未来筛查的其他格式和方法。总之，以学校为基础的抑郁症筛查很受欢迎，但学校在人员配备和资源方面面临挑战，无法支持已确定的青少年，并为未来的筛查提供替代建议。对抑郁症筛查感兴趣的学校需要教育和能力建设，重点关注这一过程中的障碍和挑战。向在各自地区实现这一循证做法的工作人员学习将有助于下一步的实施。
School-based depression screening was well-received by participating communities. The main barrier was adequate staffing to manage screening referrals. Schools planning implementation need support focused on anticipated challenges. Screening in High Schools to Identify, Evaluate and Lower Depression (SHIELD) was a randomized clinical trial of school-based universal depression screening conducted with public high schools in Pennsylvania, United States. Screened adolescents were twice as likely to initiate depression treatment compared to peers who were not screened. The purpose of this qualitative study was to understand the experience of communities participating in universal screening via SHIELD. Semi-structured interviews were conducted with school staff (n = 11), parents (n = 4) and adolescents (n = 7) from April-October 2021. A codebook was developed with 20 % of audio transcripts coded for inter-rater reliability (staff k = 0.88, parents k = 0.90, adolescent k = 0.74). The two coders divided and individually coded remaining transcripts for thematic content analysis. Three themes were identified: 1) Depression screening was well-received; 2) The main challenge with screening was inadequate staffing to manage referrals; and 3) School staff suggested alternate formats and methods for future screening. In summary, school-based depression screening was well-received, but schools experienced challenges with staffing and resources to support identified adolescents and offered alternative suggestions for future screening. Schools interested in depression screening need education and capacity building focused on barriers and challenges with the process. Learning from staff who have realized this evidence-based practice in their respective districts will support next steps towards implementation.
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影响因子：
--
作者：
Jones SE;Ethier KA;Hertz M;DeGue S;Le VD;Thornton J;Lim C;Dittus PJ;Geda S
通讯作者：
Geda S
影响因子：
8
作者：
Irwin, Charles E., Jr.;Adams, Sally H.;Newacheck, Paul W.
通讯作者：
Newacheck, Paul W.
影响因子：
26.1
作者：
Racine, Nicole;McArthur, Brae Anne;Madigan, Sheri
通讯作者：
Madigan, Sheri
影响因子：
2
作者：
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通讯作者：
Sandelowski, Margarete
影响因子：
7.6
作者：
Sekhar, Deepa L.;Gebremariam, Acham;Clark, Sarah J.
通讯作者：
Clark, Sarah J.