DescriptionPurpose of Project: Major depressive disorder (MDD) is a common disorder that affects more than 300 million individuals worldwide. This disorder is the 4th leading cause of disability, globally, and has also been associated with high mortality rates. This project explored the impact of mood logging when added to the initiation of antidepressants on depressive symptoms. The PICOT question that was generated for the project is, “during the first two months of patients starting an antidepressant, what is the impact of daily logging of mood and side effects on providers’ treatment modality when compared to not logging?”
Methodology: Literature search revealed that the logging of mood symptoms and medication side effects, had been associated with improved patient outcomes. The Knowledge to Action (KTA) framework was used to guide the project. Project participants were NPs who were currently working at the practice and could attest that they had at least 5 of their own adult (age 18 and older) patients with major depressive disorder, recently (within 2 months) started on antidepressants who were willing to complete daily loggings of mood and side effects for four weeks.
Results: After the project change, practitioners rated more positively on their belief of patient’s accurate remembrance of mood and side effect of medications; their ability to confidently incorporate patients’ input into making treatment plan adjustments; impact on visit efficiency; impact on patient-provider relationship; and impact on treatment modality in the future.
Implications for Practice: While the sample size for this project is small and none of the differences noted are statistically significant, the responses were positive and shows that the practice change has great potential. Based on this, the practice should consider widespread implementation and further assessment involving all the nurse practitioners.