Emerah, Chinwe M.. Improving depression screening among people living with HIV/AIDS: utilization of PHQ-9 depression screening tool in an HIV/AIDS primary care setting. Retrieved from https://doi.org/doi:10.7282/t3-9nzr-c967
TitleImproving depression screening among people living with HIV/AIDS: utilization of PHQ-9 depression screening tool in an HIV/AIDS primary care setting
DescriptionIntroduction: The introduction of efficient and effective Anti-Retroviral Therapy (ART) has increased life expectancy for people living with HIV/AIDS (PLWHA). HIV disease is now a chronic condition, and there is a growing concern regarding the effect of depression on the HIV care continuum. Clinical depression is three to four times more likely in PLWHA than in the general population and has remained the most prevalent psychiatric disorder.
Purpose: This Doctor of Nursing Practice project implemented the use of an evidence-based screening tool namely PHQ-9, in a primary care HIV clinic to improve practice protocol to mitigate the effects of under-recognized and under-treated depressive symptoms among PLWHA.
Methodology: Three months visits of initial and follow-up of patients data from (June 2021 to August 2021) and after (December 2021 to February 2022) educational intervention were collected and analyzed.
Results: The percentage of PLWHA screened for depression during routine visits for three months before the educational intervention was 84.8% (n=397). The total number of patient visits was 468. Slightly over fifteen percent of patients (n=71) were not screened. The post-intervention data showed an increase of 16.6% in the number of PLWHA screened when compared to pre-intervention data. In addition, education intervention pre-and post-test improved knowledge and awareness of two out of three subjects by 12.8%.
Discussion/Implication for Practice: The outcomes showed an increase in the number of people screened, and improved knowledge of depression screening, thus effecting increased utilization of the PHQ-9 depression tool in depression screening.