Monitoring depression with the PHQ-9 in primary care: a qualitative study
Rattachement africain : gb. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Primary care guidelines recommend GPs consider using depression symptom questionnaires as patient-reported outcome measures (PROMs) to monitor depression in adults to inform treatment and evaluate management strategies. The PROMDEP randomised controlled trial assessed the use of the Patient Health Questionnaire's (PHQ-9) effectiveness and cost-effectiveness for monitoring depression. We gathered qualitative evidence on the views and experiences of participating patients and practitioners to inform interpretation of the findings. AIM: To explore the views and experiences of patients and practitioners of using the PHQ-9 in the PROMDEP trial of monitoring depression in primary care. DESIGN & SETTING: Nested qualitative study and process evaluation of the trial in primary care in England and Wales. METHOD: Twenty-nine patients and 15 practitioners took part in semi-structured telephone or video interviews. Interview data were analysed using thematic analysis. RESULTS: Patients and practitioners both valued the PHQ-9 and reported limitations in its use for monitoring depression. This included its role in improving understanding of depression, impact on consultation and care, and integration within current primary care processes. In the context of the PROMDEP trial, our findings highlight potential reasons for the mixed trial findings, including how resistance in its use in practice may be owing to barriers that make it hard for practitioners to integrate the PHQ-9 in consultations. CONCLUSION: Monitoring of depression using PROMs needs to be considered within the context of current primary care processes and resources. Further research is warranted to understand how the PHQ-9 can be successfully integrated into consultations.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Monitoring depression with the PHQ-9 in primary care: a qualitative study
- Date Crossref
- 08/10/2025
- Éditeur
- Royal College of General Practitioners
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Richmond upon Thames College pays non établi dans la noticeUniversité ou école supérieure
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University College London Division of Psychiatry pays non établi dans la noticeUniversité ou école supérieure
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University of Southampton Population Sciences & Medication Education pays non établi dans la noticeUniversité ou école supérieure
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London School of Hygiene & Tropical Medicine pays non établi dans la noticeUniversité ou école supérieure
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Faculty of Public Health pays non établi dans la noticeOrganisation à but non lucratif
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University of Liverpool Department of Primary Care and Mental Health pays non établi dans la noticeUniversité ou école supérieure
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Division of Psychiatry pays non établi dans la noticeInstitution
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School of Primary Care pays non établi dans la noticeUniversité ou école supérieure
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Department of Primary Care and Mental Health pays non établi dans la noticeInstitution
Richmond upon Thames College, Division of Psychiatry — University College London et Population Sciences & Medication Education — University of Southampton, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.