Skip to main content
Sign In

University of Colorado Denver

Centers for American Indian and Alaska Native Health
 
 
 

NCAIANMHR

Core Research Area B: Screening for Depression in Primary Care


PROJECT TITLE:
NCAIANMHR PGY 06-10: Core Research Area B: Screening for Depression in Primary Care

FUNDING SOURCE: 
NIMH
 
PRINCIPAL INVESTIGATOR(S): 
Spero Manson, Ph.D.

CENTER STAFF INVOLVED:
Philip Somervell, Ph.D.; Spero Manson, Ph.D.; James H. Shore, M.D. 

 

SPECIFIC AIMS/RESEARCH GOALS:
  1. To describe patient flow and functions as well as interactions of staff in the adult outpatient clinic of a Southwestern Indian Hospital in order to optimize the development of intervention and evaluation methods and facilitate their application in this setting.
  2. To adapt a symptom checklist for major depression to serve as a screening instrument in this setting, while adding a small number of items to assess functional impairment and the presence of alcohol abuse.
  3. To develop an intensive training program, of no more than two and one-half days' duration, on depression and its management by primary care physicians. The content of this program will consist of accepted clinical psychiatric teachings adapted for the primary care provider.   Special attention will be given to cross-cultural issues relevant to working with Navajo patients.
  4. To develop training programs for locally hired research assistants who, in future efforts to implement and evaluate the interventions, will assist with patient screening and data collection.
  5. To develop databases and data collection forms for future intervention and evaluation efforts in the adult outpatient clinic.
  6. To describe patient flow and functions as well as interactions of staff in the pediatric outpatient clinic of the Southwestern Indian Hospital in order to optimize the development of intervention and evaluation methods and facilitate their application in this setting.
  7. To conduct secondary analyses and qualitative research on the self-report and parent-report instruments of the Flower of Two Soils study in order to develop screening tools for child psychopathology for use in the pediatric clinic.
  8. To develop an intensive training program, of no more than two and one-half days' duration, on common childhood psychopathologies and their management by pediatric primary care providers.
  9. To develop training programs for locally hired research assistants who, in future efforts to implement and evaluate the interventions, will assist with patient screening and data collection.
  10. To develop databases and data collection forms for future intervention and evaluation efforts in the pediatric clinic.

 

RESEARCH DESIGN:

Dr. Somervell resided in a Southwestern area for the duration of Core Research Area B. In PGY-07 he conducted ethnographic research in the adult outpatient clinic by: a) observing patient appointments with primary clinicians, and b) conducting key informant interviews with patients and physicians.

Based on these observations, a 2-day educational intervention tailored to IHS primary care physicians also was developed—complete with training manual and videotape materials—and pretested.   The videotape materials include case vignettes of physician/patient interactions, emphasizing typical presentations by Southwestern adults.   The introductory overview, featuring Dr. James Shore, was awarded a bronze medal (third prize) in an international competition.

 

PARTICIPANTS:

Sixty-three adults were interviewed: 19 Southwestern tribe males, 26 Southwestern tribe females, 10 White males, and 8 White females.

University of Colorado Denver

© The Regents of the University of Colorado, a body corporate. All rights reserved.

All trademarks are registered property of the University. Used by permission only.