Depression Screening in Chronic Disease Management: A Worksite Health Promotion Initiative. (March 2016)

• Record Type: Journal Article
• Authors: Jensen, Elizabeth; Dumas, Bonnie P.; Edlund, Barbara J.
• Is Part Of: Workplace health & safety. Volume 64:Number 3(2016:Mar.)
• Page Start: 89
• Page End: 94
• Publication Date: 2016-03
• Subjects: chronic illnesses -- mental health -- health coaching/motivational interviewing -- occupational health and safety programs -- advance practice nurses -- occupational health and safety team -- continuous quality improvement; Industrial nursing -- Periodicals; 610.734605
• DOI: 10.1177/2165079915608404
• Languages: English
• ISSNs: 2165-0799

Abstract

This pilot project aimed to improve depression symptoms and quality-of-life measures for individuals in a worksite disease management program. Two hundred forty-three individuals were invited to participate, out of which 69 enrolled. The participants had a history of diabetes, hypertension, or hyperlipidemia, and demonstrated depression using the Patient Health Questionnaire–9 (PHQ-9). The project consisted of counseling sessions provided every 2 to 4 weeks by a family nurse practitioner. PHQ-9 scores and those of an instrument that measures quality of life, the Veteran's Rand–12 (VR-12), were compared pre-intervention and post-intervention to evaluate the effectiveness of the project. PHQ-9 and VR-12 Mental Health Component (MHC) scores improved significantly after 3 months of nurse practitioner-led individual counseling sessions. This project demonstrated that depression screening and therapeutic management, facilitated by a nurse practitioner, can improve depression and perceived quality of life in individuals with hypertension, hyperlipidemia, or type 2 diabetes.