Abstract：
To explore the preferences of pediatricians for key factors around the implementation of universal routine screening guidelines for major depressive disorder in adolescent patients in a primary care setting.
Semi-structured qualitative interviews were conducted with U.S. pediatricians. Participants were recruited by convenience sampling and snowball sampling. Qualitive data were summarized using thematic analysis to identify themes relevant to preferences around implementing screening strategies for adolescent patients. Recruitment ended upon reaching thematic saturation when no new themes were revealed.
Of the 14 participants, 11 identified as female, 3 male, 10 white, and 4 Asian. Top themes among pediatrician participants were around the screening modality (14/14 participants), screening validity (14/14), time barriers (14/14), and confidentiality barriers (12/14). Less frequently mentioned themes by pediatricians were workplace coordination and logistics (7/14), alternative starting ages for screening (7/14), more frequent screenings than annual screenings (3/14), and additional clinical training regarding depression diagnosis and treatment (2/14).
Pool of interviewed participants was limited by diversity in terms of geography, race/ethnicity, or practice settings.
To promote the uptake of universal routine screening of adolescent major depression, pediatricians expressed it was important to address key implementation factors regarding the screening modality, screening validity, time constraints, and confidential care concerns in a primary care delivery context. Findings could be used to inform the development of implementation strategies to facilitate depression screening in primary care. Future research is needed to quantitively assess decisions and tradeoffs that pediatricians make when implementing universal screening to support adolescent mental health.
Semi-structured qualitative interviews were conducted with U.S. pediatricians. Participants were recruited by convenience sampling and snowball sampling. Qualitive data were summarized using thematic analysis to identify themes relevant to preferences around implementing screening strategies for adolescent patients. Recruitment ended upon reaching thematic saturation when no new themes were revealed.
Of the 14 participants, 11 identified as female, 3 male, 10 white, and 4 Asian. Top themes among pediatrician participants were around the screening modality (14/14 participants), screening validity (14/14), time barriers (14/14), and confidentiality barriers (12/14). Less frequently mentioned themes by pediatricians were workplace coordination and logistics (7/14), alternative starting ages for screening (7/14), more frequent screenings than annual screenings (3/14), and additional clinical training regarding depression diagnosis and treatment (2/14).
Pool of interviewed participants was limited by diversity in terms of geography, race/ethnicity, or practice settings.
To promote the uptake of universal routine screening of adolescent major depression, pediatricians expressed it was important to address key implementation factors regarding the screening modality, screening validity, time constraints, and confidential care concerns in a primary care delivery context. Findings could be used to inform the development of implementation strategies to facilitate depression screening in primary care. Future research is needed to quantitively assess decisions and tradeoffs that pediatricians make when implementing universal screening to support adolescent mental health.
摘要：
背景：探讨儿科医生对初级保健环境中青少年患者重性抑郁障碍通用常规筛查指南实施的关键因素的偏好。
方法：对美国儿科医生进行了半结构化定性访谈。通过便利抽样和滚雪球抽样招募参与者。使用主题分析总结了合格的数据，以确定与青少年患者实施筛查策略有关的偏好相关的主题。当没有发现新主题时，招聘在达到主题饱和时结束。
结果：在14名参与者中，11名女性，3男,10白色,4亚洲儿科医生参与者中的首要主题是围绕筛查模式(14/14参与者)，筛选有效性(14/14)，时间障碍（14/14），和保密障碍（12/14）。儿科医生不太经常提到的主题是工作场所协调和后勤(7/14)，筛查的替代起始年龄(7/14)，筛查比年度筛查更频繁(3/14)，以及有关抑郁症诊断和治疗的其他临床培训（2/14）。
结论：被采访的参与者群受到地域多样性的限制，种族/民族,或练习设置。
结论：为促进青少年重度抑郁症的普遍常规筛查，儿科医生表示，解决筛查模式的关键实施因素非常重要，筛选有效性，时间限制,和初级保健服务背景下的保密护理问题。研究结果可用于制定实施策略，以促进初级保健中的抑郁症筛查。未来的研究需要定量评估儿科医生在实施普遍筛查以支持青少年心理健康时做出的决定和权衡。
方法：对美国儿科医生进行了半结构化定性访谈。通过便利抽样和滚雪球抽样招募参与者。使用主题分析总结了合格的数据，以确定与青少年患者实施筛查策略有关的偏好相关的主题。当没有发现新主题时，招聘在达到主题饱和时结束。
结果：在14名参与者中，11名女性，3男,10白色,4亚洲儿科医生参与者中的首要主题是围绕筛查模式(14/14参与者)，筛选有效性(14/14)，时间障碍（14/14），和保密障碍（12/14）。儿科医生不太经常提到的主题是工作场所协调和后勤(7/14)，筛查的替代起始年龄(7/14)，筛查比年度筛查更频繁(3/14)，以及有关抑郁症诊断和治疗的其他临床培训（2/14）。
结论：被采访的参与者群受到地域多样性的限制，种族/民族,或练习设置。
结论：为促进青少年重度抑郁症的普遍常规筛查，儿科医生表示，解决筛查模式的关键实施因素非常重要，筛选有效性，时间限制,和初级保健服务背景下的保密护理问题。研究结果可用于制定实施策略，以促进初级保健中的抑郁症筛查。未来的研究需要定量评估儿科医生在实施普遍筛查以支持青少年心理健康时做出的决定和权衡。
