Table of Contents
International Journal of Family Medicine
Volume 2014, Article ID 845397, 7 pages
http://dx.doi.org/10.1155/2014/845397
Research Article

Tablet-Based Screening of Depressive Symptoms in Quito, Ecuador: Efficiency in Primary Care

1Universidad San Francisco de Quito, 17-1200-841 Quito, Ecuador
2University of Michigan, Ann Arbor, MI 48109, USA
3University of Michigan Depression Center, 4250 Plymouth Road, Ann Arbor, MI 48109, USA

Received 14 October 2013; Revised 1 January 2014; Accepted 2 January 2014; Published 17 February 2014

Academic Editor: Carolyn Chew-Graham

Copyright © 2014 Michelle Grunauer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Depression is a frequent yet overlooked occurrence in primary health care clinics worldwide. Depression and related health screening instruments are available but are rarely used consistently. The availability of technologically based instruments in the assessments offers novel approaches for gathering, storing, and assessing data that includes self-reported symptom severity from the patients themselves as well as clinician recorded information. In a suburban primary health care clinic in Quito, Ecuador, we tested the feasibility and utility of computer tablet-based assessments to evaluate clinic attendees for depression symptoms with the goal of developing effective screening and monitoring tools in the primary care clinics. We assessed individuals using the 9-item Patient Health Questionnaire, the Quick Inventory of Depressive Symptoms-Self-Report, the 12-item General Health Questionnaire, the Clinical Global Impression Severity, and a DSM-IV checklist of symptoms. We found that 20% of individuals had a PHQ9 of 8 or greater. There was good correlation between the symptom severity assessments. We conclude that the tablet-based PHQ9 is an excellent and efficient method of screening for depression in attendees at primary health care clinics and that one in five people should be assessed further for depressive illness and possible intervention.