Feasibility and Effectiveness of the Implementation of Anxiety Screening for Adolescents in a Primary Care Setting.
| Autor: | Soliman M; Family Medicine, University of Pittsburgh Medical Center Pinnacle, Lititz, USA., Petrovic-Dovat L; Psychiatry and Behavioral Health, Penn State College of Medicine, Hershey, USA., Logan JM; Psychiatry and Behavioral Health, Penn State College of Medicine, Hershey, USA., Fogel BN; Pediatrics, Penn State College of Medicine, Hershey, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Jul 12; Vol. 16 (7), pp. e64409. Date of Electronic Publication: 2024 Jul 12 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.64409 |
| Abstrakt: | The United States Preventive Services Task Force recommended routine anxiety screening for children and adolescents in 2022. This study describes the feasibility of routine anxiety screening in a primary care practice. It further examines the effects of routine anxiety screening on anxiety diagnoses and provider behavior in a setting in which anxiety screening was implemented five years in advance of the national guidelines. During the first year of implementation, approximately 80% of patients were screened, and 17% of screens were positive. A retrospective chart review of patients with positive screens found that the majority of positive screens led to a new diagnosis of anxiety and that half of newly diagnosed patients were prescribed an intervention. Screening was associated with an increase in diagnoses of anxiety disorders in the studied population from 9.6% to 13.3% (p<0.0001). Following the initial implementation, screening rates continued to rise, with an eventual plateau of >90%. Anxiety screening in the pediatric primary care setting is feasible and sustainable and led to increased provider recognition of anxiety and meaningful clinical action. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Soliman et al.) |
| Databáze: | MEDLINE |
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