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Development of a brief screening method for identification of depression in older adults in Sub-Saharan Africa.
- Source :
- Aging & Mental Health; Jan 2022, Vol. 26 Issue 1, p40-47, 8p, 1 Diagram, 3 Charts, 1 Graph
- Publication Year :
- 2022
-
Abstract
- To develop a brief, culturally appropriate screening tool for identifying late life depression (LLD), for use by non-specialist clinicians in primary and out-patient care settings in sub-Saharan Africa (SSA). Depressive disorders are a leading contributor to the global health burden. LLD is common and cases will increase as populations' age, particularly in low- and middle-income countries (LMICs), such as those in SSA. A chronic mental health workforce shortage and the absence of culturally adapted LLD screening tools to aid non-specialist clinicians have contributed to a significant diagnostic gap. A systematic random sample of older people attending general medical clinics were interviewed using a 30-item LLD questionnaire, developed utilizing a Delphi consensus analysis of items from the Geriatric Depression Scale, Patient Health Questionnaire-2 and questions developed from a study of lay conceptualisations of depression in Tanzania. The items were assessed for validity against blinded DSM 5 diagnosis of depression by a research doctor. Factor and item analysis were then used to refine the questionnaire. The 12-item Maddison Old-age Scale for Identifying Depression (MOSHI-D) was developed. It has good internal consistency (Cronbach's α = 0.820) and construct and criterion validity (AUROC = 0.880). On initial evaluation, the MOSHI-D showed good internal validity. It should be easy for non-specialists to administer. External validation and further refinement will be conducted. A culturally-appropriate LLD screen may improve mental health care integration into existing healthcare settings within SSA and facilitate greater patient access to care, in accordance with current WHO strategy. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIAGNOSIS of mental depression
EXPERIMENTAL design
CULTURE
CONSENSUS (Social sciences)
MIDDLE-income countries
RESEARCH methodology
RESEARCH methodology evaluation
MEDICAL screening
PRIMARY health care
QUESTIONNAIRES
DESCRIPTIVE statistics
LOW-income countries
DATA analysis software
ALLIED health personnel
OUTPATIENT services in hospitals
DELPHI method
EVALUATION
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 13607863
- Volume :
- 26
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Aging & Mental Health
- Publication Type :
- Academic Journal
- Accession number :
- 154318728
- Full Text :
- https://doi.org/10.1080/13607863.2020.1857696