General practitioners’ perspectives on barriers to depression care: development and validation of a questionnaire
Abstract Background General practitioners (GPs) regularly feel challenged by the care of depressed patients and may encounter several barriers in providing best management. GPs’ perspectives on barriers to depression care are a subject of growing interest but there is a lack of validated assessment...
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| Format: | Article |
| Language: | English |
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BMC
2020-08-01
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| Series: | BMC Family Practice |
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| Online Access: | http://link.springer.com/article/10.1186/s12875-020-01224-8 |
| _version_ | 1818233557500297216 |
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| author | Arun Senchyna Milena Abbiati Juliette Chambe Dagmar M. Haller Hubert Maisonneuve |
| author_facet | Arun Senchyna Milena Abbiati Juliette Chambe Dagmar M. Haller Hubert Maisonneuve |
| author_sort | Arun Senchyna |
| collection | DOAJ |
| description | Abstract Background General practitioners (GPs) regularly feel challenged by the care of depressed patients and may encounter several barriers in providing best management. GPs’ perspectives on barriers to depression care are a subject of growing interest but there is a lack of validated assessment tools. The aim of this study was to develop and validate a questionnaire assessing barriers to depression care (BDC-Q) encountered by GPs in France and the French-speaking part of Switzerland. Methods The BDC-Q was constructed in five steps: Item development, content validation, pretesting, testing phase and test-retest reliability. The questionnaire items were generated through a literature search. An expert panel of GPs (n = 16) and psychiatrists (n = 3) validated the content and 20 GPs pretested the questionnaire to provide response process validity evidence. We then tested the questionnaire among 116 GPs and used principal component analysis and internal consistency testing (Cronbach’s alpha) to structure it into consistent dimensions. Test-retest reliability using Pearson correlation coefficient was assessed with 30 GPs who completed the questionnaire twice after an interval of at least 2 weeks. Results The 25 items BDC-Q was structured in five dimensions: (i) provision of care by the general practitioner, (ii) considering patients’ attitudes towards depression, (iii) guidance for care, (iv) collaboration with mental health specialists and (v) access to mental health care. Conclusions The BDC-Q displays evidence of validity and reliability to meaningfully assess GPs’ perspectives on barriers to depression care. It can be used both at a practice level within a quality improvement strategy, and at a broader level, to inform health planners and tailor appropriate strategies to improve depression care in the community. |
| first_indexed | 2024-12-12T11:24:04Z |
| format | Article |
| id | doaj.art-4fe112f5a2eb4978ae9edcd51951cbfb |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-12-12T11:24:04Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-4fe112f5a2eb4978ae9edcd51951cbfb2022-12-22T00:25:57ZengBMCBMC Family Practice1471-22962020-08-012111810.1186/s12875-020-01224-8General practitioners’ perspectives on barriers to depression care: development and validation of a questionnaireArun Senchyna0Milena Abbiati1Juliette Chambe2Dagmar M. Haller3Hubert Maisonneuve4Primary Care Unit, Faculty of Medicine, University of GenevaUnit of Development and Research in Medical Education (UDREM), University of GenevaGeneral medicine department, Faculty of Medicine, University of StrasbourgPrimary Care Unit, Faculty of Medicine, University of GenevaPrimary Care Unit, Faculty of Medicine, University of GenevaAbstract Background General practitioners (GPs) regularly feel challenged by the care of depressed patients and may encounter several barriers in providing best management. GPs’ perspectives on barriers to depression care are a subject of growing interest but there is a lack of validated assessment tools. The aim of this study was to develop and validate a questionnaire assessing barriers to depression care (BDC-Q) encountered by GPs in France and the French-speaking part of Switzerland. Methods The BDC-Q was constructed in five steps: Item development, content validation, pretesting, testing phase and test-retest reliability. The questionnaire items were generated through a literature search. An expert panel of GPs (n = 16) and psychiatrists (n = 3) validated the content and 20 GPs pretested the questionnaire to provide response process validity evidence. We then tested the questionnaire among 116 GPs and used principal component analysis and internal consistency testing (Cronbach’s alpha) to structure it into consistent dimensions. Test-retest reliability using Pearson correlation coefficient was assessed with 30 GPs who completed the questionnaire twice after an interval of at least 2 weeks. Results The 25 items BDC-Q was structured in five dimensions: (i) provision of care by the general practitioner, (ii) considering patients’ attitudes towards depression, (iii) guidance for care, (iv) collaboration with mental health specialists and (v) access to mental health care. Conclusions The BDC-Q displays evidence of validity and reliability to meaningfully assess GPs’ perspectives on barriers to depression care. It can be used both at a practice level within a quality improvement strategy, and at a broader level, to inform health planners and tailor appropriate strategies to improve depression care in the community.http://link.springer.com/article/10.1186/s12875-020-01224-8DepressionGeneral practitionersPrimary careQuestionnaire |
| spellingShingle | Arun Senchyna Milena Abbiati Juliette Chambe Dagmar M. Haller Hubert Maisonneuve General practitioners’ perspectives on barriers to depression care: development and validation of a questionnaire BMC Family Practice Depression General practitioners Primary care Questionnaire |
| title | General practitioners’ perspectives on barriers to depression care: development and validation of a questionnaire |
| title_full | General practitioners’ perspectives on barriers to depression care: development and validation of a questionnaire |
| title_fullStr | General practitioners’ perspectives on barriers to depression care: development and validation of a questionnaire |
| title_full_unstemmed | General practitioners’ perspectives on barriers to depression care: development and validation of a questionnaire |
| title_short | General practitioners’ perspectives on barriers to depression care: development and validation of a questionnaire |
| title_sort | general practitioners perspectives on barriers to depression care development and validation of a questionnaire |
| topic | Depression General practitioners Primary care Questionnaire |
| url | http://link.springer.com/article/10.1186/s12875-020-01224-8 |
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