RT Journal Article
SR Electronic
T1 Integrating mental and physical health assessment in a neuro-otology clinic: feasibility, acceptability, associations and prevalence of common mental health disorders
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 61
OP 66
DO 10.7861/clinmed.2019-0156
VO 20
IS 1
A1 David Herdman
A1 Helen Sharma
A1 Anna Simpson
A1 Louisa Murdin
YR 2020
UL http://www.rcpjournals.org/content/20/1/61.abstract
AB People with persistent physical symptoms are at risk of psychological symptoms, although recognition in medical settings is low. This is a retrospective observational study of 954 patients in a hospital outpatient neuro-otology clinic in order to assess the feasibility and acceptability of an electronic informatics system for collection of patient-reported outcomes, with real-time feedback to guide clinical care and describe the prevalence of anxiety and depressive symptoms.The proportion of patients successfully completing the screen was high (70%). The decline rate was low (5%). The most common reason to decline was lack of confidence with technology. The prevalence of probable depression was 21% and for probable anxiety was 29%. Suicidal ideation was present in 5%. Anxiety and depression were highly correlated to dizziness specific outcome measures (p<0.01).Electronic screening is feasible and acceptable to patients and staff in this setting, helping to identify service needs, inform care and monitor outcomes.