全科医生对抑郁护理障碍的看法：问卷的制定和验证。

General practitioners' perspectives on barriers to depression care: development and validation of a questionnaire.

机构信息

Primary Care Unit, Faculty of Medicine, University of Geneva, CMU - 1 rue Michel Servet, CH1211, Geneva, Switzerland.

Unit of Development and Research in Medical Education (UDREM), University of Geneva, Geneva, Switzerland.

出版信息

BMC Fam Pract. 2020 Aug 1;21(1):156. doi: 10.1186/s12875-020-01224-8.

DOI:10.1186/s12875-020-01224-8

PMID:32738899

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7395981/

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.

摘要

背景

全科医生（GP）在治疗抑郁症患者时经常感到挑战，并在提供最佳管理方面可能会遇到一些障碍。GP 对抑郁护理障碍的看法是一个日益关注的主题，但缺乏经过验证的评估工具。本研究的目的是开发和验证一种评估法国和瑞士法语区 GP 遇到的抑郁护理障碍（BDC-Q）的问卷。

方法

BDC-Q 通过五个步骤构建：项目开发、内容验证、预测试、测试阶段和重测信度。问卷项目通过文献检索生成。一个由 16 名全科医生（GP）和 3 名精神科医生组成的专家小组对内容进行了验证，20 名 GP 对问卷进行了预测试，以提供响应过程有效性证据。然后，我们在 116 名 GP 中测试了该问卷，并使用主成分分析和内部一致性测试（Cronbach's alpha）将其结构化为一致的维度。使用 Pearson 相关系数评估了 30 名至少间隔 2 周两次完成问卷的 GP 的重测信度。