Key result
A brief web-based screening and education program increased self-recognition of emotional disorders from 29.93% to 47.45% (aOR 2.28, p=0.002) among high-risk nonpsychiatric patients.
Why the study?
Low recognition and intervention rates of emotional disorders in nonpsychiatric clinical settings are linked to poor patient mental health awareness and scarce care resources.
Does a brief web-based screening plus health education improve mental health awareness and service-seeking attitudes in nonpsychiatric clinical patients?
Observational (n=2,065)
Yes
Does a brief web-based screening plus health education improve mental health awareness and service-seeking attitudes in nonpsychiatric clinical patients?
Odds Ratio: 2.28
Absolute Event Rate: 47.45% vs 29.93%
p-value: p=.002
A brief web-based screening and education program significantly improved mental health awareness and willingness to seek care among nonpsychiatric patients at high risk for emotional disorders.
May support web-based screening for emotional disorder awareness in nonpsychiatric care; leaves open need for RCTs to confirm service-seeking effects.
OBJECTIVES: Low recognition and intervention rates of emotional disorders among nonpsychiatric clinical patients are primarily attributable to poor mental health awareness of patients and a paucity of mental health care resources. This study aims to investigate the association of a resource-saving brief web-based emotional-disorder self-screening plus a health self-education program (BWBED-SS + HSE) with improved mental health awareness and service-seeking attitudes among nonpsychiatric clinical patients. METHOD: A sample of 2065 patients seeking health services in nonpsychiatric clinical settings underwent BWBED-SS + HSE using mobile terminals. Participants were defined as being at high risk of anxiety and/or depression according to the optimal cut-off point of ≥11 on the Huaxi emotional-distress index (HEI). RESULTS: The rate of participants at high risk of anxiety and/or depression was 6.63%. Following participation in the BWBED-SS + HSE, after controlling for demographics, type of hospital, and test time, the rates of participants considering themselves as having an emotional disorder and willing to seek mental health services among those at high risk of anxiety and/or depression increased from 29.93% to 47.45% (adjusted odds ratio [aOR] = 2.28, p = .002) and from 11.68% to 29.93% (aOR = 3.65, p < .001), respectively. CONCLUSIONS: The BWBED-SS + HSE were associated with improved mental health awareness and service-seeking attitudes among patients seeking nonpsychiatric clinical services in China.
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Kang et al. (2020) conducted an observational in Emotional disorders (anxiety and/or depression) (n=2,065). Brief web-based emotional-disorder self-screening plus health self-education program (BWBED-SS + HSE) vs. Pre-intervention baseline was evaluated on Considering themselves as having an emotional disorder among those at high risk (aOR 2.28, p=.002). A brief web-based screening and education program increased self-recognition of emotional disorders from 29.93% to 47.45% (aOR 2.28, p=0.002) among high-risk nonpsychiatric patients.
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