Implementation of a brief anxiety assessment and evaluation in a department of Veterans Affairs geriatric primary care clinic

Gould, Christine E., Beaudreau, Sherry A., Gullickson, Gail, Tenover, J. Lisa, Bauer, Elizabeth A. and Huh, J. W. Terri (2016) Implementation of a brief anxiety assessment and evaluation in a department of Veterans Affairs geriatric primary care clinic. Journal of Rehabilitation Research and Development, 53 3: 335-344. doi:10.1682/JRRD.2014.10.0258


Author Gould, Christine E.
Beaudreau, Sherry A.
Gullickson, Gail
Tenover, J. Lisa
Bauer, Elizabeth A.
Huh, J. W. Terri
Title Implementation of a brief anxiety assessment and evaluation in a department of Veterans Affairs geriatric primary care clinic
Journal name Journal of Rehabilitation Research and Development   Check publisher's open access policy
ISSN 1938-1352
0748-7711
Publication date 2016
Year available 2016
Sub-type Article (original research)
DOI 10.1682/JRRD.2014.10.0258
Open Access Status DOI
Volume 53
Issue 3
Start page 335
End page 344
Total pages 10
Place of publication Baltimore, MD, United States
Publisher U.S. Department of Veterans Affairs * Veterans Health Administration
Collection year 2017
Language eng
Formatted abstract
Anxiety disorders are common and debilitating in older individuals, yet anxiety is often not formally assessed in primary care. We conducted a quality improvement project to examine the feasibility of implementing a brief anxiety assessment, the Geriatric Anxiety Inventory (GAI), in a Department of Veterans Affairs geriatric primary care clinic. We compared the GAI with a depression assessment, the 15-item Geriatric Depression Scale (GDS-15). Fifty older Veterans (mean age = 78.5 +/– 7.4 yr) completed the GAI and GDS-15. Mean completion time and feedback to patients was brief (6.20 min; n = 10). Good internal consistency (alpha = 0.82) was found for GAI scores. Patients with psychiatric diagnoses obtained significantly higher GAI scores (mean = 4.73 +/– 1.15) compared with patients without psychiatric diagnoses (mean = 1.15 +/– 1.86, t(11.46) = –3.10, p = 0.01). Findings suggest that the GAI is acceptable to patients but may not be suitable for differentiating anxiety symptoms or disorders from depression. Interdisciplinary team members continued to implement the GAI after project completion to screen for and track anxiety symptoms in our geriatric primary care patients. Detecting anxiety with the GAI had the benefit of allowing providers to initiate conversations about available treatments and track symptoms as part of noting treatment progress
Keyword Anxiety disorder
Anxious
Depression
Mental health
Older adults
Program evaluation
Psychiatric
Quality improvement
Screening
Veteran
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Psychology Publications
 
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