Implementation of the Generalized Anxiety Disorder 7-Item (Gad-7) in an Integrated Primary Care Setting
AuthorCurran, Brett N.
MetadataShow full item record
PublisherThe University of Arizona.
RightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
AbstractPurpose: The GAD-7 is an effective, validated tool that screens adults for generalized anxiety disorder, allowing for timely diagnosis, treatment initiation, and behavioral health referral. A quality improvement project was designed to educate primary care providers at an integrated, community health clinic on the indication, use, and interpretation of the GAD-7.Background: Generalized anxiety disorder is a common condition that can have widely detrimental effects. Consistent use of the GAD-7 in primary care settings can mitigate anxiety-related dysfunction, reducing tertiary care interventions, lowering spending, and improving patient outcomes. The GAD-7 facilitates measurement-based care, which optimizes diagnostic speed and accuracy, and facilitates high-quality care. The clinic implemented the GAD-7 as a standard of primary care to address gaps in anxiety assessment and integrative care practices. Methods: Twenty primary care providers were recruited through convenience sampling and educated during an in-service, evidence-based presentation. The participants completed pre- and post-intervention surveys that assessed existing and subsequent GAD-7 knowledge and use. Descriptive statistics were used to analyze and interpret the survey data. Results: Post-intervention, most participants reported that the GAD-7 would improve their ability to assess patients for anxiety and identify those who require further treatment. All participants reported that the GAD-7 would improve their ability to identify patients for behavioral health referral. Conclusions: The education presentation effectively improved GAD-7 knowledge and perception among the primary care providers. Increased provider knowledge enables successful GAD-7 implementation as part of routine, measurement-based care at the clinic. Continued GAD-7 use will improve outcomes for patients and the clinic, reducing a significant gap in integrative care delivery. Keywords: measurement-based care, generalized anxiety disorder, GAD-7
Degree ProgramGraduate College