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Table 2 Detection of Depression and Alcohol Use Disorder among chronic care patients in PRIME implementation clinics, Matlosana sub-district, Northwest Province, South Africa, 2014 & 2015

From: Evaluation of a collaborative care model for integrated primary care of common mental disorders comorbid with chronic conditions in South Africa

Disorder

Pre-implementation

Post-implementation

Detection difference (95% CI)a

a

Depression

 Screened

1310

1246

 

 Screen positive

106/1310

124/1246

 Detection data available c

102/106

116/124

 Detection-narrow*

6/102 (5.2)

19/116 (16.2)

+ 11.0 (3.3, 18.6)a

 Detection-broad**

14/102 (14.2)

31/116 (26.7)

+ 12.5 (1.9, 23.0)a

Alcohol use disorder

 Screened

1310

1246

 

 Screen positive

42/1310

62/1246

 Detection data available c

37/42

58/62

 Detection

0/37 (0.0)

8/58 (11.7)

11.7 (0.6, 22.8)b

b. Screen negative patients

 Screened

1310

1246

 Probable non-case d

1084/1310

996/1246

 Randomly Selected

118/1084

113/996

 Detection data available

110/118

109/113

Depression

 Detection-narrow e

1/110 (0.9)

2/109 (1.9)

 Detection-broad f

8/110 (6.7)

8/109 (7.5)

 Antidepressant prescribed

2/110 (1.6)

0/109 (0.0)

Alcohol use disorder

 Detection

2/110 (1.6)

0/109 (0.0)

  1. Counts are reported as observed, while proportions, differences, 95% confidence intervals and P-values are estimated with clinic-based weights
  2. aEstimated with binomial regression
  3. bEstimated as one-sample proportion
  4. cCompleted post-consultation exit questionnaire
  5. dScreen negative on PHQ-9 and AUDIT, and no depression symptoms over the past 12 months
  6. eReported diagnosis of depression
  7. fReported diagnosis or referral for psychosocial counselling
  8. *Reported diagnosis of depression
  9. **Reported diagnosis or referral for psychosocial counselling