How faithfully do HIV clinicians administer the PHQ-9 depression screening tool in high-volume low-resource clinics? Results from a depression treatment integration project in Malawi

摘要

Background.Integration of mental health services into nonspecialist settings is expanding in low and middle income countries (LMICs). Among many factors required for success, such programs require reliable administration of mental health screening tools. While several tools have been validated in carefully conducted research studies, few studies have assessed how reliably nonspecialist clinicians administer these tools to low-literacy LMIC populations in routine care.