TY - JOUR
AU - A. Radovic
AU - C. Farris
AU - K. Reynolds
AU - E. C. Reis
AU - E. Miller
AU - B. D. Stein
A1 - 
AB - OBJECTIVE: Only one-third of US adolescents with depression obtain treatment for depression. Teen and parent barriers differ, but both contribute to low treatment rates. Primary care providers (PCPs) may be able to elicit and address such barriers, but little is known about their perceptions of teen and parent barriers, and whether they recognize these differences. METHODS: We administered a survey to 58 PCPs assessing their perceptions of the importance of specific barriers to depression care for teens and parents using McNemar's test to examine differences. RESULTS: Most PCPs believed barriers for parents included difficulty making appointments, worry about what others would think, and cost. PCPs believed barriers for teens included not wanting treatment and worry about what others would think. PCPs believed parents and teens differed in the extent to which they would perceive cost, difficulty in making appointments, and not wanting care as a barrier (p < .001). CONCLUSIONS: Primary care providers recognize that teens and parents have different barriers to care, but may have discordant perceptions of the importance of certain barriers for teens and their parents. PCPs may need to probe parents and teens individually about barriers, which impede depression care to enhance shared decision making and treatment uptake.
BT - Journal of developmental and behavioral pediatrics : JDBP
C5 - Healthcare Disparities
CP - 8
CY - United States
DO - 10.1097/DBP.0000000000000089
IS - 8
JF - Journal of developmental and behavioral pediatrics : JDBP
N2 - OBJECTIVE: Only one-third of US adolescents with depression obtain treatment for depression. Teen and parent barriers differ, but both contribute to low treatment rates. Primary care providers (PCPs) may be able to elicit and address such barriers, but little is known about their perceptions of teen and parent barriers, and whether they recognize these differences. METHODS: We administered a survey to 58 PCPs assessing their perceptions of the importance of specific barriers to depression care for teens and parents using McNemar's test to examine differences. RESULTS: Most PCPs believed barriers for parents included difficulty making appointments, worry about what others would think, and cost. PCPs believed barriers for teens included not wanting treatment and worry about what others would think. PCPs believed parents and teens differed in the extent to which they would perceive cost, difficulty in making appointments, and not wanting care as a barrier (p < .001). CONCLUSIONS: Primary care providers recognize that teens and parents have different barriers to care, but may have discordant perceptions of the importance of certain barriers for teens and their parents. PCPs may need to probe parents and teens individually about barriers, which impede depression care to enhance shared decision making and treatment uptake.
PP - United States
PY - 2014
SN - 1536-7312; 0196-206X
SP - 534
EP - 538
EP - 
T1 - Primary care providers' beliefs about teen and parent barriers to depression care
T2 - Journal of developmental and behavioral pediatrics : JDBP
TI - Primary care providers' beliefs about teen and parent barriers to depression care
U1 - Healthcare Disparities
U2 - 25098692
U3 - 10.1097/DBP.0000000000000089
VL - 35
VO - 1536-7312; 0196-206X
Y1 - 2014
ER -