Implementing electronic health record-based anxiety and depression screening in an epilepsy clinic: Theory-based implementation strategy and pre-post quantitative outcomes using Reach, Effectiveness, Adoption, Implementation, and Maintenance
This framework-based implementation strategy effectively increased screening rates by epilepsy specialists, though challenges remain, including variability across clinic team members and lower reach among older and non-white patients. This study describes a feasible strategy for epilepsy centers to use for improved performance on an American Academy of Neurology quality measure (depression and anxiety screening for patients with epilepsy).
Authors
- Mingyu Wan
- Heidi M. Munger Clary (ORCID: https://orcid.org/0000-0002-9889-8351)
- Kelly Conner (ORCID: https://orcid.org/0009-0008-7036-0593)
- Christina Marini (ORCID: https://orcid.org/0000-0002-5514-0858)
- Cormac A. O’Donovan (ORCID: https://orcid.org/0000-0001-9912-8116)
- Sabina B. Gesell (ORCID: https://orcid.org/0000-0002-1997-9816)
- Halley B. Alexander (ORCID: https://orcid.org/0000-0002-1785-1763)
- Maria Sam (ORCID: https://orcid.org/0009-0007-1798-8157)
- Jerryl Christopher
- Beverly M. Snively (ORCID: https://orcid.org/0000-0001-5276-2611)
- Jane Boggs
- Christian Robles
Institutions
- Wake Forest University (US)
- New York University (US)
Publication Details
- Journal
- Journal of Clinical and Translational Science
- Published
- 2025-01-01
- DOI
- https://doi.org/10.1017/cts.2025.74
- Citations
- 1
- Primary Topic
- Digital Mental Health Interventions
- Type
- article
- Field-Weighted Citation Impact
- 1.54
Funders
- University of Cambridge
- National Institutes of Health
- Agency for Healthcare Research and Quality