Date Available


Year of Publication


Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Leslie Scott

Clinical Mentor

Dr. Cameron Stephenson

Committee Member

Dr. Jessica Wilson

Committee Member

Katie Walker


Background: Depression is a significant problem for adolescents with chronic health conditions. Prevalence rates are two to three times higher in adolescents with diabetes compared to adolescents without diabetes (Badescu et al., 2016). Routine depression screening is not transpiring at rates and frequency recommended by the American Diabetes Association for this population. Implementing use of the Patient Health Questionnaire for all adolescents over the age of twelve years with Type 1 & Type 2 Diabetes Mellitus during routine health visits may improve early identification and diagnosis of depression and improve long-term health outcomes.

Purpose: The goal of this project was to evaluate the implementation of an educational PowerPoint for a universal depression screening process of adolescents with diabetes being followed at the Barnstable Brown Diabetes Center.

Methods: Data was collected from the Electronic Health Records. The analysis was completed using IBM SPSS software to run a chi-square analysis test and t-test. These tests were used to assess change in proportion of charts with PHQ-9 screening before and after the education was completed as well as any changes in demographics during the pre and post period.

Results: Results of chi-square analysis showed a significant increase in PHQ-9 screening after the educational PowerPoint (p p >.05)

Conclusion: The results of the study showed that the number of screenings increased significantly between the pre and post period. The rate of screening increased by 38%. Further research is recommended to support additional resources in the clinic for universal screening.

Keywords: depression, diabetes, PHQ-9