CONHCP: Doctor Of Nursing Practice Final PICOT-D Approval
The department has conducted a review of your PICOT-D question in an effort to support the development of your project. Please note that this review is a FINALAPPROVAL of the PICOT-D and will require permission by the DNP Program Lead for any changes to this statement beyond the date of this approved review. We highly discourage changes as they may prevent you from progressing.
PICOT-D Question: In the adolescent population with mental health problems in healthcare settings, how does PHQ-9 tool impact in-patient referrals to the mental health department for over 9 weeks?
In the adolescent population with mental health issues: To what degree would the implementation of the PHQ-9 depression screening tool increase the rate of referrals, as compared to current practices, among adolescents aged ______ years in a ________setting?

Are you an APRN? (mandatory question) I am an APRN having earned a graduate-level degree All projects must have a minimum of 3 original research studies to support the intervention. (One of the three original research articles to support your intervention need to come from the US or Canada). The other research studies can come from the UK, Denmark, India, New Zealand, or Australia (preferred) or from any of the 131 countries listed in the International Compilation of Human Research Standards 2020.
*** In DNP-955A You will be required to have a total of 15 research articles to support the intervention (3 from PICOT, plus other original research)
Original Research Articles (Use permalinks and attach a pdf copy of each of the quantitative original research articles):
Alvarez, C. (2022). Enhancing Depression Screening for the Adolescent Population in the Pediatric Emergency Department by Utilizing the Patient Health Questionnaire: A Quality Improvement Project. Retrieved from: https://digitalcommons.sacredheart.edu/cgi/viewcontent.cgi?article=1020&context=dnp_projects
Costantini, L., Pasquarella, C., Odone, A., Colucci, M. E., Costanza, A., Serafini, G., … & Amerio, A. (2021). Screening for depression in primary care with Patient Health Questionnaire-9 (PHQ-9): A systematic review. Journal of affective disorders, 279, 473-483.: retrieved from: https://air.unipr.it/bitstream/11381/2881953/1/1-s2.0-S0165032720328287-main.pdf
Nandakumar, A. L., Vande Voort, J. L., Nakonezny, P. A., Orth, S. S., Romanowicz, M., Sonmez, A. I., … & Croarkin, P. E. (2019). Psychometric properties of the patient health questionnaire-9 modified for major depressive disorder in adolescents. Journal of child and adolescent psychopharmacology, 29(1), 34-40. Retrieved from: Psychometric Properties of the Patient Health Questionnaire-9 Modified for Major Depressive Disorder in Adolescents – PMC (nih.gov)
IMPORTANT PLEASE STOP AND READ:
This is your Final Approved PICOT-D statement. Please maintain this copy and please include it in each course ISP going forward, in addition, this is the FINAL approved statement to be shared with all DNP course instructors going forward.
If you need to make a change to this PICOT-D statement, you must work with your current course instructor to review and approve any possible changes and your instructor must notify the DNP Program Lead. Making a change to your PICOT-D statement past this date may lead to your delay and success in this program, there must be a valid significant reason to change this PICOT-D statement going forward. It will require you to stop and re-gain permission prior to progressing. This final approval is tracked in CRM.

You may not begin your intervention or collect any data related to your project until you have GCU IRB approval, which typically occurs in 960A. Prior to your project courses, you will be working on designing a project in preparation for the submission of your proposal in 955A. Ensure you are accessing the resources in the DC network and in the classroom. You do not need to resubmit your PICOT to the department.

Congratulations on your work so far! We are so glad you have chosen Grand Canyon University.

THIS FINAL PICOT-D STATEMENT IS APPROVED.

_______________________________________________________Date: _____________________________
DNP PICOT-D REVIEWER Name/Credentials

“For it is God who works in you to will and to act in order to fulfill his good purpose.” (Philippians 2:13)
.
CONHCP: Doctor Of Nursing Practice Final PICOT-D Approval
The department has conducted a review of your PICOT-D question in an effort to support the development of your project. Please note that this review is a FINALAPPROVAL of the PICOT-D and will require permission by the DNP Program Lead for any changes to this statement beyond the date of this approved review. We highly discourage changes as they may prevent you from progressing.
PICOT-D Question: Among adolescents in an urban high school in TX, does the implementation of the Patient Health Questionnaire (PHQ-9) as translated from Sekhar et al.’s research impact the number of depression screenings and referrals when compared to current practice over eight weeks?
P-adolescents

I- measure depression levels using PHQ-9 tool as translated by

C- compared to current practice

O- identify depression in students and provide referrals to child psychologist

T- time frame to conduct project is eight weeks

Does the implementation of the translation of Sekhar et al.’s research on the Patient Health Questionnaire (PHQ-9) tool impact the depression screenings and referrals when compared to current practice among adolescents in an urban high school in Texas over eight weeks?

Are you an APRN? (mandatory question) I am an APRN having earned a graduate-level degree All projects must have a minimum of 3 original research studies to support the intervention. (One of the three original research articles to support your intervention need to come from the US or Canada). The other research studies can come from the UK, Denmark, India, New Zealand, or Australia (preferred) or from any of the 131 countries listed in the International Compilation of Human Research Standards 2020.
*** In DNP-955A You will be required to have a total of 15 research articles to support the intervention (3 from PICOT, plus other original research)
Original Research Articles (Use permalinks and attach a pdf copy of each of the quantitative original research articles):
Anand, P., Bhurji, N., Williams, N., & Desai, N. (2021). Comparison of PHQ-9 and PHQ-2 as screening tools for depression and school related stress in inner city adolescents. Journal of Primary Care & Community Health, 12, 21501327211053750. https://doi.org/10.1177/21501327211053750
Cartman, G. (2019). The impact of primary care on first mental health contact for children and adolescents: A population-based cross-sectional cohort study in Québec, Canada Available from ProQuest Dissertations & Theses Global: The Humanities and Social Sciences Collection https://search.proquest.com/docview/2519942782
KROENKE, K., SPITZER, R. L., & WILLIAMS, J. B. W. (2001). The PHQ-9-validity of a brief depression severity measure. Journal of General Internal Medicine : JGIM, 16(9), 606-613. https://doi.org/10.1046/J.1525-1497.2001.016009606.X
Sekhar, D. L., Schaefer, E. W., Waxmonsky, J. G., Walker-Harding, L. R., Pattison, K. L., Molinari, A., Rosen, P., & Kraschnewski, J. L. (2021). Screening in high schools to identify, evaluate, and lower depression among adolescents: A randomized clinical trial. JAMA Network Open, 4(11), e2131836. https://doi.org/10.1001/jamanetworkopen.2021.31836
IMPORTANT PLEASE STOP AND READ:
This is your Final Approved PICOT-D statement. Please maintain this copy and please include it in each course ISP going forward, in addition, this is the FINAL approved statement to be shared with all DNP course instructors going forward.
If you need to make a change to this PICOT-D statement, you must work with your current course instructor to review and approve any possible changes and your instructor must notify the DNP Program Lead. Making a change to your PICOT-D statement past this date may lead to your delay and success in this program, there must be a valid significant reason to change this PICOT-D statement going forward. It will require you to stop and re-gain permission prior to progressing. This final approval is tracked in CRM.

You may not begin your intervention or collect any data related to your project until you have GCU IRB approval, which typically occurs in 960A. Prior to your project courses, you will be working on designing a project in preparation for the submission of your proposal in 955A. Ensure you are accessing the resources in the DC network and in the classroom. You do not need to resubmit your PICOT to the department.

Congratulations on your work so far! We are so glad you have chosen Grand Canyon University.

THIS FINAL PICOT-D STATEMENT IS APPROVED.

_______________________________________________________Date: _____________________________
DNP PICOT-D REVIEWER Name/Credentials

“For it is God who works in you to will and to act in order to fulfill his good purpose.” (Philippians 2:13)

CONHCP: Doctor Of Nursing Practice Final PICOT-D Approval
The department has conducted a review of your PICOT-D question in an effort to support the development of your project. Please note that this review is a FINALAPPROVAL of the PICOT-D and will require permission by the DNP Program Lead for any changes to this statement beyond the date of this approved review. We highly discourage changes as they may prevent you from progressing.
PICOT-D Question: Among adolescents in an urban high school in TX, does the implementation of the Patient Health Questionnaire (PHQ-9) as translated from Sekhar et al.’s research impact the number of depression screenings and referrals when compared to current practice over eight weeks?
P-adolescents

I- measure depression levels using PHQ-9 tool as translated by

C- compared to current practice

O- identify depression in students and provide referrals to child psychologist

T- time frame to conduct project is eight weeks

Does the implementation of the translation of Sekhar et al.’s research on the Patient Health Questionnaire (PHQ-9) tool impact the depression screenings and referrals when compared to current practice among adolescents in an urban high school in Texas over eight weeks?

Are you an APRN? (mandatory question) I am an APRN having earned a graduate-level degree All projects must have a minimum of 3 original research studies to support the intervention. (One of the three original research articles to support your intervention need to come from the US or Canada). The other research studies can come from the UK, Denmark, India, New Zealand, or Australia (preferred) or from any of the 131 countries listed in the International Compilation of Human Research Standards 2020.
*** In DNP-955A You will be required to have a total of 15 research articles to support the intervention (3 from PICOT, plus other original research)
Original Research Articles (Use permalinks and attach a pdf copy of each of the quantitative original research articles):
Anand, P., Bhurji, N., Williams, N., & Desai, N. (2021). Comparison of PHQ-9 and PHQ-2 as screening tools for depression and school related stress in inner city adolescents. Journal of Primary Care & Community Health, 12, 21501327211053750. https://doi.org/10.1177/21501327211053750
Cartman, G. (2019). The impact of primary care on first mental health contact for children and adolescents: A population-based cross-sectional cohort study in Québec, Canada Available from ProQuest Dissertations & Theses Global: The Humanities and Social Sciences Collection https://search.proquest.com/docview/2519942782
KROENKE, K., SPITZER, R. L., & WILLIAMS, J. B. W. (2001). The PHQ-9-validity of a brief depression severity measure. Journal of General Internal Medicine : JGIM, 16(9), 606-613. https://doi.org/10.1046/J.1525-1497.2001.016009606.X
Sekhar, D. L., Schaefer, E. W., Waxmonsky, J. G., Walker-Harding, L. R., Pattison, K. L., Molinari, A., Rosen, P., & Kraschnewski, J. L. (2021). Screening in high schools to identify, evaluate, and lower depression among adolescents: A randomized clinical trial. JAMA Network Open, 4(11), e2131836. https://doi.org/10.1001/jamanetworkopen.2021.31836
IMPORTANT PLEASE STOP AND READ:
This is your Final Approved PICOT-D statement. Please maintain this copy and please include it in each course ISP going forward, in addition, this is the FINAL approved statement to be shared with all DNP course instructors going forward.
If you need to make a change to this PICOT-D statement, you must work with your current course instructor to review and approve any possible changes and your instructor must notify the DNP Program Lead. Making a change to your PICOT-D statement past this date may lead to your delay and success in this program, there must be a valid significant reason to change this PICOT-D statement going forward. It will require you to stop and re-gain permission prior to progressing. This final approval is tracked in CRM.

You may not begin your intervention or collect any data related to your project until you have GCU IRB approval, which typically occurs in 960A. Prior to your project courses, you will be working on designing a project in preparation for the submission of your proposal in 955A. Ensure you are accessing the resources in the DC network and in the classroom. You do not need to resubmit your PICOT to the department.

Congratulations on your work so far! We are so glad you have chosen Grand Canyon University.

THIS FINAL PICOT-D STATEMENT IS APPROVED.

_______________________________________________________Date: _____________________________
DNP PICOT-D REVIEWER Name/Credentials

“For it is God who works in you to will and to act in order to fulfill his good purpose.” (Philippians 2:13)

It appears that you have received approval for your Doctor of Nursing Practice (DNP) Final PICOT-D statement. Your PICOT-D question is focused on investigating the impact of the Patient Health Questionnaire (PHQ-9) depression screening tool on the rate of referrals to mental health departments among adolescents with mental health problems in a healthcare setting. The statement indicates that you will be required to use a minimum of 15 research articles to support your intervention, including at least 3 original research studies. The original research articles should come from the US or Canada or from one of the 131 countries listed in the International Compilation of Human Research Standards 2020.

It is important to note that any changes to your PICOT-D statement beyond the approved review date will require permission from your DNP Program Lead and may delay your progress in the program. You will also need to obtain approval from the GCU Institutional Review Board (IRB) before beginning your intervention or collecting data related to your project.

Please make sure to maintain a copy of the final approved PICOT-D statement and to include it in each of your course ISP going forward. Good luck with your project!

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