Community Mental Health Journal

, Volume 49, Issue 2, pp 166–171

Uptake of Web-Based Clinical Resources from the MacArthur Initiative on Depression and Primary Care

  • Changsu Han
  • Corrine I. Voils
  • John W. WilliamsJr.
Brief Report


This study assessed the usability and desired enhancements for the MacArthur Foundation’s Depression and Primary Care (MDPC) Web site to determine if resources for integrated depression care that are disseminated through the Web site are incorporated into routine clinical care. Since its launch in 2003, more than 20,000 users registered as members of the MDPC website to read and download depression care resources. Subjects were randomly selected from MDPC Web site users who had previously downloaded the depression toolkit. Web-based survey, which was administered anonymously, included the following domains: (1) socio-demographic data, (2) confidence in managing depression (3) Web site content and design features, (4) desired enhancements to Web site and content, (5) use of resources downloaded from the Web site, and (6) importance of depression care resources. Of the 3,478 randomly selected participants, 666 (19.1%) responded. Web site content was rated “good” or “excellent” for screening and diagnosis (84.3%), treatment (69.8%), patient education (66.2%), and care management (66.9%). The Patient Health Questionnaire-9 (PHQ-9) was rated “very useful” by 68.3%; 47.1% reported using it in at least 25% of encounters with patients who are depressed. PHQ-9 use was significantly associated with higher self-confidence in managing depression (P = 0.05). Evidence-based resources for depression care can be disseminated effectively through a dedicated Web site and may help clinicians incorporate effective care models into routine practice.


Depression care Primary care Web-based medical information 

Copyright information

© Springer Science+Business Media, LLC (Outside the USA) 2011

Authors and Affiliations

  • Changsu Han
    • 1
    • 2
  • Corrine I. Voils
    • 4
  • John W. WilliamsJr.
    • 3
    • 4
  1. 1.Department of PsychiatryKorea University College of MedicineSeoulSouth Korea
  2. 2.Ansan citySouth Korea
  3. 3.Department of Psychiatry and Internal Medicine, Clinical Research Training ProgramDuke University Medical CenterDurhamUSA
  4. 4.Center for Health Services Research in Primary Care, Durham VAMCDuke University Medical CenterDurhamUSA

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