{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T05:00:52Z","timestamp":1764997252585,"version":"3.37.3"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,9,18]],"date-time":"2019-09-18T00:00:00Z","timestamp":1568764800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,9,18]],"date-time":"2019-09-18T00:00:00Z","timestamp":1568764800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"crossref","award":["APP101767"],"award-info":[{"award-number":["APP101767"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001774","name":"University of Sydney","doi-asserted-by":"crossref","award":["Cross Cultural Public Health Research Award"],"award-info":[{"award-number":["Cross Cultural Public Health Research Award"]}],"id":[{"id":"10.13039\/501100001774","id-type":"DOI","asserted-by":"crossref"}]},{"name":"George Institute for Global Health","award":["John Chalmers Program Grant Scholarship"],"award-info":[{"award-number":["John Chalmers Program Grant Scholarship"]}]},{"name":"National Heart Foundation","award":["Future Leader Fellowship 10034"],"award-info":[{"award-number":["Future Leader Fellowship 10034"]}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"crossref","award":["APP1056434"],"award-info":[{"award-number":["APP1056434"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["Career Development Fellowship, Level 2, APP1141328"],"award-info":[{"award-number":["Career Development Fellowship, Level 2, APP1141328"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001773","name":"University of New South Wales","doi-asserted-by":"publisher","award":["Scientia Fellowship (2018-2021)"],"award-info":[{"award-number":["Scientia Fellowship (2018-2021)"]}],"id":[{"id":"10.13039\/501100001773","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Public Health"],"published-print":{"date-parts":[[2019,12]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n The Getting it Right study determined the validity, sensitivity, specificity and acceptability of the culturally adapted 9-item Patient Health Questionnaire (aPHQ-9) as a screening tool for depression in Aboriginal and Torres Strait Islander (hereafter referred to as\u00a0Indigenous)\u00a0people. In this process evaluation we aimed to explore staff perceptions about whether Getting it Right was conducted per protocol, and if the aPHQ-9 was considered an acceptable and feasible screening tool for depression in primary healthcare. This process evaluation will provide information for clinicians and policy makers about the experiences of staff and patients with Getting it Right and what they thought about using the aPHQ-9.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Process evaluation using grounded theory approaches. Semi-structured interviews with primary healthcare staff from services participating in Getting it Right were triangulated with feedback (free-text and elicited) from participants collected\u00a0during the validation study and field notes. Data were thematically analysed according to the Getting it Right study protocol to identify the acceptability and feasibility of the aPHQ-9.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Primary healthcare staff (n<\/jats:italic>\u2009=\u200936) and community members (n<\/jats:italic>\u2009=\u20094) from nine of the ten participating Getting it Right services and Indigenous participants (n<\/jats:italic>\u2009=\u2009500) from the ten services\u00a0that took part. Most staff reported that the research was conducted according to the study protocol. Staff from two services reported sometimes recruiting opportunistically (rather than recruiting consecutive patients attending the service as outlined in the main study protocol), when they spoke to patients who they knew from previous interactions, because they perceived their previous relationship may increase the likelihood of patients participating. All Getting it Right participants responded to at least six of the seven feedback questions and 20% provided free-text feedback. Most staff said they would use the aPHQ-9 and most participants said that the questions were easy to understand (87%), the response categories made sense (89%) and that they felt comfortable answering the questions (91%).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Getting it Right was predominantly conducted according to the study protocol. The aPHQ-9, the first culturally adapted, nationally validated, freely available depression screening tool for use by Indigenous people, appears to be acceptable and feasible to use.<\/jats:p>\n <\/jats:sec>\n \n Trial registration<\/jats:title>\n Australian New Zealand Clinical Trial Registry ANZCTR12614000705684<\/jats:ext-link>, 03\/07\/2014.<\/jats:p>\n <\/jats:sec>","DOI":"10.1186\/s12889-019-7569-4","type":"journal-article","created":{"date-parts":[[2019,9,18]],"date-time":"2019-09-18T11:05:02Z","timestamp":1568804702000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Process evaluation of the Getting it Right study and acceptability and feasibility of screening for depression with the aPHQ-9"],"prefix":"10.1186","volume":"19","author":[{"name":"on behalf of the Getting it Right Investigators","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7013-1079","authenticated-orcid":false,"given":"Sara","family":"Farnbach","sequence":"first","affiliation":[]},{"given":"Graham","family":"Gee","sequence":"additional","affiliation":[]},{"given":"Anne-Marie","family":"Eades","sequence":"additional","affiliation":[]},{"given":"John Robert","family":"Evans","sequence":"additional","affiliation":[]},{"given":"Jamie","family":"Fernando","sequence":"additional","affiliation":[]},{"given":"Belinda","family":"Hammond","sequence":"additional","affiliation":[]},{"given":"Matty","family":"Simms","sequence":"additional","affiliation":[]},{"given":"Karrina","family":"DeMasi","sequence":"additional","affiliation":[]},{"given":"Nick","family":"Glozier","sequence":"additional","affiliation":[]},{"given":"Alex","family":"Brown","sequence":"additional","affiliation":[]},{"given":"Maree L.","family":"Hackett","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2019,9,18]]},"reference":[{"key":"7569_CR1","unstructured":"Australian Bureau of Statistics. 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All participants in the Getting it Right study and process evaluation completed written or verbal consent. The verbal consent process was established to accommodate participants with low literacy or for whom English was not their primary language. The verbal consent process required an independent person to be present during the reading aloud of the participant information sheet to the potential participant, and questions being asked and answered, during decisions whether to take part and when providing consent, if they chose to consent. This process was approved by all ethics committees.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not Applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1270"}}