WONCA Management of MDD in Primary Care Survey

This is a survey to understand the real-world status and gaps in managing patients with major depressive disorder (MDD) in the primary care setting. Your honest opinion in answering the following questions would be highly appreciated.

For most questions, you will answer it on a scale of 1 to 5, please rate how true the following statements are for you, with 1 being not true at all and 5 being completely true.

Some questions would require a Yes or No while one question would ask you to estimate.

This survey is entirely confidential and anonymous. Thank you in advance for your time to complete the questions.

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* 1. My primary care practice is in (country):

Other (please specify)

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* 2. I have been a practicing primary care/family physician for:

1–4 years

5–9 years

10+ years

Patient journey

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* 3. Please rate how true the following statements are for you.

	Never 1	Rarely 2	Sometimes 3	Very often 4	Always 5	N/A
In my health service system, patients with MDD will consult a primary care physician first before seeing a psychiatrist.	In my health service system, patients with MDD will consult a primary care physician first before seeing a psychiatrist. Never 1	In my health service system, patients with MDD will consult a primary care physician first before seeing a psychiatrist. Rarely 2	In my health service system, patients with MDD will consult a primary care physician first before seeing a psychiatrist. Sometimes 3	In my health service system, patients with MDD will consult a primary care physician first before seeing a psychiatrist. Very often 4	In my health service system, patients with MDD will consult a primary care physician first before seeing a psychiatrist. Always 5	In my health service system, patients with MDD will consult a primary care physician first before seeing a psychiatrist. N/A
In my health service system, patients with MDD are generally managed by primary care physicians.	In my health service system, patients with MDD are generally managed by primary care physicians. Never 1	In my health service system, patients with MDD are generally managed by primary care physicians. Rarely 2	In my health service system, patients with MDD are generally managed by primary care physicians. Sometimes 3	In my health service system, patients with MDD are generally managed by primary care physicians. Very often 4	In my health service system, patients with MDD are generally managed by primary care physicians. Always 5	In my health service system, patients with MDD are generally managed by primary care physicians. N/A
Patients with MDD have tried different non-pharmacological interventions before seeing a primary care physician.	Patients with MDD have tried different non-pharmacological interventions before seeing a primary care physician. Never 1	Patients with MDD have tried different non-pharmacological interventions before seeing a primary care physician. Rarely 2	Patients with MDD have tried different non-pharmacological interventions before seeing a primary care physician. Sometimes 3	Patients with MDD have tried different non-pharmacological interventions before seeing a primary care physician. Very often 4	Patients with MDD have tried different non-pharmacological interventions before seeing a primary care physician. Always 5	Patients with MDD have tried different non-pharmacological interventions before seeing a primary care physician. N/A
Patients with MDD have tried different antidepressant medications before seeing a primary care physician.	Patients with MDD have tried different antidepressant medications before seeing a primary care physician. Never 1	Patients with MDD have tried different antidepressant medications before seeing a primary care physician. Rarely 2	Patients with MDD have tried different antidepressant medications before seeing a primary care physician. Sometimes 3	Patients with MDD have tried different antidepressant medications before seeing a primary care physician. Very often 4	Patients with MDD have tried different antidepressant medications before seeing a primary care physician. Always 5	Patients with MDD have tried different antidepressant medications before seeing a primary care physician. N/A
Patients with MDD often have comorbid medical illness, eg, hypertension, obesity.	Patients with MDD often have comorbid medical illness, eg, hypertension, obesity. Never 1	Patients with MDD often have comorbid medical illness, eg, hypertension, obesity. Rarely 2	Patients with MDD often have comorbid medical illness, eg, hypertension, obesity. Sometimes 3	Patients with MDD often have comorbid medical illness, eg, hypertension, obesity. Very often 4	Patients with MDD often have comorbid medical illness, eg, hypertension, obesity. Always 5	Patients with MDD often have comorbid medical illness, eg, hypertension, obesity. N/A

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* 4. Please rate to what extent you agree with the following statements.

	Strongly disagree 1	Disagree 2	Undecided 3	Agree 4	Strongly agree 5	N/A
Patients are comfortable talking about their depression problems with their primary care physicians.	Patients are comfortable talking about their depression problems with their primary care physicians. Strongly disagree 1	Patients are comfortable talking about their depression problems with their primary care physicians. Disagree 2	Patients are comfortable talking about their depression problems with their primary care physicians. Undecided 3	Patients are comfortable talking about their depression problems with their primary care physicians. Agree 4	Patients are comfortable talking about their depression problems with their primary care physicians. Strongly agree 5	Patients are comfortable talking about their depression problems with their primary care physicians. N/A
Patient education is an important aspect when treating patients with MDD.	Patient education is an important aspect when treating patients with MDD. Strongly disagree 1	Patient education is an important aspect when treating patients with MDD. Disagree 2	Patient education is an important aspect when treating patients with MDD. Undecided 3	Patient education is an important aspect when treating patients with MDD. Agree 4	Patient education is an important aspect when treating patients with MDD. Strongly agree 5	Patient education is an important aspect when treating patients with MDD. N/A

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* 5. Based on physician-assessed severity, from a total of 100%, what % of your patients with MDD belongs to the mild, moderate and severe categories?

Mild %

Moderate %

Severe %

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* 6. On average, the time from first onset of MDD to the patient being diagnosed by a doctor is:

0–3 months

4–6 months

7–12 months

1–2 years

3+ years

Updates and training about MDD for primary care physicians

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* 7. Please indicate the availability of the following in your area.

	Never 1	Seldom 2	Sometimes 3	Often 4
Screening and diagnosing depression in my primary care clinic	Screening and diagnosing depression in my primary care clinic Never 1	Screening and diagnosing depression in my primary care clinic Seldom 2	Screening and diagnosing depression in my primary care clinic Sometimes 3	Screening and diagnosing depression in my primary care clinic Often 4
How to start pharmacological treatment	How to start pharmacological treatment Never 1	How to start pharmacological treatment Seldom 2	How to start pharmacological treatment Sometimes 3	How to start pharmacological treatment Often 4
How to start non-pharmacological interventions	How to start non-pharmacological interventions Never 1	How to start non-pharmacological interventions Seldom 2	How to start non-pharmacological interventions Sometimes 3	How to start non-pharmacological interventions Often 4
Antidepressants pharmacology	Antidepressants pharmacology Never 1	Antidepressants pharmacology Seldom 2	Antidepressants pharmacology Sometimes 3	Antidepressants pharmacology Often 4
How to assess treatment response	How to assess treatment response Never 1	How to assess treatment response Seldom 2	How to assess treatment response Sometimes 3	How to assess treatment response Often 4
How to assess and follow-up	How to assess and follow-up Never 1	How to assess and follow-up Seldom 2	How to assess and follow-up Sometimes 3	How to assess and follow-up Often 4
When to refer to a specialist	When to refer to a specialist Never 1	When to refer to a specialist Seldom 2	When to refer to a specialist Sometimes 3	When to refer to a specialist Often 4

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* 8. I am interested in learning more about diagnosing and managing MDD

Strongly agree

Agree

Undecided

Disagree

Strongly disagree

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* 9. How likely would you be willing to finish an online course about MDD containing the topics above?

Very likely

Likely

Somewhat likely

Not likely

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* 10. How much time would you be happy to spend on online learning about MDD per week?

15–30 min

30 min to <1 hour

1–1.5 hours

>1.5 hours

Physician

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* 11. Please rate to what extent you agree with the following statements.

	Strongly disagree 1	Disagree 2	Undecided 3	Agree 4	Strongly agree 5	N/A
I can confidently diagnose MDD.	I can confidently diagnose MDD. Strongly disagree 1	I can confidently diagnose MDD. Disagree 2	I can confidently diagnose MDD. Undecided 3	I can confidently diagnose MDD. Agree 4	I can confidently diagnose MDD. Strongly agree 5	I can confidently diagnose MDD. N/A
I am familiar with screening tools used for MDD.	I am familiar with screening tools used for MDD. Strongly disagree 1	I am familiar with screening tools used for MDD. Disagree 2	I am familiar with screening tools used for MDD. Undecided 3	I am familiar with screening tools used for MDD. Agree 4	I am familiar with screening tools used for MDD. Strongly agree 5	I am familiar with screening tools used for MDD. N/A
I am familiar with non-pharmacological interventions for MDD.	I am familiar with non-pharmacological interventions for MDD. Strongly disagree 1	I am familiar with non-pharmacological interventions for MDD. Disagree 2	I am familiar with non-pharmacological interventions for MDD. Undecided 3	I am familiar with non-pharmacological interventions for MDD. Agree 4	I am familiar with non-pharmacological interventions for MDD. Strongly agree 5	I am familiar with non-pharmacological interventions for MDD. N/A
I am familiar with antidepressant medications.	I am familiar with antidepressant medications. Strongly disagree 1	I am familiar with antidepressant medications. Disagree 2	I am familiar with antidepressant medications. Undecided 3	I am familiar with antidepressant medications. Agree 4	I am familiar with antidepressant medications. Strongly agree 5	I am familiar with antidepressant medications. N/A
I know how to assess response to treatment among patients with MDD	I know how to assess response to treatment among patients with MDD Strongly disagree 1	I know how to assess response to treatment among patients with MDD Disagree 2	I know how to assess response to treatment among patients with MDD Undecided 3	I know how to assess response to treatment among patients with MDD Agree 4	I know how to assess response to treatment among patients with MDD Strongly agree 5	I know how to assess response to treatment among patients with MDD N/A
Treatment guidelines are important when managing major depressive disorder.	Treatment guidelines are important when managing major depressive disorder. Strongly disagree 1	Treatment guidelines are important when managing major depressive disorder. Disagree 2	Treatment guidelines are important when managing major depressive disorder. Undecided 3	Treatment guidelines are important when managing major depressive disorder. Agree 4	Treatment guidelines are important when managing major depressive disorder. Strongly agree 5	Treatment guidelines are important when managing major depressive disorder. N/A
I know when to refer a patient with MDD to a counselor and/or psychiatrist.	I know when to refer a patient with MDD to a counselor and/or psychiatrist. Strongly disagree 1	I know when to refer a patient with MDD to a counselor and/or psychiatrist. Disagree 2	I know when to refer a patient with MDD to a counselor and/or psychiatrist. Undecided 3	I know when to refer a patient with MDD to a counselor and/or psychiatrist. Agree 4	I know when to refer a patient with MDD to a counselor and/or psychiatrist. Strongly agree 5	I know when to refer a patient with MDD to a counselor and/or psychiatrist. N/A