Antidepressant decision aid for major depressive disorder patients (ADAM): Development and pilot testing |
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| Affiliation: | 1. Department of Psychological Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia;2. Faculty of Languages and Linguistics, University of Malaya, Kuala Lumpur, Malaysia;3. Faculty of Pharmacy, University of Malaya, Kuala Lumpur, Malaysia;1. Dept. of Population Health Sciences, Division of Health Informatics, Weill Cornell Medical College, New York, NY, USA;2. Department of Pediatrics, Weill Cornell Medical College, New York, NY, USA;3. Department of Biomedical Informatics, Columbia University, New York, NY, USA;4. Weill Cornell Medicine Samuel J Wood Library, New York, NY, USA;5. Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA;1. University of Kansas School of Medicine, Department of Population Health, Kansas City, KS USA;2. University of Kansas School of Nursing, Kansas City, KS USA;1. Allied Health and Human Performance, University of South Australia, Adelaide, Australia;2. Alliance for Research in Exercise, Nutrition and Activity, University of South Australia, Adelaide, Australia;3. Cancer Research Institute, University of South Australia, Adelaide, Australia;4. Department of Physics, University of Adelaide, Adelaide, Australia;5. Cancer Centre, Royal Adelaide Hospital, Adelaide, Australia;1. Psycho-Oncology Co-operative Research Group (PoCoG), Level 6 (North) Lifehouse (C36Z), School of Psychology, University of Sydney, Sydney 2006 Australia;2. School of Public Health, University of Sydney, 2006 Sydney, Australia;3. Cancer Theme, Garvan Institute of Medical Research, 384 Victoria St, Darlinghurst, NSW 2010, Australia;4. St Vincent’s Clinical School, University of NSW, Sydney, Australia;5. School of Psychology, University of Sydney, Sydney 2006, Australia;6. Psychosocial Research Group, Prince of Wales Clinical School, University of NSW, Sydney 2052, Australia;7. Dept of Medical Oncology, Prince of Wales Hospital, 320-346 Barker St, Randwick, NSW 2031, Australia;8. Newborn Screening, Ethics and Disability Studies, RTI International, Washington, DC, USA;1. University of Newcastle, Department of Rural Health, Tamworth, NSW 2340, Australia;2. Hunter New England Local Health District, Tamworth, NSW 2340, Australia;3. Rheumatology Practice, Tamworth, NSW 2340, Australia |
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| Abstract: | ObjectivesThis study aimed to develop and assess the effectiveness of an encounter decision aid for Malaysian patients with MDD to support treatment decision-making during the consultation.MethodsThe decision aid prototype was developed following a literature review and six focus groups. Alpha testing assessed its comprehensibility, acceptability, usability and desirability through user-centered cognitive interviews. Beta-testing evaluated preliminary evidence on its efficacy using the SDM Scale and PDMS. Feasibility was assessed by timing the consultation.ResultsThe alpha testing demonstrated that the decision aid was patient-oriented, comprehensible, comprehensive, concise and objective with an appealing design. Beta-testing indicated that PtDA significantly increased patients satisfaction with SDM from patients' [83.32 (13.92) vs 85.76 (13.80); p < 0.05] and physicians' [81.07 (10.09) vs 86.36 (10.10); p < 0.05] perspectives and prepared the patients for decision making from the patients' [PDMS patients: 84.10 (12.69)] and physicians' [PDMS physicians: 83.78 (16.62)] perspectives as well. There was no change in the consultation time between the control and the intervention groups.ConclusionsWe developed an antidepressant PtDA for Malaysian patients with MDD that increases patients’ involvement in shared decision making and enhances their preparedness for decision making.Practice implicationsUsing the PtDA can support collaborative decision-making in routine clinical practice without extending the consultation time. |
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| Keywords: | Major depressive disorder Depression Collaborative care Shared decision making Patient-centered care Antidepressant decision aid |
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