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Antidepressant decision aid for major depressive disorder patients (ADAM): Development and pilot testing.
- Source :
-
Patient education and counseling [Patient Educ Couns] 2022 Jul; Vol. 105 (7), pp. 2466-2474. Date of Electronic Publication: 2021 Nov 20. - Publication Year :
- 2022
-
Abstract
- Objectives: This 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.<br />Methods: The 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.<br />Results: The 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.<br />Conclusions: We developed an antidepressant PtDA for Malaysian patients with MDD that increases patients' involvement in shared decision making and enhances their preparedness for decision making.<br />Practice Implications: Using the PtDA can support collaborative decision-making in routine clinical practice without extending the consultation time.<br /> (Copyright © 2021 Elsevier B.V. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1873-5134
- Volume :
- 105
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Patient education and counseling
- Publication Type :
- Academic Journal
- Accession number :
- 34844812
- Full Text :
- https://doi.org/10.1016/j.pec.2021.11.007