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Published on: January 7, 2019
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Shared decision-making and the implementation of treatment recommendations for depression
Joanna Crawford1, Katherine Petrie2, Samuel B Harvey1
1Black Dog Institute, University of New South Wales, Hospital Rd, Randwick, NSW, 2031, Australia.
Patient Education and Counseling
|February 10, 2021
Summary
Shared decision-making (SDM) significantly increases the likelihood of patients implementing treatment recommendations in depression care. Patients involved in their treatment plans were over four times more likely to follow recommendations.
Area of Science:
- Psychiatry
- Mental Health Research
- Clinical Psychology
Background:
- Depression treatment adherence is crucial for patient outcomes.
- Shared decision-making (SDM) is increasingly recognized as a key component of patient-centered care.
Purpose of the Study:
- To investigate the association between SDM and the implementation of treatment recommendations among outpatients at a specialist Depression Clinic.
- To identify specific elements of SDM that influence treatment adherence.
Main Methods:
- A survey of 110 adult outpatients at a specialist Depression Clinic in Sydney, Australia.
- Assessed patient experiences of SDM during psychiatrist consultations.
- Measured the extent to which patients implemented treatment recommendations.
Main Results:
- Patients reporting high SDM were over four times more likely to implement treatment recommendations compared to those reporting low SDM.
- Key SDM elements associated with higher implementation included opportunities to ask questions, discuss side effects, and participate in treatment planning.
Conclusions:
- SDM is significantly linked to a greater likelihood of implementing psychiatrists' treatment recommendations in a specialist depression setting.
- Clinicians should be educated on SDM benefits and integrate it into treatment planning for depression.
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