制定决策支持工具,以指导双极性抑郁症治疗的共享决策:临床医生和有实践经验的人之间的合作结果
Manuel Fuentes-Salgado1,2, Manuel Gardea-Resendez2,3, Andrew Smith4
1Department of Neurology & Psychiatry and Adolescence Unit, Clínica Alemana, Santiago, Chile.
Bipolar disorders
|June 10, 2025
概括
这项研究通过将临床证据与患者经验相结合,开发了一种共享决策 (SDM) 工具,用于治疗双极性抑郁症. 该工具旨在改善患者和临床医生之间的协作对话.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 医疗信息学 医疗信息学
- 以患者为中心的护理
背景情况:
- 双极性抑郁症治疗涉及药物,神经调节和心理治疗选择的复杂选择.
- 现有的决策过程可能无法充分整合临床证据与患者生活经验.
- 需要工具来促进对双极性抑郁症的知情,协作治疗讨论.
研究的目的:
- 在不同利益相关者之间就共享决策 (SDM) 工具的内容和数字特征达成共识.
- 引导患者与临床医生就双极性抑郁症的治疗选择进行协作对话.
- 开发一个以患者为中心的资源,整合临床证据和现实世界的偏好.
主要方法:
- 一项叙述性审查确定了21种基于证据的双极性抑郁症治疗方法,评估了有效性,副作用,监测和成本.
- 心理健康临床医生委员会和有双相情感障碍生活经验的个人告知了SDM工具的内容.
- 对利益关方投入的专题分析指导了基于网络的SDM工具的人口.
主要成果:
- 审查了21种治疗方案,并向四个利益相关者委员会提交.
- 确定了每个干预措施的12个关键成果,以便纳入SDM工具.
- 详细描述了开发过程和由此产生的基于Web的SDM工具.
结论:
- 这个倡议代表了临床医生和有实践经验的个人之间的新合作,以创建以患者为中心的SDM工具.
- 该工具旨在将临床证据与实际应用以及患者在临床接触中使用的偏好联系起来.
- 未来的步骤包括以人为中心的设计改进,在临床环境中进行测试,以及对实施的严格评估.
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