Development of a Strategic Tool for Shared Decision-Making in the Use of Antidepressants among Patients with Major Depressive Disorder: A Focus Group Study

Zaini, Syahrir and Manivanna Bharathy, Harvin and Sulaiman, Ahmad Hatim and Gill, Jesjeet Singh and Koh, Ong Hui and Huri, Hasniza Zaman and Shamsudin, Siti Hadijah and Ng, Chong Guan (2018) Development of a Strategic Tool for Shared Decision-Making in the Use of Antidepressants among Patients with Major Depressive Disorder: A Focus Group Study. International Journal of Environmental Research and Public Health, 15 (7). p. 1402. ISSN 1660-4601, DOI https://doi.org/10.3390/ijerph15071402.

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Official URL: https://doi.org/10.3390/ijerph15071402

Abstract

Shared decision-making (SDM) has been recognized as an important tool in the mental health field and considered as a crucial component of patient-centered care. Therefore, the purpose of this study was to develop a strategic tool towards the promotion and implementation of SDM in the use of antidepressants among patients with major depressive disorder. Nineteen doctors and 11 major depressive disorder patients who are involved in psychiatric outpatient clinic appointments were purposively selected and recruited to participate in one of six focus groups in a large teaching hospital in Malaysia. Focus groups were transcribed verbatim and analyzed using a thematic approach to identify current views on providing information needed for SDM practice towards its implementation in near future. Patients’ and doctors’ views were organized into six major themes, which are; summary of treatment options, correct ways of taking medication, potential side effects of treatments related to patients, sharing of case study related to the treatment options, cost of treatment options, and input from pharmacist. The information may be included in the SDM tool which can be useful to inform further research efforts and developments that contribute towards the successful implementation of SDM into clinical practice.

Item Type: Article
Funders: University of Malaya Postgraduate Research Grant, PPP (PG310-2016A), International Islamic University Malaysia Research Initiative Grant Scheme, RIGS (RIGS16-124-0288)
Uncontrolled Keywords: shared decision-making; antidepressants; depression; focus group discussion
Subjects: R Medicine
R Medicine > RS Pharmacy and materia medica
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 28 Jan 2019 04:41
Last Modified: 28 Jan 2019 04:41
URI: http://eprints.um.edu.my/id/eprint/20196

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