Antidepressant decision aid for major depressive disorder patients (ADAM): Development and pilot testing

Abousheishaa, Aya Ahmed and Mat Lazim, Nor Hazila and Tang, Song Ling and Sulaiman, Ahmad Hatim and Zaman Huri, Hasniza and Guan, Ng Chong (2022) Antidepressant decision aid for major depressive disorder patients (ADAM): Development and pilot testing. Patient Education and Counseling, 105 (7). pp. 2466-2474. ISSN 0738-3991, DOI https://doi.org/10.1016/j.pec.2021.11.007.

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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.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.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.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. Practice implications: Using the PtDA can support collaborative decision-making in routine clinical practice without extending the consultation time.(c) 2021 Elsevier B.V. All rights reserved.

Item Type: Article
Funders: Malaysian Ministry of Higher Education Fundamental Research Grant Scheme FP126-2020
Uncontrolled Keywords: Major depressive disorder; Depression; Collaborative care; Shared decision making; Patient-centered care; Antidepressant decision aid
Subjects: R Medicine > RS Pharmacy and materia medica
Divisions: Faculty of Medicine > Psychological Medicine Department
Faculty of Pharmacy > Department of Clinical Pharmacy and Pharmacy Practice
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 13 Oct 2023 06:31
Last Modified: 20 Oct 2023 03:10
URI: http://eprints.um.edu.my/id/eprint/41927

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