Shared decision‐making in the primary care treatment of late‐life major depression: a needed new intervention?

Raue, Patrick J.; Schulberg, Herbert C.; Lewis‐Fernández, Roberto; Boutin‐Foster, Carla; Hoffman, Amy S.; Bruce, Martha L.

doi:10.1002/gps.2444

Cited by 25 publications

(20 citation statements)

References 121 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings on variables associated with such preferences shed light on the reluctance of subgroups of homecare patients to engage in active treatment. Given the positive impact of meeting patients' depression treatment preferences in primary care settings (15), and the potential value of shared decision-making interventions (38,39,40), such interventions may also be fruitfully investigated in the homecare setting. *(e.g.…”

Section: Discussionmentioning

confidence: 99%

Preferences for Depression Treatment Among Elderly Home Health Care Patients

Raue¹,

Weinberger²,

Sirey³

et al. 2011

Psychiatric Services

Self Cite

View full text Add to dashboard Cite

Objective-The authors hypothesized that the depression treatment preferences of elderly home care patients would vary by depression experience, with preferences for active treatments being associated with current depression and antidepressant treatment.Methods-The authors conducted cross sectional secondary analyses of the TRIAD ("Training in the Assessment of Depression") study of 256 randomly selected elderly patients newly admitted to homecare. The study assessed depression treatment preference for active (i.e., medication or psychotherapy) versus non-active or complementary approaches (e.g., religious activities, do nothing). Two separate indicators of depression experience were used: diagnoses of major or minor depression, and current or previous antidepressant treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

Preferences for Depression Treatment Among Elderly Home Health Care Patients

Raue¹,

Weinberger²,

Sirey³

et al. 2011

Psychiatric Services

Self Cite

View full text Add to dashboard Cite

show abstract

“…51,52 This theme therefore speaks not only to the need for decision support in clinical trials, but to the overall value of both collaborative care provision and shared decision-making in late-life depression treatment. 53 …”

Section: Discussionmentioning

confidence: 99%

Older Adults' Perspectives on Clinical Research: A Focus Group and Survey Study

Lenze

Ramsey

Brown

et al. 2016

The American Journal of Geriatric Psychiatry

View full text Add to dashboard Cite

Objectives Clinical trials can benefit from the patient perspectives to inform their design, such as choice of outcome measures. We engaged older adults in focus groups and surveys to get their perspective regarding needs in clinical research. The goal was to inform the development of a new clinical trial of medication strategies for treatment-resistant depression in older adults. Methods Older adults with depression participated in focus groups and a subsequent survey in St. Louis and New York. They were queried regarding research design features including outcomes, clinical management, mobile technology and iPad-administered assessments, the collection of DNA, and the receipt of their personal results. Results Patients told us: (1) psychological well-being and symptomatic remission are outcomes that matter to them; (2) it is important to measure not only benefits but risks (such as risk of falling) of medications; (3) for pragmatic trials in clinical settings, the research team should provide support to clinicians to ensure that medications are properly prescribed; (4) technology-based assessments are acceptable but there were concerns about data security and burden; (5) DNA testing is very important if it could improve precision care; (6) they want to receive aggregate findings and their own personal results at the end of the study. Conclusions Patients gave useful and wide-ranging guidance regarding clinical and comparative effectiveness research in older adults. We discuss these findings with the goal of making the next generation of geriatric studies more impactful and patient-centered.

show abstract

“…These key elements of SDM were also identified as being common themes within personal recovery narratives (Shepherd, Shorthouse, & Gask, 2014) and were thought to foster improvements in selfesteem, self-confidence and self-efficacy. In this way, shared decision making was viewed as being therapeutic in itself (Morant, Kaminskiy, & Ramon, 2015) and authors described how it can become an important part of the support offered by professionals, for example, by helping people who are depressed overcome feelings of helplessness (Raue et al, 2010).…”

Section: Sdm Is Empoweringmentioning

confidence: 99%

The rationale for shared decision making in mental health care: a systematic review of academic discourse

James

Quirk

2017

Mental Health Review Journal

View full text Add to dashboard Cite

Purpose: To identify and describe, in a systematic way, the various academic discourses on the rationale for SDM in mental health care, and so provide a comprehensive account of the ways in which this emerging field is being conceptualised in the research literature.Methodology: A systematic review of peer reviewed papers presenting a rationale for SDM in mental health. Relevant databases were searched from inception to July 2016. Data were analysed using a thematic analysis which aimed to identify and describe different discourses on the rationale for SDM in mental health care. Data were extracted into a standardised data extraction form which contained fields representing the developing thematic framework, study information and research methodology.Findings: Initial research returned 1616 papers, of which 175 were eligible for inclusion in this review. We developed ten distinct but interrelated themes which capture the various academic discourses on the rationale for SDM and represent some compelling arguments for SDM from a range of different perspectives including ethical, clinical, 'user' focussed, economic and political. Dominant narratives in the literature linked SDM to the recovery moment and person-centered care, and adherence and engagement with mental health services.Limitations: We are unable to make any conclusions about the strength of evidence for these rationales. Our review was restricted to peer reviewed publications, published in English.Implications: Our findings could be a useful framework to support the selection of outcome measures for SDM evaluations.Originality: There have been no systematic reviews published in this area previously.2

show abstract

Shared decision‐making in the primary care treatment of late‐life major depression: a needed new intervention?

Cited by 25 publications

References 121 publications

Preferences for Depression Treatment Among Elderly Home Health Care Patients

Preferences for Depression Treatment Among Elderly Home Health Care Patients

Older Adults' Perspectives on Clinical Research: A Focus Group and Survey Study

The rationale for shared decision making in mental health care: a systematic review of academic discourse

Contact Info

Product

Resources

About