Depressed patients' perceptions of depression treatment decision-making.
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Depressed patients' perceptions of depression treatment decision-making. / Simon, Daniela; Loh, Andreas; Wills, Celia E; Härter, Martin.
in: HEALTH EXPECT, Jahrgang 10, Nr. 1, 1, 2007, S. 62-74.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Depressed patients' perceptions of depression treatment decision-making.
AU - Simon, Daniela
AU - Loh, Andreas
AU - Wills, Celia E
AU - Härter, Martin
PY - 2007
Y1 - 2007
N2 - OBJECTIVE: Little is known about the feasibility and effects of patient-clinician shared decision-making (SDM) for depression treatment. Within a goal of informing the design of a SDM intervention, the objective of this study was to investigate depressed patients' perceptions of the treatment decision-making process with general practitioners (GPs). SETTING AND PARTICIPANTS: Data were gathered from a convenience sample of 40 depressed patients to understand key aspects of treatment decision-making from the patient perspective. The sample varied in depression severity and type of setting in which treatment was sought. MAIN VARIABLES STUDIED: Semi-structured interview questions focused on patients' prior experiences with depression and treatment, perceptions of the treatment decision-making process, and needs and expectations about treatment. Current depression severity was also assessed. RESULTS: Patient lack of insight regarding depression severity substantially delayed patient engagement in treatment seeking and decision-making. Patients expected their GPs to be a first and main source of objective information and discussion about depression and treatment and to provide emotional support for decision-making. Patients also identified needs for additional information about depression and its treatment, as well as concerns about certain aspects of treatment. CONCLUSIONS: The depression treatment context has some aspects that differ from treatment decision-making for other types of health conditions. SDM approaches for depression treatment should be adapted based on depression severity and patient-identified needs.
AB - OBJECTIVE: Little is known about the feasibility and effects of patient-clinician shared decision-making (SDM) for depression treatment. Within a goal of informing the design of a SDM intervention, the objective of this study was to investigate depressed patients' perceptions of the treatment decision-making process with general practitioners (GPs). SETTING AND PARTICIPANTS: Data were gathered from a convenience sample of 40 depressed patients to understand key aspects of treatment decision-making from the patient perspective. The sample varied in depression severity and type of setting in which treatment was sought. MAIN VARIABLES STUDIED: Semi-structured interview questions focused on patients' prior experiences with depression and treatment, perceptions of the treatment decision-making process, and needs and expectations about treatment. Current depression severity was also assessed. RESULTS: Patient lack of insight regarding depression severity substantially delayed patient engagement in treatment seeking and decision-making. Patients expected their GPs to be a first and main source of objective information and discussion about depression and treatment and to provide emotional support for decision-making. Patients also identified needs for additional information about depression and its treatment, as well as concerns about certain aspects of treatment. CONCLUSIONS: The depression treatment context has some aspects that differ from treatment decision-making for other types of health conditions. SDM approaches for depression treatment should be adapted based on depression severity and patient-identified needs.
U2 - 10.1111/j.1369-7625.2006.00424.x
DO - 10.1111/j.1369-7625.2006.00424.x
M3 - SCORING: Zeitschriftenaufsatz
VL - 10
SP - 62
EP - 74
JO - HEALTH EXPECT
JF - HEALTH EXPECT
SN - 1369-6513
IS - 1
M1 - 1
ER -