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dc.creatorBarr, PJ
dc.creatorForcino, RC
dc.creatorDannenberg, MD
dc.creatorMishra, M
dc.creatorTurner, E
dc.creatorZisman-Ilani, Y
dc.creatorMatthews, J
dc.creatorHinn, M
dc.creatorBruce, M
dc.creatorElwyn, G
dc.date.accessioned2020-12-16T16:58:05Z
dc.date.available2020-12-16T16:58:05Z
dc.date.issued2019-04-01
dc.identifier.issn2044-6055
dc.identifier.issn2044-6055
dc.identifier.doihttp://dx.doi.org/10.34944/dspace/4543
dc.identifier.other30962232 (pubmed)
dc.identifier.urihttp://hdl.handle.net/20.500.12613/4561
dc.description.abstract© © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Objective To develop and pilot an encounter-based decision aid (eDA) for people with depression for use in primary care. Design We developed an eDA for depression through cognitive interviews and pilot tested it using a one-group pretest, post-Test design in primary care. Feasibility, fidelity of eDA use and acceptability were assessed using recruitment rates and semistructured interviews with patients, medical assistants and clinicians. Treatment choice and shared decision-making (SDM) were also assessed. Setting Interviews with adult patients and the public were conducted in a mall and library in Grafton County, New Hampshire, while clinician interviews took place by phone or at the clinician's office. Pilot testing occurred in a New Hampshire primary care practice. Participants Cognitive interviews were conducted with adults, ≥18 years, who could read English from the following stakeholder groups: history of depression, the public and clinicians. Patients with a Patient Health Questionnaire-9 score of ≥5 were recruited for piloting. Results Three stages of cognitive interviews were conducted (n=28). Changes to eDA included moving the combination therapy information and access to treatment information, adding colour, modifying pictograms and editing the talk-Therapy description. Clinician concerns about patient health literacy were not reflected in patient interviews. Of 59 patients who reviewed study information, 56 were eligible and agreed to participate in pilot testing; however, only 29 could be reached for follow-up. The eDA was widely accepted, though clinicians did not always use it as intended. We found no impact of eDA use on SDM, though patients chose a wider range of treatment options. Conclusions We demonstrated the feasibility of the use of an eDA for depression in primary care that was widely accepted. Further research is needed to improve the fidelity with which the eDA is used and to assess its impact on SDM and related health outcomes.
dc.format.extente025375-e025375
dc.language.isoen
dc.relation.haspartBMJ Open
dc.relation.isreferencedbyBMJ
dc.rightsCC BY-NC
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectdecision aid
dc.subjectdecision support
dc.subjectdepression
dc.subjectmental health care
dc.subjectprimary care
dc.subjectshared decision-making
dc.subjectAdult
dc.subjectAged
dc.subjectAttitude of Health Personnel
dc.subjectDecision Making, Shared
dc.subjectDecision Support Techniques
dc.subjectDepressive Disorder
dc.subjectFeasibility Studies
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPatient Acceptance of Health Care
dc.subjectPatient Participation
dc.subjectPilot Projects
dc.subjectPrimary Health Care
dc.subjectYoung Adult
dc.titleHealthcare Options for People Experiencing Depression (HOPE∗D): The development and pilot testing of an encounter-based decision aid for use in primary care
dc.typeArticle
dc.type.genreJournal Article
dc.relation.doi10.1136/bmjopen-2018-025375
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.date.updated2020-12-16T16:58:00Z
refterms.dateFOA2020-12-16T16:58:06Z


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