title: Methods for Incorporating Patient Preferences for Treatments of Depression in Community Mental Health Settings.
abstract: We developed three methods (rating, ranking, and discrete choice) for identifying patients' preferred depression treatments based on their prioritization of specific treatment attributes (e.g., medication side effects, psychotherapy characteristics) at treatment intake. Community mental health patients with depressive symptoms participated in separate studies of predictive validity (N = 193) and short-term (1-week) stability (N = 40). Patients who received non-preferred initial treatments (based on the choice method) switched treatments significantly more often than those who received preferred initial treatments. Receiving a non-preferred treatment at any point (based on rating and choice methods) was a significant predictor of longer treatment duration. All three methods demonstrated good short-term stability.
authors.affiliation: Department of Psychiatry, University of Pennsylvania, Room 650, 3535 Market Street, Philadelphia, PA, 19104, USA. crits@mail.med.upenn.edu.
authors.forename: Paul
authors.initials: P
authors.lastname: Crits-Christoph
authors.affiliation: Department of Mathematics, West Chester University, West Chester, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Gallop
authors.affiliation: Department of Psychiatry, University of Pennsylvania, Room 650, 3535 Market Street, Philadelphia, PA, 19104, USA.
authors.forename: Caroline K
authors.initials: CK
authors.lastname: Diehl
authors.affiliation: Department of Psychiatry, University of Pennsylvania, Room 650, 3535 Market Street, Philadelphia, PA, 19104, USA.
authors.forename: Seohyun
authors.initials: S
authors.lastname: Yin
authors.affiliation: Department of Psychiatry, University of Pennsylvania, Room 650, 3535 Market Street, Philadelphia, PA, 19104, USA.
authors.forename: Mary Beth Connolly
authors.initials: MBC
authors.lastname: Gibbons
mesh_terms: D000328:Adult; D000928:Antidepressive Agents / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D002755:Choice Behavior; D003156:Community Mental Health Services / Q000458:organization & administration; D015897:Comorbidity; D003661:Decision Support Techniques; D003863:Depression / Q000188:drug therapy / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D057240:Patient Preference / Q000523:psychology*; D011613:Psychotherapy / Q000458:organization & administration*; D015203:Reproducibility of Results; D012959:Socioeconomic Factors
chemical_list: D000928:Antidepressive Agents
keywords: Community mental health settings; Depressive symptoms; Evidence-based practice; Patient preferences