title: Effectiveness of a decision aid for patients with depression: A randomized controlled trial.
abstract: Shared decision making is an important component of patient-centred care and decision aids are tools designed to support patients' decision making and help patients with depression to make informed choices.
  
  
  
  The study aim was to assess the effectiveness of a web-based decision aid for patients with unipolar depression.
  
  
  
  Randomized controlled trial.
  
  
  
  Adults diagnosed with a major depressive disorder and recruited in primary care centres were included and randomized to the decision aid (n=68) or usual care (n=79).
  
  
  
  Patients in the decision aid group reviewed the decision aid accompanied by a researcher.
  
  
  
  Knowledge about treatment options, decisional conflict, treatment intention and preference for participation in decision making. We also developed a pilot measure of concordance between patients' goals and concerns about treatment options and their treatment intention.
  
  
  
  Intervention significantly improved knowledge (P<.001) and decisional conflict (P<.001), and no differences were observed in treatment intention, preferences for participation, or concordance. One of the scales developed to measure goals and concerns showed validity issues.
  
  
  
  The decision aid "Decision making in depression" is effective improving knowledge of treatment options and reducing decisional conflict of patients with unipolar depression. More research is needed to establish a valid and reliable measure of concordance between patients' goals and concerns regarding pharmacological and psychological treatment, and the choice made.
authors.affiliation: Evaluation Unit of the Canary Islands Health Service (SESCS), Tenerife, Spain.|Health Services Research on Chronic Patients Network (REDISSEC), Tenerife, Spain.|Center for Biomedical Research of the Canary Islands (CIBICAN), Tenerife, Spain.
authors.forename: Lilisbeth
authors.identifier: 0000-0002-6113-7313
authors.initials: L
authors.lastname: Perestelo-Perez
authors.affiliation: Health Services Research on Chronic Patients Network (REDISSEC), Tenerife, Spain.|Center for Biomedical Research of the Canary Islands (CIBICAN), Tenerife, Spain.|Canary Islands Foundation of Health Research (FUNCANIS), Tenerife, Spain.
authors.forename: Amado
authors.initials: A
authors.lastname: Rivero-Santana
authors.affiliation: Canary Islands Foundation of Health Research (FUNCANIS), Tenerife, Spain.
authors.forename: Juan Antonio
authors.initials: JA
authors.lastname: Sanchez-Afonso
authors.affiliation: Health Services Research on Chronic Patients Network (REDISSEC), Tenerife, Spain.|Canary Islands Foundation of Health Research (FUNCANIS), Tenerife, Spain.
authors.forename: Jeanette
authors.initials: J
authors.lastname: Perez-Ramos
authors.affiliation: Canary Islands Foundation of Health Research (FUNCANIS), Tenerife, Spain.
authors.forename: Carmen Luisa
authors.initials: CL
authors.lastname: Castellano-Fuentes
authors.affiliation: Health Decision Sciences Center (HDSC), Massachusetts General Hospital, Boston, MA, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Sepucha
authors.affiliation: Evaluation Unit of the Canary Islands Health Service (SESCS), Tenerife, Spain.|Health Services Research on Chronic Patients Network (REDISSEC), Tenerife, Spain.|Center for Biomedical Research of the Canary Islands (CIBICAN), Tenerife, Spain.
authors.forename: Pedro
authors.initials: P
authors.lastname: Serrano-Aguilar
mesh_terms: D000328:Adult; D000368:Aged; D000928:Antidepressive Agents / Q000627:therapeutic use; D003657:Decision Making; D003661:Decision Support Techniques; D003865:Major Depressive Disorder / Q000523:psychology* / Q000628:therapy; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D010358:Patient Participation / Q000379:methods*; D057240:Patient Preference / Q000523:psychology; D018802:Patient-Centered Care; D011320:Primary Health Care / Q000379:methods*; D011613:Psychotherapy / Q000379:methods; D012959:Socioeconomic Factors
chemical_list: D000928:Antidepressive Agents
keywords: Spain; decision aid; depression; patient involvement (empowerment, self-management); primary care; randomized controlled trial; shared decision making