dc.contributor.author |
Simmons, Magenta B |
|
dc.contributor.author |
Elmes, Aurora |
|
dc.contributor.author |
McKenzie, Joanne E |
|
dc.contributor.author |
Trevena, Lyndal |
|
dc.contributor.author |
Hetrick, Sarah E |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2024-01-11T19:16:00Z |
|
dc.date.available |
2024-01-11T19:16:00Z |
|
dc.date.issued |
2017-08 |
|
dc.identifier.citation |
(2017). Health Expectations, 20(4), 714-723. |
|
dc.identifier.issn |
1369-6513 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/67214 |
|
dc.description.abstract |
<h4>Background</h4>Appropriate treatment for youth depression is an important public health priority. Shared decision making has been recommended, yet no decision aids exist to facilitate this.<h4>Objectives</h4>The main objective of this study was to evaluate an online decision aid for youth depression.<h4>Design</h4>An uncontrolled cohort study with pre-decision, immediately post-decision and follow-up measurements.<h4>Setting and participants</h4>Young people (n=66) aged 12-25 years with mild, mild-moderate or moderate-severe depression were recruited from two enhanced primary care services.<h4>Intervention</h4>Online decision aid with evidence communication, preference elicitation and decision support components.<h4>Main outcome measures</h4>The main outcome measures were ability to make a decision; whether the decision was in line with clinical practice guidelines, personal preferences and values; decisional conflict; perceived involvement; satisfaction with decision; adherence; and depression scores at follow-up.<h4>Results</h4>After using the decision aid, clients were more likely to make a decision in line with guideline recommendations (93% vs 70%; P=.004), were more able to make a decision (97% vs 79%; P=.022), had significantly reduced decisional conflict (17.8 points lower (95% CI: 13.3-22.9 points lower) on the Decisional Conflict Scale (range 0-100)) and felt involved and satisfied with their decision. At follow-up, clients had significantly reduced depression symptoms (2.7 points lower (95% CI: 1.3-4.0 points lower) on the Patient Health Questionnaire nine-item scale (range 0-27)) and were adherent to 88% (95% CI: 82%-94%) of treatment courses.<h4>Discussion and conclusions</h4>A decision aid for youth depression can help ensure evidence-based, client-centred care, promoting collaboration in this often difficult to engage population. |
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dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
Wiley |
|
dc.relation.ispartofseries |
Health expectations : an international journal of public participation in health care and health policy |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by/4.0/ |
|
dc.subject |
Humans |
|
dc.subject |
Cohort Studies |
|
dc.subject |
Depression |
|
dc.subject |
Choice Behavior |
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dc.subject |
Depressive Disorder, Major |
|
dc.subject |
Decision Support Techniques |
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dc.subject |
Adolescent |
|
dc.subject |
Child |
|
dc.subject |
Patient Participation |
|
dc.subject |
Primary Health Care |
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dc.subject |
Female |
|
dc.subject |
Male |
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dc.subject |
Young Adult |
|
dc.subject |
adolescents |
|
dc.subject |
patient decision aids |
|
dc.subject |
shared decision making |
|
dc.subject |
young adults |
|
dc.subject |
4203 Health Services and Systems |
|
dc.subject |
42 Health Sciences |
|
dc.subject |
Mental Health |
|
dc.subject |
Clinical Research |
|
dc.subject |
Behavioral and Social Science |
|
dc.subject |
Pediatric |
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dc.subject |
7.3 Management and decision making |
|
dc.subject |
7.1 Individual care needs |
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dc.subject |
7 Management of diseases and conditions |
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dc.subject |
3 Good Health and Well Being |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Health Care Sciences & Services |
|
dc.subject |
Health Policy & Services |
|
dc.subject |
Public, Environmental & Occupational Health |
|
dc.subject |
PRIMARY-CARE |
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dc.subject |
YOUNG-PEOPLE |
|
dc.subject |
PATIENTS INVOLVEMENT |
|
dc.subject |
QUALITY |
|
dc.subject |
IMPROVEMENT |
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dc.subject |
DISORDERS |
|
dc.subject |
QUESTIONNAIRE |
|
dc.subject |
INTERVENTION |
|
dc.subject |
VALIDATION |
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dc.subject |
1117 Public Health and Health Services |
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dc.subject |
Population & Society |
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dc.subject |
Health Services Research |
|
dc.subject |
1110 Nursing |
|
dc.subject |
1701 Psychology |
|
dc.subject |
4206 Public health |
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dc.title |
Right choice, right time: Evaluation of an online decision aid for youth depression. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1111/hex.12510 |
|
pubs.issue |
4 |
|
pubs.begin-page |
714 |
|
pubs.volume |
20 |
|
dc.date.updated |
2023-12-28T20:57:00Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
27748004 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/27748004 |
|
pubs.end-page |
723 |
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pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
research-article |
|
pubs.subtype |
Evaluation Study |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
650272 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Psychological Medicine Dept |
|
dc.identifier.eissn |
1369-7625 |
|
pubs.record-created-at-source-date |
2023-12-29 |
|
pubs.online-publication-date |
2016-10-17 |
|