Effects of Decision Aids for Depression Treatment in Adults: Systematic Review

Overview

Journal BJPsych Bull

Publisher Cambridge University Press

Specialty Psychiatry

Date 2020 Dec 29

PMID 33371926

Citations 3

Authors

Christoper A Alarcon-Ruiz

Jessica Hanae Zafra-Tanaka

Mario E Diaz-Barrera

Naysha Becerra-Chauca

Carlos J Toro-Huamanchumo

Josmel Pacheco-Mendoza

Alvaro Taype-Rondan

Jhony A De La Cruz-Vargas

Affiliations

Soon will be listed here.

Abstract

Aim And Method: To determine the effect on decisional-related and clinical outcomes of decision aids for depression treatment in adults in randomised clinical trials. In January 2019, a systematic search was conducted in five databases. Study selection and data extraction were performed in duplicate. Meta-analyses were performed, and standardised and weighted mean differences were calculated, with corresponding 95% confidence intervals. The certainty of the evidence was evaluated with GRADE methodology.

Results: Six randomised clinical trials were included. The pooled estimates showed that decision aids for depression treatment had a beneficial effect on patients' decisional conflict, patient knowledge and information exchange between patient and health professional. However, no statistically significant effect was found for doctor facilitation, treatment adherence or depressive symptoms. The certainty of the evidence was very low for all outcomes.

Clinical Implications: Using decision aids to choose treatment in patients with depression may have a a beneficial effect on decisional-related outcomes, but it may not translate into an improvement in clinical outcomes.

Citing Articles

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Comparison of analog and digital patient decision aids for the treatment of depression: a scoping review.

Sedlakova J, Westermair A, Biller-Andorno N, Meier C, Trachsel M Front Digit Health. 2023; 5:1208889.

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Psychometric evaluation of a decision quality instrument for medication decisions for treatment of depression symptoms.

Brodney S, Valentine K, Sepucha K BMC Med Inform Decis Mak. 2021; 21(1):252.

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