Using decision support tools for treatment decision making about antidepressants in outpatient psychiatric consultations

Objective: To examine the use of decision support tools in decision making about antidepressants during conversations between patients with major depressive disorder (MDD) and their psychiatrists. Methods: Theme-oriented discourse analysis of two psychiatric consultation groups: control (n = 17) and...

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Main Authors: Lazim, Nor Hazila Mat, Syed, Ayeshah, Lee, Charity, Abousheishaa, Aya Ahmed, Guan, Ng Chong
Format: Article
Published: Elsevier 2024
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Online Access:http://eprints.um.edu.my/45367/
https://doi.org/10.1016/j.pec.2024.108266
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spelling my.um.eprints.453672024-10-14T09:12:46Z http://eprints.um.edu.my/45367/ Using decision support tools for treatment decision making about antidepressants in outpatient psychiatric consultations Lazim, Nor Hazila Mat Syed, Ayeshah Lee, Charity Abousheishaa, Aya Ahmed Guan, Ng Chong P Philology. Linguistics R Medicine RA0421 Public health. Hygiene. Preventive Medicine Objective: To examine the use of decision support tools in decision making about antidepressants during conversations between patients with major depressive disorder (MDD) and their psychiatrists. Methods: Theme-oriented discourse analysis of two psychiatric consultation groups: control (n = 17) and intervention (n = 16). In the control group, only a doctor's conversation guide was used; in the intervention group, the conversation guide and a patient decision aid (PDA) were used. Results: Psychiatrists mainly dominated conversations in both consultation groups. They were less likely to elicit patient treatment-related perspectives in the intervention group as they focused more on delivering the information than obtaining patient perspectives. However, using PDA in the intervention group slightly encouraged patients to participate in decisional talk. Conclusion: The decision support tools did promote SDM performance. Using the conversation guide in both consultation groups encouraged the elicitation of patient perspectives, which helped the psychiatrists in tailoring their recommendations of options based on patient preferences and concerns. Using the PDA in the intervention group created space for treatment discussion and fostered active collaboration in treatment decision making. Practice Implications: Our findings have implications for SDM communication skills training and critical reflection on SDM practice. Elsevier 2024-07 Article PeerReviewed Lazim, Nor Hazila Mat and Syed, Ayeshah and Lee, Charity and Abousheishaa, Aya Ahmed and Guan, Ng Chong (2024) Using decision support tools for treatment decision making about antidepressants in outpatient psychiatric consultations. Patient Education and Counseling, 124. p. 108266. ISSN 0738-3991, DOI https://doi.org/10.1016/j.pec.2024.108266 <https://doi.org/10.1016/j.pec.2024.108266>. https://doi.org/10.1016/j.pec.2024.108266 10.1016/j.pec.2024.108266
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic P Philology. Linguistics
R Medicine
RA0421 Public health. Hygiene. Preventive Medicine
spellingShingle P Philology. Linguistics
R Medicine
RA0421 Public health. Hygiene. Preventive Medicine
Lazim, Nor Hazila Mat
Syed, Ayeshah
Lee, Charity
Abousheishaa, Aya Ahmed
Guan, Ng Chong
Using decision support tools for treatment decision making about antidepressants in outpatient psychiatric consultations
description Objective: To examine the use of decision support tools in decision making about antidepressants during conversations between patients with major depressive disorder (MDD) and their psychiatrists. Methods: Theme-oriented discourse analysis of two psychiatric consultation groups: control (n = 17) and intervention (n = 16). In the control group, only a doctor's conversation guide was used; in the intervention group, the conversation guide and a patient decision aid (PDA) were used. Results: Psychiatrists mainly dominated conversations in both consultation groups. They were less likely to elicit patient treatment-related perspectives in the intervention group as they focused more on delivering the information than obtaining patient perspectives. However, using PDA in the intervention group slightly encouraged patients to participate in decisional talk. Conclusion: The decision support tools did promote SDM performance. Using the conversation guide in both consultation groups encouraged the elicitation of patient perspectives, which helped the psychiatrists in tailoring their recommendations of options based on patient preferences and concerns. Using the PDA in the intervention group created space for treatment discussion and fostered active collaboration in treatment decision making. Practice Implications: Our findings have implications for SDM communication skills training and critical reflection on SDM practice.
format Article
author Lazim, Nor Hazila Mat
Syed, Ayeshah
Lee, Charity
Abousheishaa, Aya Ahmed
Guan, Ng Chong
author_facet Lazim, Nor Hazila Mat
Syed, Ayeshah
Lee, Charity
Abousheishaa, Aya Ahmed
Guan, Ng Chong
author_sort Lazim, Nor Hazila Mat
title Using decision support tools for treatment decision making about antidepressants in outpatient psychiatric consultations
title_short Using decision support tools for treatment decision making about antidepressants in outpatient psychiatric consultations
title_full Using decision support tools for treatment decision making about antidepressants in outpatient psychiatric consultations
title_fullStr Using decision support tools for treatment decision making about antidepressants in outpatient psychiatric consultations
title_full_unstemmed Using decision support tools for treatment decision making about antidepressants in outpatient psychiatric consultations
title_sort using decision support tools for treatment decision making about antidepressants in outpatient psychiatric consultations
publisher Elsevier
publishDate 2024
url http://eprints.um.edu.my/45367/
https://doi.org/10.1016/j.pec.2024.108266
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score 13.222552