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Shared decision-making in the primary care treatment of late-life major depression: a needed new intervention?

✍ Scribed by Patrick J. Raue; Herbert C. Schulberg; Roberto Lewis-Fernandez; Carla Boutin-Foster; Amy S. Hoffman; Martha L. Bruce


Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
196 KB
Volume
25
Category
Article
ISSN
0885-6230

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✦ Synopsis


Abstract

Objective

We suggest that clinicians consider models of shared decision‐making (SDM) for their potential ability to improve the treatment of major depression in the primary care setting and overcome limitations of collaborative care and other interventions.

Methods

We explore the characteristics and techniques of patient–clinician SDM, with particular emphasis on this model's relevance to the unique treatment concerns of depressed older adults.

Results

We describe a SDM intervention to engage older adults in depression treatment in the primary care sector.

Conclusions

It is timely to examine SDM models for elderly depressed primary care patients given their potential ability to improve treatment adherence and clinical outcomes. Copyright © 2009 John Wiley & Sons, Ltd.