Treatment Decision-Making Preferences of Older Depressed Minority Primary Care Patients
Little research examined the decision-making preferences of older, racially and ethnically diverse minority patients with untreated depression. The study’s aims were to identify decision-making preferences and the characteristics associated with a more active preference in the decision-making proces...
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| Veröffentlicht in: | Community mental health journal 2023-05, Vol.59 (4), p.719-727 |
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| creator | Romero, Sara A. Rasmussen, Andrew Raue, Patrick J. |
| description | Little research examined the decision-making preferences of older, racially and ethnically diverse minority patients with untreated depression. The study’s aims were to identify decision-making preferences and the characteristics associated with a more active preference in the decision-making process for general medical and depression treatment decisions. We assessed the preferred involvement in making general medical and depression treatment decisions of 201 older primary care patients with untreated depression. Linear regressions examined the association of sociodemographic and clinical characteristics with decision-making preference for both decision types. Majority of patients preferred shared decision-making for general medical and depression treatments. Female gender was associated with a preference for active decision-making for depression treatment. For this sample older depressed patients preferred sharing the decision-making responsibilities with physicians. To improve communication and the initiation and adherence to mental health care, physicians must consider older, minority patients’ preferences for involvement in the decision-making process. |
| doi_str_mv | 10.1007/s10597-022-01055-0 |
| format | Article |
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The study’s aims were to identify decision-making preferences and the characteristics associated with a more active preference in the decision-making process for general medical and depression treatment decisions. We assessed the preferred involvement in making general medical and depression treatment decisions of 201 older primary care patients with untreated depression. Linear regressions examined the association of sociodemographic and clinical characteristics with decision-making preference for both decision types. Majority of patients preferred shared decision-making for general medical and depression treatments. Female gender was associated with a preference for active decision-making for depression treatment. For this sample older depressed patients preferred sharing the decision-making responsibilities with physicians. To improve communication and the initiation and adherence to mental health care, physicians must consider older, minority patients’ preferences for involvement in the decision-making process.</description><identifier>ISSN: 0010-3853</identifier><identifier>ISSN: 1573-2789</identifier><identifier>EISSN: 1573-2789</identifier><identifier>DOI: 10.1007/s10597-022-01055-0</identifier><identifier>PMID: 36445539</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Antidepressants ; Clinical decision making ; Community and Environmental Psychology ; Decision Making ; Decision Making, Shared ; Education ; Female ; Females ; Group decision making ; Hispanic Americans ; Humans ; Medical decision making ; Medical screening ; Medicine ; Medicine & Public Health ; Mental depression ; Mental disorders ; Mental health care ; Mental health services ; Minority & ethnic groups ; Multiculturalism & pluralism ; Older people ; Original Paper ; Patient Participation - psychology ; Patient Preference - psychology ; Patients ; Physician-Patient Relations ; Physicians ; Physicians - psychology ; Preferences ; Primary care ; Primary Health Care ; Psychiatry ; Questionnaires ; Sociodemographics ; Treatment methods ; Treatment preferences</subject><ispartof>Community mental health journal, 2023-05, Vol.59 (4), p.719-727</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. 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The study’s aims were to identify decision-making preferences and the characteristics associated with a more active preference in the decision-making process for general medical and depression treatment decisions. We assessed the preferred involvement in making general medical and depression treatment decisions of 201 older primary care patients with untreated depression. Linear regressions examined the association of sociodemographic and clinical characteristics with decision-making preference for both decision types. Majority of patients preferred shared decision-making for general medical and depression treatments. Female gender was associated with a preference for active decision-making for depression treatment. For this sample older depressed patients preferred sharing the decision-making responsibilities with physicians. To improve communication and the initiation and adherence to mental health care, physicians must consider older, minority patients’ preferences for involvement in the decision-making process.</description><subject>Antidepressants</subject><subject>Clinical decision making</subject><subject>Community and Environmental Psychology</subject><subject>Decision Making</subject><subject>Decision Making, Shared</subject><subject>Education</subject><subject>Female</subject><subject>Females</subject><subject>Group decision making</subject><subject>Hispanic Americans</subject><subject>Humans</subject><subject>Medical decision making</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health care</subject><subject>Mental health services</subject><subject>Minority & ethnic groups</subject><subject>Multiculturalism & pluralism</subject><subject>Older people</subject><subject>Original Paper</subject><subject>Patient Participation - psychology</subject><subject>Patient Preference - psychology</subject><subject>Patients</subject><subject>Physician-Patient Relations</subject><subject>Physicians</subject><subject>Physicians - psychology</subject><subject>Preferences</subject><subject>Primary care</subject><subject>Primary Health Care</subject><subject>Psychiatry</subject><subject>Questionnaires</subject><subject>Sociodemographics</subject><subject>Treatment methods</subject><subject>Treatment preferences</subject><issn>0010-3853</issn><issn>1573-2789</issn><issn>1573-2789</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kD1PwzAQhi0EoqXwBxhQJBYWgz9ycTKi8ilRtUMlRsuJL1VKmhQ7GfrvMaSAxMDkk_3ce76HkHPOrjlj6sZzBpmiTAjKQgmUHZAxByWpUGl2SMYsXFOZghyRE-_XjDHgXB2TkUziGEBmY_K6dGi6DTZddIdF5au2oTPzVjWraOGwRIdNgT5qy2heW3QB2jr0Hm00q5rWVd0ucNXGuF00NQ6jhemqEOZPyVFpao9n-3NClg_3y-kTfZk_Pk9vX2ghRdJRGXOwMkewhhmLUHJIuABlFRaqBAmJKlkmwGalNBIKkeTGZjHjaSpFjnJCrobYrWvfe_Sd3lS-wLo2Dba910LFIoEUBA_o5R903fauCZ8LVMZjIeI4CZQYqMK13gcDejuspznTn9b1YF0H6_rLumah6WIf3ecbtD8t35oDIAfAh6dmhe539j-xH5xLjB4</recordid><startdate>20230501</startdate><enddate>20230501</enddate><creator>Romero, Sara A.</creator><creator>Rasmussen, Andrew</creator><creator>Raue, Patrick J.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7U3</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7702-931X</orcidid></search><sort><creationdate>20230501</creationdate><title>Treatment Decision-Making Preferences of Older Depressed Minority Primary Care Patients</title><author>Romero, Sara A. ; Rasmussen, Andrew ; Raue, Patrick J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-3415d3be5da0ade5f1561257d7ec7f53567f0925d9f3a35c26bad94018832be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Antidepressants</topic><topic>Clinical decision making</topic><topic>Community and Environmental Psychology</topic><topic>Decision Making</topic><topic>Decision Making, Shared</topic><topic>Education</topic><topic>Female</topic><topic>Females</topic><topic>Group decision making</topic><topic>Hispanic Americans</topic><topic>Humans</topic><topic>Medical decision making</topic><topic>Medical screening</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health care</topic><topic>Mental health services</topic><topic>Minority & ethnic groups</topic><topic>Multiculturalism & pluralism</topic><topic>Older people</topic><topic>Original Paper</topic><topic>Patient Participation - 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Academic</collection><jtitle>Community mental health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Romero, Sara A.</au><au>Rasmussen, Andrew</au><au>Raue, Patrick J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment Decision-Making Preferences of Older Depressed Minority Primary Care Patients</atitle><jtitle>Community mental health journal</jtitle><stitle>Community Ment Health J</stitle><addtitle>Community Ment Health J</addtitle><date>2023-05-01</date><risdate>2023</risdate><volume>59</volume><issue>4</issue><spage>719</spage><epage>727</epage><pages>719-727</pages><issn>0010-3853</issn><issn>1573-2789</issn><eissn>1573-2789</eissn><abstract>Little research examined the decision-making preferences of older, racially and ethnically diverse minority patients with untreated depression. The study’s aims were to identify decision-making preferences and the characteristics associated with a more active preference in the decision-making process for general medical and depression treatment decisions. We assessed the preferred involvement in making general medical and depression treatment decisions of 201 older primary care patients with untreated depression. Linear regressions examined the association of sociodemographic and clinical characteristics with decision-making preference for both decision types. Majority of patients preferred shared decision-making for general medical and depression treatments. Female gender was associated with a preference for active decision-making for depression treatment. For this sample older depressed patients preferred sharing the decision-making responsibilities with physicians. To improve communication and the initiation and adherence to mental health care, physicians must consider older, minority patients’ preferences for involvement in the decision-making process.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>36445539</pmid><doi>10.1007/s10597-022-01055-0</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7702-931X</orcidid></addata></record> |
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| subjects | Antidepressants Clinical decision making Community and Environmental Psychology Decision Making Decision Making, Shared Education Female Females Group decision making Hispanic Americans Humans Medical decision making Medical screening Medicine Medicine & Public Health Mental depression Mental disorders Mental health care Mental health services Minority & ethnic groups Multiculturalism & pluralism Older people Original Paper Patient Participation - psychology Patient Preference - psychology Patients Physician-Patient Relations Physicians Physicians - psychology Preferences Primary care Primary Health Care Psychiatry Questionnaires Sociodemographics Treatment methods Treatment preferences |
| title | Treatment Decision-Making Preferences of Older Depressed Minority Primary Care Patients |
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