Right choice, right time: Evaluation of an online decision aid for youth depression
Open accessAbstract
Background: 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. Objectives: The main objective of this study was to evaluate an online decision aid for youth depression. Design: An uncontrolled cohort study with pre‐decision, immediately post‐decision and follow‐up measurements. Setting and Participants: Young people (n=66) aged 12‐25 years with mild, mild‐moderate or moderate‐severe depression were recruited from two enhanced primary care services. Intervention: Online decision aid with evidence communication, preference elicitation and decision support components. Main outcome measures: 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. Results: 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. Discussion and Conclusions: 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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The remaining studies (83%) described moderate or mixed adherence and usage.
“the remaining studies (83%) described moderate or mixed adherence [56,63-65] and usage [60]”
From eMental Healthcare Technologies for Anxiety and Depression in Childhood and Adolescence: Systematic Review of Studies Reporting Implementation Outcomes (2018) · cites this paper as [56]
Most studies reported the technologies as acceptable (67%) with high satisfaction.
“Most studies reported the technologies as acceptable (67%) with high satisfaction [56,61,63,72]”
From eMental Healthcare Technologies for Anxiety and Depression in Childhood and Adolescence: Systematic Review of Studies Reporting Implementation Outcomes (2018) · cites this paper as [56]
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- Authors
- Simmons, M. B., Elmes, A., McKenzie, J. E., Trevena, L., & Hetrick, S. E.
- Affiliations
- The University of Melbourne (AU)
- Monash University (AU)
- The University of Sydney (AU)
- Corresponding author
- Simmons, Magenta B.
- Venue
- Health Expectations
- Publisher
- Wiley
- Published
- 2016-10-17
- Volume
- 20
- Issue
- 4
- Pages
- 714-723
- ISSN
- 1369-6513 (ISSN-L)
- 1369-7625
- PMC
- PMC5513008
- OpenAlex
- W2533679420
- Cited by
- 46
- References
- 49
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 6 · 2022: 4 · 2021: 9 · 2020: 1 · 2019: 9 · 2018: 6 · 2017: 2
- FWCI
- 10.56
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Health Expectations (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Monash University Research Portal (Monash University) (acceptedVersion, other-oa)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- ResearchSpace (University of Auckland) (submittedVersion, cc-by)
- Funders
- National Health and Medical Research Council (1072366)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- adolescent depression, web-based decision aid, shared decision-making, decisional conflict, medication adherence, guideline adherence, patient preferences, client-centred care, primary care, depressive symptoms
- MeSH terms
- Adolescent, Child, Choice Behavior, Decision Support Techniques, Depression, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Male, Patient Participation, Primary Health Care, Cohort Studies, Young Adult
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