Effects of decision aids for depression treatment in adults: systematic review.

Autor:	Alarcon-Ruiz CA; Faculty of Human Medicine, Ricardo Palma University, Peru.; Institute for Research in Biomedical Sciences, Ricardo Palma University, Peru., Zafra-Tanaka JH; CRONICAS Center of Excellence in Chronic Diseases, Cayetano Heredia University, Peru., Diaz-Barrera ME; SOCEMUNT Scientific Society of Medical Students, National University of Trujillo, Peru., Becerra-Chauca N; Institute for Health Technology Assessment and Research, EsSalud, Peru., Toro-Huamanchumo CJ; Research Unit for Generation and Synthesis Evidence in Health, Saint Ignacio of Loyola University, Peru.; Multidisciplinary Research Unit, Avendaño Medical Center, Peru., Pacheco-Mendoza J; Bibliometrics Research Unit, Saint Ignacio of Loyola University, Peru., Taype-Rondan A; Research Unit for Generation and Synthesis Evidence in Health, Saint Ignacio of Loyola University, Peru., De La Cruz-Vargas JA; Institute for Research in Biomedical Sciences, Ricardo Palma University, Peru.
Jazyk:	angličtina
Zdroj:	BJPsych bulletin [BJPsych Bull] 2022 Feb; Vol. 46 (1), pp. 42-51.
DOI:	10.1192/bjb.2020.130
Abstrakt:	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.
Databáze:	MEDLINE
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