PATIENT DECISION MAKING ABOUT ANTIDEPRESSANT MEDICATION

患者关于抗抑郁药物的决策

• 批准号: 6391425
• 负责人: Celia E. Wills
• 金额: $ 11.75万
• 依托单位: MICHIGAN STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-06-15 至 2005-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6391425
• 关键词: antidepressants; behavioral /social science research tag; clinical research; decision making; depression; health care cost /financing; health care service utilization; health services research tag; human subject; human therapy evaluation; mental disorder chemotherapy; mental health services; therapy compliance

DESCRIPTION (Applicant's abstract): The purpose of this application is to prepare the PI for an independent research career focused on primary care mental health services for depression. Depression is a highly prevalent primary care health problem with impact comparable to the burden of major medical illness, and is associated with high morbidity, mortality, diminished quality of life, and health services costs ($44 billion in 1990). Although effective depression treatments including medication are available, a majority of primary care patients who are prescribed antidepressant medication decide to either decline or discontinue medication soon after starting it. Little is known about how people make depression treatment decisions, including key influences on decision making and appropriateness of decision making as related to health status and health system outcomes. Research on patient decision making can provide information that is needed to develop patient-focused interventions to improve depression treatment outcomes. The aims of the proposed award are for the PI to: 1) develop knowledge of health services research concepts and methods for primary care and mental health services research; 2) develop and test measurement and analytic strategies for examining relationships between primary care patient decision making, antidepressant medication use, and health services outcomes; and 3) conduct two pilot studies as the basis for a R01 application to test a nurse-implemented patient decision support intervention for depression treatment in primary care. The PI will gain needed health services research skills to carry out these aims through a program of formal course work, directed study, and supervised research field experiences. The goal of research Project #1, a patient decision support intervention for primary care depression treatment will be pilot-tested for feasibility in research Project #2. The PI's long-term goal is to improve the quality of primary care services for depression through implementation of decision support interventions for diverse populations of patients undergoing depression treatment.

描述(申请人摘要)：本申请的目的是 为专注于初级保健的独立研究生涯做好准备 抑郁症的心理健康服务。抑郁症是一种非常普遍的原发病 护理健康问题，其影响可与主要医疗负担相媲美 疾病，并与高发病率、死亡率、质量下降有关 生活费用和保健服务费用(1990年为440亿美元)。虽然有效 包括药物在内的抑郁治疗是可用的，大多数人是初级的 开了抗抑郁药的护理患者会选择 开始服药后立即拒绝或停止服药。人们对此知之甚少 人们如何做出抑郁症治疗决定，包括对 与健康有关的决策和决策的适当性 状况和卫生系统成果。患者决策支持系统的研究 提供制定以患者为中心的干预措施所需的信息 改善抑郁症的治疗结果。拟议奖项的目的是为了 绩效指标：1)发展卫生服务研究概念和知识 初级保健和精神卫生服务研究方法；2)发展和 用于检查两者之间关系的测试测量和分析策略 初级保健患者决策、抗抑郁药物使用与健康 服务成果；以及3)进行两项试点研究，作为R01的基础 应用软件测试护士实施的患者决策支持干预 用于初级保健中的抑郁症治疗。少年派将获得所需的健康 服务研究技能，通过正式的 课程工作，指导学习，指导研究领域的经验。这个 研究项目#1的目标，患者决策支持干预 初级保健抑郁症治疗将在#年进行可行性试点测试 研究项目2。国际和平研究所的长期目标是提高 通过实施决策支持为抑郁症提供初级保健服务 对不同人群抑郁症患者的干预 治疗。