A to Z Summary Results - Patient Decision Aids - Ottawa Hospital Research Institute

Decision Aid Summary

Title	Treatment Options When Your SSRI Antidepressant Is Not Working Well.
To access it	Click here to view the decision aid on the developer website
Audience	Adults with depression considering treatment options after an SSRI did not work or did not work well enough.
Options included	Increase SSRI dose. Different SSRI. Different kind of antidepressant that is not an SSRI. Add an antipsychotic medicine. Nonmedicine treatment.
Year of last update or review	2013
Format	Web, paper, audio, PDF
Developer	Agency for Healthcare Research and Quality (AHRQ)
Where was it developed?	http://www.ahrq.gov/info/customer.htm Agency for Healthcare Research and Quality (AHRQ) US
Health condition	Depression
Type of decision aid	Treatment
Language	English, Spanish

Based on IPDAS criteria (International Patient Decision Aid Standards) this decision aid (and/or supporting materials) meets:
	out of criteria to be defined as a patient decision aid
	out of criteria to lower the risk of making a biased decision
	Not applicable: other criteria for decision aids about screening or testing

Checklist

Criteria to be defined as a patient decision aid	Answer
• The decision aid describes the condition (health or other) related to the decision.	Yes
• The decision aid describes the decision that needs to be considered (the index decision).	Yes
• The decision aid identifies the target audience.
• The decision aid lists the options (healthcare or other).	Yes
• The decision aid has information about the positive features of the options (e.g. benefits, advantages).	No
• The decision aid has information about negative features of the options (e.g. harms, side effects, disadvantages).	No
• The decision aid helps patients clarify their values for outcomes of options by: a) asking people to think about which positive and negative features of the options matter most to them AND/OR b) describing each option to help patients imagine the physical, social, and /or psychological effect.	Yes

Criteria to lower the risk of making a biased decision	Answer
• The decision aid makes it possible to compare the positive and negative features of the available options.	Yes
• The decision aid shows the negative and positive features of the options with equal detail.	No
• The decision aid compares probabilities (e.g. chance of a disease, benefit, harm, or side effect) of options using the same denominator.	NA
• The decision aid (or available technical documents) reports funding sources for development.
• The decision aid reports whether authors of the decision aid or their affiliations stand to gain or lose by choices people make after using the decision aid.	Yes
• The decision aid includes authors/developers' credentials or qualifications.
• The decision aid reports the date when it was last updated.	Yes
• The decision aid (or available technical document) reports readability levels.	No
• The decision aid provides references to scientific evidence used.	Yes

Other criteria for decision aids about screening or testing	Answer
• The decision aid has information about what the test is designed to measure.	NA
• The decision aid describes possible next steps based on the test results.	NA
• The decision aid has information about the chances of disease being found with and without screening.	NA
• The decision aid has information about detection and treatment of disease that would never have caused problems if screening had not been done.	NA

Other criteria indicating quality	Answer
• The decision aid describes what happens in the natural course of the condition (health or other) if no action is taken.	Yes
• The decision aid has information about the procedures involved (e.g. what is done before, during, and after the healthcare option).	Yes
• The information about outcomes of options (positive and negative) includes the chances they may happen.	No
• The decision aid presents probabilities using event rates in a defined group of people for a specified time.	NA
• The decision aid compares probabilities of options over the same period of time.	NA
• The decision aid uses the same scales in diagrams comparing options.	NA
• Users (people who previously faced the decision) were asked what they need to prepare them to discuss a specific decision.	Unknown
• The decision aid was reviewed by people who previously faced the decision who were not involved in its development and field testing.	Unknown
• People who were facing the decision field tested the decision aid.	Unknown
• Field testing showed that the decision aid was acceptable to users (the general public & practitioners).	Unknown
• Field testing showed that people who were undecided felt that the information was presented in a balanced way.	Unknown
• There is evidence that the decision aid (or one based on the same template) helps people know about the available options and their features.	Unknown
• There is evidence that the decision aid (or one based on the same template) improves the match between the features that matter most to the informed person and the option that is chosen.	Unknown

Last modified: 2024-03-04.