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Methods for Incorporating Patient Preferences for Treatments of Depression in Community Mental Health Settings

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Abstract

We developed three methods (rating, ranking, and discrete choice) for identifying patients’ preferred depression treatments based on their prioritization of specific treatment attributes (e.g., medication side effects, psychotherapy characteristics) at treatment intake. Community mental health patients with depressive symptoms participated in separate studies of predictive validity (N = 193) and short-term (1-week) stability (N = 40). Patients who received non-preferred initial treatments (based on the choice method) switched treatments significantly more often than those who received preferred initial treatments. Receiving a non-preferred treatment at any point (based on rating and choice methods) was a significant predictor of longer treatment duration. All three methods demonstrated good short-term stability.

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Funding

This research was funded by National Institute of Mental Health Grant R34-MH085817. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or the University of Pennsylvania.

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Authors and Affiliations

  1. Department of Psychiatry, University of Pennsylvania, Room 650, 3535 Market Street, Philadelphia, PA, 19104, USA

    Paul Crits-Christoph, Caroline K. Diehl, Seohyun Yin & Mary Beth Connolly Gibbons

  2. Department of Mathematics, West Chester University, West Chester, USA

    Robert Gallop

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  1. Paul Crits-Christoph
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  2. Robert Gallop
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  3. Caroline K. Diehl
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  4. Seohyun Yin
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  5. Mary Beth Connolly Gibbons
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Correspondence to Paul Crits-Christoph.

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The authors report no conflicts of interest.

Ethical Approval

This research was reviewed and approved by the University of Pennsylvania IRB and City of Philadelphia IRB. All procedures involving human participants were in accordance with the ethical standards of the IRB, the 1964 Declaration of Helsinki, and its later amendments.

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Informed consent was obtained from all individual participants included in the study in accordance with HIPAA standards.

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Crits-Christoph, P., Gallop, R., Diehl, C.K. et al. Methods for Incorporating Patient Preferences for Treatments of Depression in Community Mental Health Settings. Adm Policy Ment Health 44, 735–746 (2017). https://doi.org/10.1007/s10488-016-0746-1

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