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大学生对抗抑郁药物共享决策工具评分的病例报告

A Case Report of College Students' Rating of a Shared Decision-Making Tool for Taking Antidepression Medication.

作者信息

Reis Janet

机构信息

College of Health Sciences, Boise State University, ID, USA.

出版信息

J Patient Exp. 2021 Apr 13;8:23743735211007352. doi: 10.1177/23743735211007352. eCollection 2021.

Abstract

Forty-nine students enrolled at a medium size public university volunteered to review an interactive decision-making tool constructed to present the pros and cons of taking antidepression medication. The tool is built according to guidelines for shared decision-making with 7 educational sections followed by 4 queries on expectations about antidepressants, 3 key knowledge questions, and determination of readiness to take action. The most frequently cited reason for the content being helpful was improved understanding (78%) followed by increased personal confidence (37%) and helped me take action (14%). The most frequently cited reason for the content not being more helpful was already known information (74%) followed by not enough information (12%). The range of personal preferences underscores the complexity of motivations in responding to depressive symptoms. The prevalence of depression in the college population with a range of treatment options, limitations on resources, and new challenges mounted with the pandemic for campus life recommends further study of such tools.

摘要

一所中等规模公立大学的49名学生自愿参与评估一个交互式决策工具,该工具旨在呈现服用抗抑郁药物的利弊。该工具是根据共享决策指南构建的,包括7个教育板块,随后是4个关于对抗抑郁药物期望的问题、3个关键知识问题以及采取行动意愿的判定。内容有用的最常被提及的原因是理解有所提升(78%),其次是个人信心增强(37%)以及促使我采取行动(14%)。内容不太有用的最常被提及的原因是信息已为人所知(74%),其次是信息不足(12%)。个人偏好的范围凸显了应对抑郁症状时动机的复杂性。鉴于大学生群体中抑郁症的患病率、一系列治疗选择、资源限制以及疫情给校园生活带来的新挑战,建议对这类工具进行进一步研究。

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