| Education about Depression |
Overall Rank: 1 |
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Patient and families should be educated on:
• The causes, symptoms and natural history of major depression
• Treatment options (trial and error approach)
• What to expect during the course of treatment
• How to monitor symptoms and side effects
• Follow-up protocols (office visits and/or telephone contacts)
• Early warning signs of relapse or recurrence
• Length of treatment.
Domain : Patients with Mood Disorders
Any of several psychological disorders characterized by abnormal emotional states and including especially major depressive disorder and bipolar disorder. Also called affective disorder.
Additional Domain(s) : Health Literacy
Rationale
Successful care of major depression as an illness requires active engagement of each patient and their family and on-going patient education, beginning at the time of diagnosis. It is important for the patient consider and adopt some self-care responsibilities, which may range from simply demonstrating reliable behavior in taking medication and calling the provider with side effects to agreeing to participate in sessions, journaling and completing homework, which is necessary for some cognitive behavioral therapies. Written materials are helpful to reinforce information shared during the discussion.
Primary Reference
Major Depression in Adults in Primary Care. May 2004, Institute for Clinical Systems Improvement. P; 17 Section 10 Retrieved Aug 3, 2005 from: http://www.icsi.org/knowledge/detail.asp? catID=29 &itemID=180
Level of Evidence
III: Preliminary research evidence only or evidence based on consensus opinion only.
- There may be confidentiality issues with this measure
- There should be education for other disorders as well e.g. anxiety disorders
- It would also be important to spend time planning for a time when family supports (e.g. parents) may be unavailable (e.g parents deceased).
Variation in Results
|
Ratings-based Rank
| Relevance |
1 |
| Actionability |
3 |
| Overall Importance |
6 |
|
|
Stakeholder Rank
| Academics |
4 |
| Clinicians |
5 |
| Consumers |
2 |
| Decision Makers |
1 |
� |
|
Special Group Rank
| First Nations |
2 |
| Rural Areas |
2 |
| Federal Stakeholders |
9 |
|
Regional Rank
| BC |
AB |
SK |
MB |
ON |
QC |
NB |
NS |
PE |
NL |
YT |
NT |
NU |
| 1 |
10 |
6 |
11 |
1 |
2 |
8 |
7 |
5 |
10 |
3 |
11 |
16 |
|
|
Overall Rank
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