eprintid: 10090148
rev_number: 16
eprint_status: archive
userid: 608
dir: disk0/10/09/01/48
datestamp: 2020-01-23 11:48:32
lastmod: 2021-12-20 23:31:35
status_changed: 2020-01-23 11:48:32
type: article
metadata_visibility: show
creators_name: Khalifeh, H
creators_name: Molyneaux, E
creators_name: Brauer, R
creators_name: Vigod, S
creators_name: Howard, LM
title: Patient decision aids for antidepressant use in pregnancy: a pilot randomised controlled trial in the UK
ispublished: pub
divisions: UCL
divisions: B02
divisions: C08
divisions: D10
divisions: G11
keywords: antidepressants, depression, patient decision aid, pilot, pregnancy, randomised controlled trial
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abstract: BACKGROUND: Decision-making regarding antidepressant use in pregnancy is challenging, given the uncertain evidence base on the benefits and risks for women and their children. Patient decision aids (PDAs) can improve shared decision-making for complex health decisions but no evidence-based PDAs exist for antidepressant use in pregnancy. AIM: To assess the feasibility of a full-scale randomised controlled trial (RCT) to evaluate the efficacy of an electronic PDA on antidepressant use in pregnancy. DESIGN & SETTING: A UK-based pilot parallel-group RCT. METHOD: The study recruited women whose clinicians recommended an antidepressant for depression in a current or planned pregnancy, and who were uncertain about antidepressant use while pregnant. Women were recruited via clinician or self-referral, and randomised to online access to the PDA or online access to standard resource list, with primary follow-up at 4 weeks and longer-term follow-up. The primary outcome was protocol feasibility (recruitment target of 50 women and follow-up rate of 80%). Outcome measures for a future full-scale RCT included the decisional conflict scale (DCS). RESULTS: Fifty-one women were recruited with a follow-up rate of 90.2% at 4 weeks. The PDA received good overall satisfaction ratings (mean 4.2/5). Analysis of covariance (ANCOVA) indicated a small improvement in decisional conflict at 4 weeks, accounting for baseline scores (DCS regression coefficient = -3.5, 95% confidence intervals [CI = -12.6 to 5.6]). CONCLUSION: This pilot RCT for an electronic PDA on antidepressant use in pregnancy showed that the study protocol was feasible, with high rates of participant satisfaction among those randomised to the PDA.
date: 2019-12-10
date_type: published
official_url: https://doi.org/10.3399/bjgpopen19X101666
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 1732858
doi: 10.3399/bjgpopen19X101666
pii: bjgpopen19X101666
lyricists_name: Brauer, Ruth
lyricists_id: RBRAU10
actors_name: Kalinowski, Damian
actors_id: DKALI47
actors_role: owner
full_text_status: public
publication: BJGP Open
event_location: England
citation:        Khalifeh, H;    Molyneaux, E;    Brauer, R;    Vigod, S;    Howard, LM;      (2019)    Patient decision aids for antidepressant use in pregnancy: a pilot randomised controlled trial in the UK.                   BJGP Open        10.3399/bjgpopen19X101666 <https://doi.org/10.3399/bjgpopen19X101666>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10090148/1/Brauer_Patient%20decision%20aids%20for%20antidepressant%20use%20in%20pregnancy.%20A%20pilot%20randomised%20controlled%20trial%20in%20the%20UK_VoR.pdf