Grant: Project Grant

Shared decision making promotes patient-centered high quality healthcare care but has been proven challenging to implement and routinize in primary care practices. Decision aids promote and enable shared decision making. The evaluation of a dissemination and implementation strategy and its ability to enhance the adoption and routinization of decision aids and shared decision making in practice is highly significant, particularly in the context of depression care, a national public health priority area. We developed a freely available decision aid for choosing antidepressants and tested its efficacy in a randomized trial in primary care. Here, we propose to refine and test a user-centered dissemination and implementation strategy designed to routinize the use of this effective tool in the care of patients with depression in primary care. If effective, this strategy will represent a major advance not only in the way clinicians and patients engage in depression care, but also contribute to our long-term goal of improving the quality of primary healthcare by successfully embedding SDM in primary care.