Development and pilot of the Alcohol and Depression Decision-Aid for Psychological Treatments (ADDAPT)
ISSN: 1757-0972
Article publication date: 7 March 2023
Issue publication date: 1 September 2023
Abstract
Purpose
Evidence is lacking as to the superiority of dual-focused versus single-focused approaches in treating depression and alcohol use comorbidity. Different people may also value the different features of treatment options differently, necessitating a decision-support tool. This study aims to test the acceptability, feasibility, safety and potential usefulness of the Alcohol and Depression Decision-Aid for Psychological Treatments (ADDAPT).
Design/methodology/approach
ADDAPT was developed according to International Patient Decision-Aid Standards and in consultation with potential end users. Adults with depression and alcohol use comorbidity, who were considering/recently considered psychological treatments, were recruited via online advertisements. After clicking on the study URL, participants accessed the ADDAPT e-book and completed validated and purpose-designed questionnaires.
Findings
Of the 24 participants, most would recommend ADDAPT to others (79.2% agree) and endorsed it as easy-to-use (75%), useful in decision-making (79.2%), presenting balanced (87.5%), up-to-date (91.7%), easy-to-understand (79.2%) and trustworthy information (83.3%), which did not provoke anxiety (i.e. safety; 75%). Post-use, participants felt well prepared to decide on treatment (M = 3.48/5) and demonstrated good treatment knowledge (M = 65.83%). All but one participant indicated a treatment choice supported by best available evidence, and decisional conflict scores except for the uncertainty subscale were below the threshold for decisional delay (all M < 37.5/100).
Originality/value
ADDAPT is the first decision-aid of its kind, with pilot findings supporting its acceptability, feasibility, safety and potential usefulness for improving decision-making quality among people considering psychological treatment options for depression and alcohol use comorbidity.
Keywords
Acknowledgements
The authors wish to thank the members of the expert working party for their expertise in developing the decision-aid, as well as the participants who contributed their time and feedback in the pilot study. This research was completed with the assistance of A Matilda Centre Fellowship (supporting Dr Fisher), a NHMRC Senior Research Fellowship (supporting Professor Mills), and a NHMRC TRIP Fellowship (supporting Dr Marel).
Author contributions: Alana Fisher: Conceptualisation, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Supervision, Writing –original draft, Writing – review and editing; Sylvia Eugene Dit Rochesson: Data curation, Investigation, Project administration, Writing – original draft, Writing – review and editing; Logan R. Harvey: Conceptualisation, Methodology, Writing – review and editing; Christina Marel: Conceptualisation, Funding acquisition, Methodology, Supervision, Writing – review and editing; Katherine L. Mills: Conceptualisation, Funding acquisition, Methodology, Supervision, Writing – review and editing.
Citation
Fisher, A., Eugene Dit Rochesson, S., Harvey, L.R., Marel, C. and Mills, K.L. (2023), "Development and pilot of the Alcohol and Depression Decision-Aid for Psychological Treatments (ADDAPT)", Advances in Dual Diagnosis, Vol. 16 No. 3, pp. 169-184. https://doi.org/10.1108/ADD-10-2022-0028
Publisher
:Emerald Publishing Limited
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