Adapting the Goal Attainment Approach for Major Depressive Disorder

Abstract The need for patient-centered care has become a focal point of healthcare improvement initiatives. Shared decision making—in which patients and clinicians communicate about various treatment options and goals and patient input is considered when making treatment decisions—has been associate...

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Main Authors: Maggie McCue, Sagar V. Parikh, Lisa Mucha, Sara Sarkey, Charlie Cao, Anna Eramo, Mark Opler, Briana Webber-Lind, Clément François
Format: Article
Language:English
Published: Adis, Springer Healthcare 2019-08-01
Series:Neurology and Therapy
Subjects:
Online Access:http://link.springer.com/article/10.1007/s40120-019-00151-w
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author Maggie McCue
Sagar V. Parikh
Lisa Mucha
Sara Sarkey
Charlie Cao
Anna Eramo
Mark Opler
Briana Webber-Lind
Clément François
author_facet Maggie McCue
Sagar V. Parikh
Lisa Mucha
Sara Sarkey
Charlie Cao
Anna Eramo
Mark Opler
Briana Webber-Lind
Clément François
author_sort Maggie McCue
collection DOAJ
description Abstract The need for patient-centered care has become a focal point of healthcare improvement initiatives. Shared decision making—in which patients and clinicians communicate about various treatment options and goals and patient input is considered when making treatment decisions—has been associated with improved health and quality of life. A method of treatment evaluation allowing incorporation of patient-specific goals and perspectives is of increasing interest to healthcare providers, payers, and patients. An approach that allows incorporation of shared goal setting is possible via use of an instrument called the Goal Attainment Scale (GAS). This scale provides the structure for measuring progress toward treatment goals set through patient–clinician collaboration. The goal attainment approach has been used as a primary outcomes measure in numerous studies but not in major depressive disorder (MDD). As MDD is a complex, multidimensional disorder affecting each patient differently, the use of GAS methodology is a relevant framework for setting personalized meaningful treatment goals. Initial research into the feasibility of using the GAS in MDD (GAS-D) to measure patient-centric outcomes that may be neglected when more traditional scales are used has been encouraging. The objective of this Commentary is to provide background and rationale for implementation of the GAS-D in clinical practice. Funding Takeda Pharmaceutical Company, Ltd., and Lundbeck LLC.
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spelling doaj.art-d1d3d749d89c4113af04e5a4247f74c42022-12-22T00:16:36ZengAdis, Springer HealthcareNeurology and Therapy2193-82532193-65362019-08-018216717610.1007/s40120-019-00151-wAdapting the Goal Attainment Approach for Major Depressive DisorderMaggie McCue0Sagar V. Parikh1Lisa Mucha2Sara Sarkey3Charlie Cao4Anna Eramo5Mark Opler6Briana Webber-Lind7Clément François8Takeda Pharmaceuticals U.S.A., Inc.Department of Psychiatry, University of MichiganTakeda Pharmaceuticals U.S.A., Inc.Takeda Pharmaceuticals U.S.A., Inc.Takeda Pharmaceuticals U.S.A., Inc.Lundbeck LLCMedAvante, Inc.MedAvante, Inc.Lundbeck LLCAbstract The need for patient-centered care has become a focal point of healthcare improvement initiatives. Shared decision making—in which patients and clinicians communicate about various treatment options and goals and patient input is considered when making treatment decisions—has been associated with improved health and quality of life. A method of treatment evaluation allowing incorporation of patient-specific goals and perspectives is of increasing interest to healthcare providers, payers, and patients. An approach that allows incorporation of shared goal setting is possible via use of an instrument called the Goal Attainment Scale (GAS). This scale provides the structure for measuring progress toward treatment goals set through patient–clinician collaboration. The goal attainment approach has been used as a primary outcomes measure in numerous studies but not in major depressive disorder (MDD). As MDD is a complex, multidimensional disorder affecting each patient differently, the use of GAS methodology is a relevant framework for setting personalized meaningful treatment goals. Initial research into the feasibility of using the GAS in MDD (GAS-D) to measure patient-centric outcomes that may be neglected when more traditional scales are used has been encouraging. The objective of this Commentary is to provide background and rationale for implementation of the GAS-D in clinical practice. Funding Takeda Pharmaceutical Company, Ltd., and Lundbeck LLC.http://link.springer.com/article/10.1007/s40120-019-00151-wGoal Attainment ScalePatient-centered careShared decision makingVortioxetine
spellingShingle Maggie McCue
Sagar V. Parikh
Lisa Mucha
Sara Sarkey
Charlie Cao
Anna Eramo
Mark Opler
Briana Webber-Lind
Clément François
Adapting the Goal Attainment Approach for Major Depressive Disorder
Neurology and Therapy
Goal Attainment Scale
Patient-centered care
Shared decision making
Vortioxetine
title Adapting the Goal Attainment Approach for Major Depressive Disorder
title_full Adapting the Goal Attainment Approach for Major Depressive Disorder
title_fullStr Adapting the Goal Attainment Approach for Major Depressive Disorder
title_full_unstemmed Adapting the Goal Attainment Approach for Major Depressive Disorder
title_short Adapting the Goal Attainment Approach for Major Depressive Disorder
title_sort adapting the goal attainment approach for major depressive disorder
topic Goal Attainment Scale
Patient-centered care
Shared decision making
Vortioxetine
url http://link.springer.com/article/10.1007/s40120-019-00151-w
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