Patient and general practitioner preferences for the treatment of depression in patients with cancer: how, who, and where?

OBJECTIVE: The objective of this study was to determine and compare patient and general practitioner (GP) preferences for the treatment of depression in patients with cancer. METHODS: A treatment preference questionnaire was completed by 100 patients who had been diagnosed with both cancer and major...

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Main Authors: Hodges, L, Butcher, I, Kleiboer, A, McHugh, G, Murray, G, Walker, J, Wilson, R, Sharpe, M
Format: Journal article
Language:English
Published: 2009
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author Hodges, L
Butcher, I
Kleiboer, A
McHugh, G
Murray, G
Walker, J
Wilson, R
Sharpe, M
author_facet Hodges, L
Butcher, I
Kleiboer, A
McHugh, G
Murray, G
Walker, J
Wilson, R
Sharpe, M
author_sort Hodges, L
collection OXFORD
description OBJECTIVE: The objective of this study was to determine and compare patient and general practitioner (GP) preferences for the treatment of depression in patients with cancer. METHODS: A treatment preference questionnaire was completed by 100 patients who had been diagnosed with both cancer and major depressive disorder and by 86 GPs who had had experience of at least 1 patient with cancer and depression. Participants were asked to rank options for how depression should be treated, who should deliver the treatment, and where treatment should occur. RESULTS: The top three preferences of patients and GPs for how depression should be treated differed (P<.001). Patients preferred talking treatment alone, whereas GPs preferred a combination of drug and talking treatment. Both patients and GPs preferred treatment to be given by the GP, with older patients having a stronger preference for this. Counselors and cancer nurses were also popular preferences; mental heath professionals were unpopular. The preferred place of treatment was primary care for both patients and GPs, although many patients preferred treatment in the cancer center. CONCLUSION: Effective and acceptable services for depressed cancer patients need to take patients and GP preferences into account. A model of service that allows a choice of initial treatment modality and collaborative care between primary care and cancer center nurse would meet this requirement.
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spelling oxford-uuid:daa52bb3-24cc-4021-a3cc-b400fad6c72b2022-03-27T09:04:41ZPatient and general practitioner preferences for the treatment of depression in patients with cancer: how, who, and where?Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:daa52bb3-24cc-4021-a3cc-b400fad6c72bEnglishSymplectic Elements at Oxford2009Hodges, LButcher, IKleiboer, AMcHugh, GMurray, GWalker, JWilson, RSharpe, MOBJECTIVE: The objective of this study was to determine and compare patient and general practitioner (GP) preferences for the treatment of depression in patients with cancer. METHODS: A treatment preference questionnaire was completed by 100 patients who had been diagnosed with both cancer and major depressive disorder and by 86 GPs who had had experience of at least 1 patient with cancer and depression. Participants were asked to rank options for how depression should be treated, who should deliver the treatment, and where treatment should occur. RESULTS: The top three preferences of patients and GPs for how depression should be treated differed (P<.001). Patients preferred talking treatment alone, whereas GPs preferred a combination of drug and talking treatment. Both patients and GPs preferred treatment to be given by the GP, with older patients having a stronger preference for this. Counselors and cancer nurses were also popular preferences; mental heath professionals were unpopular. The preferred place of treatment was primary care for both patients and GPs, although many patients preferred treatment in the cancer center. CONCLUSION: Effective and acceptable services for depressed cancer patients need to take patients and GP preferences into account. A model of service that allows a choice of initial treatment modality and collaborative care between primary care and cancer center nurse would meet this requirement.
spellingShingle Hodges, L
Butcher, I
Kleiboer, A
McHugh, G
Murray, G
Walker, J
Wilson, R
Sharpe, M
Patient and general practitioner preferences for the treatment of depression in patients with cancer: how, who, and where?
title Patient and general practitioner preferences for the treatment of depression in patients with cancer: how, who, and where?
title_full Patient and general practitioner preferences for the treatment of depression in patients with cancer: how, who, and where?
title_fullStr Patient and general practitioner preferences for the treatment of depression in patients with cancer: how, who, and where?
title_full_unstemmed Patient and general practitioner preferences for the treatment of depression in patients with cancer: how, who, and where?
title_short Patient and general practitioner preferences for the treatment of depression in patients with cancer: how, who, and where?
title_sort patient and general practitioner preferences for the treatment of depression in patients with cancer how who and where
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