The Development of Stakeholder-Driven and Theory-Informed Depression Care Decision Aid for Ethnoracially Diverse Communities in Primary Care

Guided by the Ottawa Decision Support Framework, we created a depression care decision aid for Latinx and African American individuals with major depressive disorder (MDD) at a network of Federally Qualified Health Centers. We surveyed 94 African American and Latinx individuals with MDD about their decision making needs. Focus groups elaborated on these preferences. Results show that about half of the sample preferred a collaborative role in decision making. Respondents report greater preference for receiving information about care compared to lower preferences for shared decision making. Focus group themes included fear of judgment, importance of being informed of care options and exploring care preferences, value of a provider who is a trusted friend and medical expert, and the importance of flexible decision making. Survey and focus groups results were used to iteratively develop a depression care decision aid. Future work will evaluate acceptability, feasibility, and effect of the depression care decision aid.