Objective: We suggest that clinicians consider models of shared decision-making (SDM) for their potential ability to improve the treatment of major depression in the primary care setting and overcome limitations of collaborative care and other interventions.
Methods: We explore the characteristics and techniques of patient-clinician SDM, with particular emphasis on this model's relevance to the unique treatment concerns of depressed older adults.
Results: We describe a SDM intervention to engage older adults in depression treatment in the primary care sector.
Conclusions: It is timely to examine SDM models for elderly depressed primary care patients given their potential ability to improve treatment adherence and clinical outcomes.
Copyright © 2009 John Wiley & Sons, Ltd.