Shared decision making: The effects of a decision aid for Turkish and Moroccan mental health care clients with depression on the client caregiver relationship.

The Dutch mental health care services manage to reach a growing number of clients of Turkish or Moroccan origins. The relationship between Turkish/Moroccan clients and their caregiver is, however, often marked by miscommunication, leading to dissatisfaction, drop-out, limited treatment adherence and poor treatment results.

Shared decision making shows great promise in mental health care and can be facilitated by the use of web based decision aids that inform the client of evidence based treatment options and helps clarify personal considerations.

The present study focuses of the effects of the use of a decision aid for Turkish and Moroccan clients with depression. In this study the decision aid is used in a clinical setting where client and caregiver together work through the decision aid.

In a pragmatic randomised controlled trial the effects are studied of the use of the decision aid on satisfaction with caregiver relationship, satisfaction with treatment, treatment adherence, and depressive complaints

Two mental health care organisations participate with 20 trained caregivers and 200 clients. Data are collected through standard registrations and questionnaires.

The use of a decision aid in mental health care of Turkish and Moroccan clients with depression has positive effects on:

1. The evaluation of the client caregiver relationship;

2. The satisfaction with the treatment in both clients and caregivers;

3. Treatment adherence;

4. Depressive symptoms.

1. Start of the care assessment;

2. Treatment finish.

Use of webbased Decision Aid Depression (kiesBeter.nl) for Turkish and Moroccan clients in a health care setting.