The authors assessed the informational and decision-support needs of patients, families, and clinicians when deciding on treatment for problematic alcohol use and depression. Patients (n = 56), family members (n = 16), and clinicians (n = 65) with experience deciding on treatment for problematic alcohol use and depression were eligible. Participants completed an online decisional needs assessment survey. Stakeholder groups identified numerous difficult patient-level treatment decisions and elevated decisional conflict. Participants preferred patient-led or shared treatment decision-making (75%-95.4%). Patients (32.6%) reported not being as involved in treatment decision-making as preferred, a higher proportion than reported by clinicians (16.4%; p = .056). More patients (19.6%) than clinicians (3.6%) reported clinician-led treatment decision-making, with little or no patient involvement (p = .022). Stakeholder preferences for future decision-support resources included online information for use outside consultations.

中文翻译：

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在有问题的酒精使用和共同发生的抑郁症中评估患者信息和决策支持需求，以告知共享的决策干预措施。

在决定对有问题的酒精使用和抑郁症进行治疗时，作者评估了患者、家属和临床医生的信息和决策支持需求。具有决定治疗有问题的酒精使用和抑郁症的经验的患者 (n = 56)、家庭成员 (n = 16) 和临床医生 (n = 65) 符合条件。参与者完成了在线决策需求评估调查。利益相关者团体确定了许多困难的患者级别的治疗决策和加剧的决策冲突。参与者更喜欢患者主导或共享的治疗决策（75%-95.4%）。患者 (32.6%) 报告说没有像首选那样参与治疗决策，这一比例高于临床医生报告的比例 (16.4%; p = .056)。患者 (19.6%) 比临床医生 (3. 6%) 报告了临床医生主导的治疗决策，很少或没有患者参与 (p = .022)。利益相关者对未来决策支持资源的偏好包括供外部咨询使用的在线信息。