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. 2020 Mar 8;10(3):e032312. doi: 10.1136/bmjopen-2019-032312

Table 1.

Guiding principles for the ADvisor intervention

ADvisor guiding principles
Design objectives Key (distinctive) design features
To build confidence that discontinuing antidepressant medication is safe and achievable over the long term
  • Offer an evidence-based rationale for how withdrawal and replacement with psychological/behavioural alternatives will help.

  • Provide withdrawal success stories and examples (modelling).

  • Address concerns patients may have re withdrawal (side effects, symptoms) from their previous experiences—demonstrate empathy and acknowledge real barriers to change.

  • Offer motivational support.

To be an accessible, motivating resource that supports patients in managing their withdrawal in a manner that aligns with their preferences
  • Foster autonomy through choice and a non-prescriptive approach, providing explanations for all suggestions.

  • Offer a broad range of strategies from quick support in managing withdrawal symptoms, to more in-depth modules on a mindful approach to preventing depression relapse, and behavioural strategies for managing day-to-day stressors.

  • Provide options for self-tailoring to personal experiences and barriers

  • Provide a simple, attractive interface, with a focus on accessibly of content