Document Detail


Predictors of Shared Decision Making and Level of Agreement Between Consumers and Providers in Psychiatric Care.
MedLine Citation:
PMID:  23299226     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The purpose of this study was to quantitatively examine elements of shared decision making (SDM), and to establish empirical evidence for factors correlated with SDM and the level of agreement between consumer and provider in psychiatric care. Transcripts containing 128 audio-recorded medication check-up visits with eight providers at three community mental health centers were rated using the Shared Decision Making scale, adapted from Braddock's Informed Decision Making Scale (Braddock et al. 1997, 1999, 2008). Multilevel regression analyses revealed that greater consumer activity in the session and greater decision complexity significantly predicted the SDM score. The best predictor of agreement between consumer and provider was "exploration of consumer preference," with a four-fold increase in full agreement when consumer preferences were discussed more completely. Enhancing active consumer participation, particularly by incorporating consumer preferences in the decision making process appears to be an important factor in SDM.
Authors:
Sadaaki Fukui; Michelle P Salyers; Marianne S Matthias; Linda Collins; John Thompson; Melinda Coffman; William C Torrey
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-9
Journal Detail:
Title:  Community mental health journal     Volume:  -     ISSN:  1573-2789     ISO Abbreviation:  Community Ment Health J     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0005735     Medline TA:  Community Ment Health J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Center for Research Methods and Data Analysis, School of Social Welfare, Office of Mental Health Research and Training, The University of Kansas, 1315 Wakarusa, Dr. Lawrence, KS, 66049, USA, fsadaaki@ku.edu.
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