Community Mental Health Journal

, Volume 50, Issue 4, pp 375–382

Predictors of Shared Decision Making and Level of Agreement Between Consumers and Providers in Psychiatric Care

  • Sadaaki Fukui
  • Michelle P. Salyers
  • Marianne S. Matthias
  • Linda Collins
  • John Thompson
  • Melinda Coffman
  • William C. Torrey
Original Paper

DOI: 10.1007/s10597-012-9584-0

Cite this article as:
Fukui, S., Salyers, M.P., Matthias, M.S. et al. Community Ment Health J (2014) 50: 375. doi:10.1007/s10597-012-9584-0

Abstract

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.

Keywords

Shared decision making Consumer participation Consumer preferences Physician’s practice patterns Mental health Mental illness 

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Sadaaki Fukui
    • 1
  • Michelle P. Salyers
    • 2
  • Marianne S. Matthias
    • 3
  • Linda Collins
    • 2
  • John Thompson
    • 6
  • Melinda Coffman
    • 4
  • William C. Torrey
    • 5
  1. 1.Center for Research Methods and Data Analysis, School of Social Welfare, Office of Mental Health Research and TrainingThe University of KansasDr. LawrenceUSA
  2. 2.Department of PsychologyIndiana University-Purdue University IndianapolisIndianapolisUSA
  3. 3.Roudebush VA Medical Center and Regenstrief Institute, Department of Communication StudiesIndiana University-Purdue University IndianapolisIndianapolisUSA
  4. 4.School of Social Welfare, Office of Mental Health Research and TrainingThe University of KansasDr. LawrenceUSA
  5. 5.Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Dartmouth Medical SchoolOne Medical Center DriveLebanonUSA
  6. 6.St. Ambrose University, Center for Communication and Social DevelopmentDavenportUSA

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