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.
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Acknowledgments
This study was supported by NIMH Grant (R24 MH074670; Recovery Oriented Assertive Community Treatment), by the VA HSR&D Center of Excellence in Implementing Evidence-based Practices, by the Department of Veterans Affairs Health Services Research and Development (CDA 10-034), and by the Kansas Department of Social and Rehabilitation Services.
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Fukui, S., Salyers, M.P., Matthias, M.S. et al. Predictors of Shared Decision Making and Level of Agreement Between Consumers and Providers in Psychiatric Care. Community Ment Health J 50, 375–382 (2014). https://doi.org/10.1007/s10597-012-9584-0
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DOI: https://doi.org/10.1007/s10597-012-9584-0