Samenvatting
Een randomised controlled trial (RCT) heeft uitgewezen dat de Shared Decision-Making (SDM) interventie Samen Beslissen een effectieve manier is om een behandelingsovereenkomst te sluiten in de verslavingszorg en dat deze zorgt voor vermindering van psychische klachten en ernst van drugsgebruik. De wijze waarop de RCT werd uitgevoerd, is niet direct te vertalen naar de klinische praktijk. Dit artikel beschrijft de bevindingen van het implementatieproject. Implementatie wordt niet zo zeer door de interventie bemoeilijkt, integendeel, maar verloopt traag door de dynamische tijd waarin de zorg zich momenteel bevindt. Het belang van en de interesse voor Samen Beslissen zijn daarentegen groot.
Abstract
A randomised controlled trial (RCT) has demonstrated that the Shared Decision-Making (SDM) intervention Deciding Together is an effective way to reach and evaluate a treatment agreement in addiction health care and results in reduction of psychiatric problems and severity of drug use. The way in which the RCT was performed cannot be adopted into clinical practice immediately. This article discusses results of an implementation project. Implementation was not hampered by the intervention itself but proceeds slowly owing to current developments within mental health care. On the other hand, there is significant importance and interest in the studied SDM intervention.
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Joosten, E., Dijkstra, B. & de Jong, C. Shared Decision-Making: van RCT naar praktijk. Verslav 11, 230–240 (2015). https://doi.org/10.1007/s12501-015-0042-x
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DOI: https://doi.org/10.1007/s12501-015-0042-x