Margot J Metz1,2,3, Marjolein A Veerbeek4, Christina M van der Feltz-Cornelis5,6, Edwin de Beurs7,8, Aartjan T F Beekman9,10. 1. GGz Breburg, Postbus 770, 5000, AT, Tilburg, The Netherlands. m.metz@ggzbreburg.nl. 2. Trimbos Institute, Postbus 725, 3500, AS, Utrecht, The Netherlands. m.metz@ggzbreburg.nl. 3. VU University, De Boelelaan 1105, 1081, HV, Amsterdam, The Netherlands. m.metz@ggzbreburg.nl. 4. Trimbos Institute, Postbus 725, 3500, AS, Utrecht, The Netherlands. 5. GGz Breburg, Postbus 770, 5000, AT, Tilburg, The Netherlands. 6. Tilburg University, Postbus 90153, 5000, LE, Tilburg, The Netherlands. 7. Foundation for Benchmarking Mental Health Care, Rembrandtlaan 46, 3723, BK, Bilthoven, The Netherlands. 8. University of Leiden, Postbus 9500, 2300, RA, Leiden, The Netherlands. 9. GGZ inGeest, A.J. Ernststraat 1187, 1081, HL, Amsterdam, The Netherlands. 10. VU University Medical Centre Amsterdam, Postbus 7057, 1007, MB, Amsterdam, The Netherlands.
Abstract
PURPOSE: Decisional conflict refers to the degree to which patients are engaged in and feel comfortable about important clinical decisions. Until now, the concept has received little attention in mental health care. We investigate the level of decisional conflict in mental health care and whether this is influenced by socio-demographics, treatment setting, diagnoses, and locus of control. METHODS: Cross-sectional study among 186 patients in Dutch specialist mental health care using the Decisional Conflict Scale, which measures five dimensions of decisional conflict: information, support, clarification of values, certainty, and decisional quality. Descriptive statistics and forward stepwise linear regression analyses were used. RESULTS: Patients report relatively high levels of decisional conflict, especially those with more external locus of control. Having a personality disorder and higher education also increases decisional conflict on the dimensions support and clarification of values, respectively. Less decisional conflict was experienced by patients with psychotic disorders on the dimension certainty and by women on the information domain. CONCLUSIONS: Decisional conflict is common among patients in specialist mental health care and is very useful for assessing the quality of clinical decision making. Measuring decisional conflict and knowledge about influencing factors can be used to improve patients' participation in clinical decision making, adherence to treatment and clinical outcomes.
PURPOSE: Decisional conflict refers to the degree to which patients are engaged in and feel comfortable about important clinical decisions. Until now, the concept has received little attention in mental health care. We investigate the level of decisional conflict in mental health care and whether this is influenced by socio-demographics, treatment setting, diagnoses, and locus of control. METHODS: Cross-sectional study among 186 patients in Dutch specialist mental health care using the Decisional Conflict Scale, which measures five dimensions of decisional conflict: information, support, clarification of values, certainty, and decisional quality. Descriptive statistics and forward stepwise linear regression analyses were used. RESULTS:Patients report relatively high levels of decisional conflict, especially those with more external locus of control. Having a personality disorder and higher education also increases decisional conflict on the dimensions support and clarification of values, respectively. Less decisional conflict was experienced by patients with psychotic disorders on the dimension certainty and by women on the information domain. CONCLUSIONS: Decisional conflict is common among patients in specialist mental health care and is very useful for assessing the quality of clinical decision making. Measuring decisional conflict and knowledge about influencing factors can be used to improve patients' participation in clinical decision making, adherence to treatment and clinical outcomes.
Entities:
Keywords:
Cross-sectional study; Decisional Conflict Scale; Decisional conflict; Mental health care; Shared decision making
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