Josie Nott1, Aspen Mcintosh1, Clare Taube1, Mark Taylor2. 1. Division of Health Sciences, University of Edinburgh, Edinburgh, UK. 2. Division of Health Sciences, University of Edinburgh, Edinburgh, UK; University of Queensland, Brisbane, QLD, and; Metro South Health, Brisbane, QLD, Australia.
Abstract
OBJECTIVES: Shared decision-making (SDM) is promoted as beneficial in mental healthcare, despite a dearth of supportive evidence. We aimed to obtain patients' perspective on SDM in a 'real world' hospital sample. METHODS: Structured validated questionnaires were used to examine SDM with regard to treatment choices, and whether SDM influences attitudes towards treatment. The Mini-Mental State Examination was used to assess decision-making capacity. RESULTS: A total of 109 individuals participated, with 60% reporting experiencing SDM. SDM positively correlated with positive attitudes to medication. Those detained under the Mental Health Act had lower levels of SDM. CONCLUSIONS: SDM leads to more positive attitudes towards medication and may improve adherence with treatment. SDM may particularly benefit those subject to involuntary treatment and is not onerous to practice.
OBJECTIVES: Shared decision-making (SDM) is promoted as beneficial in mental healthcare, despite a dearth of supportive evidence. We aimed to obtain patients' perspective on SDM in a 'real world' hospital sample. METHODS: Structured validated questionnaires were used to examine SDM with regard to treatment choices, and whether SDM influences attitudes towards treatment. The Mini-Mental State Examination was used to assess decision-making capacity. RESULTS: A total of 109 individuals participated, with 60% reporting experiencing SDM. SDM positively correlated with positive attitudes to medication. Those detained under the Mental Health Act had lower levels of SDM. CONCLUSIONS: SDM leads to more positive attitudes towards medication and may improve adherence with treatment. SDM may particularly benefit those subject to involuntary treatment and is not onerous to practice.
Authors: Barnaby Nelson; G Paul Amminger; Andrew Thompson; Stephen J Wood; Alison R Yung; Patrick D McGorry Journal: Front Psychiatry Date: 2020-05-27 Impact factor: 4.157