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- Title
What can patients do to facilitate shared decision making? A qualitative study of patients with depression or schizophrenia and psychiatrists.
- Authors
Hamann, Johannes; Kohl, S.; McCabe, R.; Bühner, M.; Mendel, R.; Albus, M.; Bernd, J.; Bühner, M
- Abstract
<bold>Purpose: </bold>Patient involvement in decision making is endorsed by patients and professionals. While research has recently been conducted on how professionals can promote shared decision making (SDM), little is known about how patients can also facilitate SDM.<bold>Methods: </bold>Seven focus groups were conducted: 3 with psychiatrists and 4 with patients with schizophrenia or depression. The focus groups were transcribed and independently coded line by line by 2 researchers. Data were analyzed using content analysis.<bold>Results: </bold>Seven themes related to patient attitudes and behaviors were identified: honesty and openness with one's psychiatrist and oneself, trust in one's psychiatrist and patience with the treatment, respect and politeness, informing the psychiatrist and giving feedback, engagement/active participation during the consultation, gathering information/preparing for the consultation and implementing decisions. Barriers (e.g., avolition, lack of decisional capacity, powerlessness during involuntary treatment) and facilitators of active patient behavior were also identified.<bold>Conclusions: </bold>There are various ways in which patients can facilitate SDM/play a more active role in decision making, with patients emphasizing being open and honest and psychiatrists emphasizing being active in the consultation. Interventions to increase active patient behavior may enhance SDM in mental health care.
- Subjects
DECISION making &; psychology; DEPRESSED persons; PEOPLE with schizophrenia; PSYCHIATRISTS; PEOPLE with mental illness; ATTITUDE (Psychology); THERAPEUTICS; MENTAL depression; SCHIZOPHRENIA treatment; DECISION making; FOCUS groups; PHYSICIAN-patient relations; PSYCHIATRY; PATIENT participation; QUALITATIVE research
- Publication
Social Psychiatry & Psychiatric Epidemiology, 2016, Vol 51, Issue 4, p617
- ISSN
0933-7954
- Publication type
journal article
- DOI
10.1007/s00127-015-1089-z