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- Title
Shared decision-making in psychiatry: a study of patient attitudes.
- Authors
Nott, Josie; Mcintosh, Aspen; Taube, Clare; Taylor, Mark
- Abstract
<bold>Objectives: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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.<bold>Conclusions: </bold>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.
- Subjects
PATIENT decision making; DECISION making in psychiatry; PATIENTS' attitudes; PEOPLE with mental illness; CARE of people; MENTAL health services; MENTAL illness drug therapy; CAPACITY (Law); DECISION making; HEALTH attitudes; PSYCHIATRY; QUESTIONNAIRES; PATIENT participation
- Publication
Australasian Psychiatry, 2018, Vol 26, Issue 5, p478
- ISSN
1039-8562
- Publication type
journal article
- DOI
10.1177/1039856218758562