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Shared decision-making for psychiatric medication: A mixed-methods evaluation of a UK training programme for service users and clinicians
BACKGROUND: Shared decision making (SDM) is recognised as a promising strategy to enhance good collaboration between clinicians and service users, yet it is not practised regularly in mental health. AIMS: Develop and evaluate a novel training programme to enhance SDM in psychiatric medication manage...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5697562/ https://www.ncbi.nlm.nih.gov/pubmed/29067837 http://dx.doi.org/10.1177/0020764017733764 |
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author | Ramon, Shulamit Morant, Nicola Stead, Ute Perry, Ben |
author_facet | Ramon, Shulamit Morant, Nicola Stead, Ute Perry, Ben |
author_sort | Ramon, Shulamit |
collection | PubMed |
description | BACKGROUND: Shared decision making (SDM) is recognised as a promising strategy to enhance good collaboration between clinicians and service users, yet it is not practised regularly in mental health. AIMS: Develop and evaluate a novel training programme to enhance SDM in psychiatric medication management for service users, psychiatrists and care co-ordinators. METHODS: The training programme design was informed by existing literature and local stakeholders consultations. Parallel group-based training programmes on SDM process were delivered to community mental health service users and providers. Evaluation consisted of quantitative measures at baseline and 12-month follow-up, post-programme participant feedback and qualitative interviews. RESULTS: Training was provided to 47 service users, 35 care-coordinators and 12 psychiatrists. Participant feedback was generally positive. Statistically significant changes in service users’ decisional conflict and perceptions of practitioners’ interactional style in promoting SDM occurred at the follow-up. Qualitative data suggested positive impacts on service users’ and care co-ordinators confidence to explore medication experience, and group-based training was valued. CONCLUSIONS: The programme was generally acceptable to service users and practitioners. This indicates the value of conducting a larger study and exploring application for non-medical decisions. |
format | Online Article Text |
id | pubmed-5697562 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-56975622017-11-27 Shared decision-making for psychiatric medication: A mixed-methods evaluation of a UK training programme for service users and clinicians Ramon, Shulamit Morant, Nicola Stead, Ute Perry, Ben Int J Soc Psychiatry Original Articles BACKGROUND: Shared decision making (SDM) is recognised as a promising strategy to enhance good collaboration between clinicians and service users, yet it is not practised regularly in mental health. AIMS: Develop and evaluate a novel training programme to enhance SDM in psychiatric medication management for service users, psychiatrists and care co-ordinators. METHODS: The training programme design was informed by existing literature and local stakeholders consultations. Parallel group-based training programmes on SDM process were delivered to community mental health service users and providers. Evaluation consisted of quantitative measures at baseline and 12-month follow-up, post-programme participant feedback and qualitative interviews. RESULTS: Training was provided to 47 service users, 35 care-coordinators and 12 psychiatrists. Participant feedback was generally positive. Statistically significant changes in service users’ decisional conflict and perceptions of practitioners’ interactional style in promoting SDM occurred at the follow-up. Qualitative data suggested positive impacts on service users’ and care co-ordinators confidence to explore medication experience, and group-based training was valued. CONCLUSIONS: The programme was generally acceptable to service users and practitioners. This indicates the value of conducting a larger study and exploring application for non-medical decisions. SAGE Publications 2017-10-25 2017-12 /pmc/articles/PMC5697562/ /pubmed/29067837 http://dx.doi.org/10.1177/0020764017733764 Text en © The Author(s) 2017 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Articles Ramon, Shulamit Morant, Nicola Stead, Ute Perry, Ben Shared decision-making for psychiatric medication: A mixed-methods evaluation of a UK training programme for service users and clinicians |
title | Shared decision-making for psychiatric medication: A mixed-methods evaluation of a UK training programme for service users and clinicians |
title_full | Shared decision-making for psychiatric medication: A mixed-methods evaluation of a UK training programme for service users and clinicians |
title_fullStr | Shared decision-making for psychiatric medication: A mixed-methods evaluation of a UK training programme for service users and clinicians |
title_full_unstemmed | Shared decision-making for psychiatric medication: A mixed-methods evaluation of a UK training programme for service users and clinicians |
title_short | Shared decision-making for psychiatric medication: A mixed-methods evaluation of a UK training programme for service users and clinicians |
title_sort | shared decision-making for psychiatric medication: a mixed-methods evaluation of a uk training programme for service users and clinicians |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5697562/ https://www.ncbi.nlm.nih.gov/pubmed/29067837 http://dx.doi.org/10.1177/0020764017733764 |
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