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Implementation and Use of a Client-Facing Web-Based Shared Decision-Making System (MyCHOIS-CommonGround) in Two Specialty Mental Health Clinics
Electronic shared-decision making programs may provide an assistive technology to support physician–patient communication. This mixed methods study examined use of a web-based shared decision-making program (MyCHOIS-CommonGround) by individuals receiving specialty mental health services, and identif...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447505/ https://www.ncbi.nlm.nih.gov/pubmed/30317442 http://dx.doi.org/10.1007/s10597-018-0341-x |
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author | Finnerty, Molly Austin, Elizabeth Chen, Qingxian Layman, Deborah Kealey, Edith Ng-Mak, Daisy Rajagopalan, Krithika Hoagwood, Kimberly |
author_facet | Finnerty, Molly Austin, Elizabeth Chen, Qingxian Layman, Deborah Kealey, Edith Ng-Mak, Daisy Rajagopalan, Krithika Hoagwood, Kimberly |
author_sort | Finnerty, Molly |
collection | PubMed |
description | Electronic shared-decision making programs may provide an assistive technology to support physician–patient communication. This mixed methods study examined use of a web-based shared decision-making program (MyCHOIS-CommonGround) by individuals receiving specialty mental health services, and identified qualitative factors influencing adoption during the first 18 months of implementation in two Medicaid mental health clinics. T-tests and χ(2) analyses were conducted to assess differences in patient use between sites. Approximately 80% of patients in both clinics created a MyCHOIS-CommonGround user profile, but marked differences emerged between clinics in patients completing shared decision-making reports (79% vs. 28%, χ(2)((1)) = 109.92, p < .01) and average number of reports (7.20 vs. 3.60, t = − 3.64, p < .01). Results suggest high penetration of computer-based programs in specialty mental health services is possible, but clinic implementation factors can influence patient use including leadership commitment, peer staff funding to support the program, and implementation strategy, most notably integration of the program within routine clinical workflow. |
format | Online Article Text |
id | pubmed-6447505 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-64475052019-04-17 Implementation and Use of a Client-Facing Web-Based Shared Decision-Making System (MyCHOIS-CommonGround) in Two Specialty Mental Health Clinics Finnerty, Molly Austin, Elizabeth Chen, Qingxian Layman, Deborah Kealey, Edith Ng-Mak, Daisy Rajagopalan, Krithika Hoagwood, Kimberly Community Ment Health J Original Paper Electronic shared-decision making programs may provide an assistive technology to support physician–patient communication. This mixed methods study examined use of a web-based shared decision-making program (MyCHOIS-CommonGround) by individuals receiving specialty mental health services, and identified qualitative factors influencing adoption during the first 18 months of implementation in two Medicaid mental health clinics. T-tests and χ(2) analyses were conducted to assess differences in patient use between sites. Approximately 80% of patients in both clinics created a MyCHOIS-CommonGround user profile, but marked differences emerged between clinics in patients completing shared decision-making reports (79% vs. 28%, χ(2)((1)) = 109.92, p < .01) and average number of reports (7.20 vs. 3.60, t = − 3.64, p < .01). Results suggest high penetration of computer-based programs in specialty mental health services is possible, but clinic implementation factors can influence patient use including leadership commitment, peer staff funding to support the program, and implementation strategy, most notably integration of the program within routine clinical workflow. Springer US 2018-10-13 2019 /pmc/articles/PMC6447505/ /pubmed/30317442 http://dx.doi.org/10.1007/s10597-018-0341-x Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Paper Finnerty, Molly Austin, Elizabeth Chen, Qingxian Layman, Deborah Kealey, Edith Ng-Mak, Daisy Rajagopalan, Krithika Hoagwood, Kimberly Implementation and Use of a Client-Facing Web-Based Shared Decision-Making System (MyCHOIS-CommonGround) in Two Specialty Mental Health Clinics |
title | Implementation and Use of a Client-Facing Web-Based Shared Decision-Making System (MyCHOIS-CommonGround) in Two Specialty Mental Health Clinics |
title_full | Implementation and Use of a Client-Facing Web-Based Shared Decision-Making System (MyCHOIS-CommonGround) in Two Specialty Mental Health Clinics |
title_fullStr | Implementation and Use of a Client-Facing Web-Based Shared Decision-Making System (MyCHOIS-CommonGround) in Two Specialty Mental Health Clinics |
title_full_unstemmed | Implementation and Use of a Client-Facing Web-Based Shared Decision-Making System (MyCHOIS-CommonGround) in Two Specialty Mental Health Clinics |
title_short | Implementation and Use of a Client-Facing Web-Based Shared Decision-Making System (MyCHOIS-CommonGround) in Two Specialty Mental Health Clinics |
title_sort | implementation and use of a client-facing web-based shared decision-making system (mychois-commonground) in two specialty mental health clinics |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447505/ https://www.ncbi.nlm.nih.gov/pubmed/30317442 http://dx.doi.org/10.1007/s10597-018-0341-x |
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