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. 2018 Oct;26(5):478-481.
doi: 10.1177/1039856218758562. Epub 2018 Feb 19.

Shared decision-making in psychiatry: a study of patient attitudes

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Shared decision-making in psychiatry: a study of patient attitudes

Josie Nott et al. Australas Psychiatry. 2018 Oct.

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.

Keywords: attitudes; medication; shared decision-making.

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