Schizophrenia Clinical Trial
Official title:
A Shared Decision-making Training for Inpatients With Schizophrenia
"Shared decision-making" is being promoted as a promising approach for engaging patients with
schizophrenia in medical decisions and improving satisfaction and adherence.
To implement shared decision-making, both physicians and patients should commit to it and
engage in a mutual decision process. Most research, however, has addressed interventions that
either focus on the doctors' side (e.g. "communication skills") or on informing patients
about treatment options (e.g. "decision aids"). These approaches have been shown to be
feasible in clinical practice but had no strong effects on treatment patterns or adherence,
possibly because they were insufficient to motivate and enable patients to engage actively in
decision-making. Moreover, these interventions still rely on the doctor's willingness to
share decisions, which has been shown to vary considerably.
To overcome these limitations and since many patients do not feel competent to participate in
decision-making we developed an intervention that focuses on patients' communicative
competencies. this intervention, a five session group-training, will be implemented for
inpatients suffering from schizophrenia.
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