Shared Decision Making With Patients Clinical Trial
Background:
Shared Decision Making (SDM) refers to a process of health care delivery in which
practitioners and clients seeking help with decisions, collaborate to access relevant
information and enable client-centered selections of health care resources (1, 2). SDM leads
to better treatment adherence and outcomes for people with a medical problem (3). SDM
principles have previously been used in psychiatry to improve antipsychotic and
antidepressant medication adherence (4, 5); however, these principles have yet to be applied
to psychiatric rehabilitation (6).
The current research uniquely aims to test the development and implementation of a SDM
intervention for people with psychotic spectrum disorders (e.g., schizophrenia and affective
disorder) during the referral process to psychiatric rehabilitation services. The study will
be conducted this year using a randomly selected sample from the population of people with
psychotic spectrum disorders hospitalized in SHALVATA psychiatric hospital in Israel. It
aims to facilitate better treatment and rehabilitation outcomes. It has received the support
and approval of the Mental Health Division of the Ministry of Health (MOH) in Israel, the
institutional review board (IRB) by the university of Haifa, Israel and a Helsinki committee
approval by SHALVATA psychiatric hospital and the MOH in Israel.
References
1. Charles C, Gafni A, Whelan T. Shared decision-making in the medical encounter: What
does it mean?(or it takes at least two to tango). Soc Sci Med. 1997;44(5):681-92.
2. Adams JR, Drake RE. Shared decision-making and evidence-based practice. Community Ment
Health J. 2006;42(1):87-105.
3. Joosten EAG, DeFuentes-Merillas L, De Weert GH, Sensky T, Van Der Staak, C. P. F., De
Jong, C. A. J. Systematic review of the effects of shared decision-making on patient
satisfaction, treatment adherence and health status. Psychother Psychosom.
2008;77(4):219-26.
4. Hamann J, Cohen R, Leucht S, Busch R, Kissling W. Do patients with schizophrenia wish
to be involved in decisions about their medical treatment? Am J Psychiatry.
2005;162(12):2382.
5. Hamann J, Langer B, Winkler V, Busch R, Cohen R, Leucht S, et al. Shared decision
making for in-patients with schizophrenia. Acta Psychiatr Scand. 2006;114(4):265-73.
6. Drake RE, Deegan PE, Rapp C. The promise of shared decision making in mental health.
Psychiatr Rehabil J. 2010;34(1):7-13.
n/a
Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Caregiver)