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dc.contributor.authorDuncan, Edwarden_UK
dc.contributor.authorBest, Catherineen_UK
dc.contributor.authorHagen, Suzanneen_UK
dc.description.abstractBackground: One person in every four will suffer from a diagnosable mental health condition during their life course. Such conditions can have a devastating impact on the lives of the individual, their family and society. Increasingly partnership models of mental health care have been advocated and enshrined in international healthcare policy. Shared decision making is one such partnership approach. Shared decision making is a form of patient-provider communication where both parties are acknowledged to bring expertise to the process and work in partnership to make a decision. This is advocated on the basis that patients have a right to self-determination and also in the expectation that it will increase treatment adherence. Objectives: To assess the effects of provider-, consumer- or carer-directed shared decision making interventions for people of all ages with mental health conditions, on a range of outcomes including: patient satisfaction, clinical outcomes, and health service outcomes. Search methods: We searched: the Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library 2008, Issue 4), MEDLINE (1950 to November 2008), EMBASE (1980 to November 2008), PsycINFO (1967 to November 2008), CINAHL (1982 to November 2008), British Nursing Index and Archive (1985 to November 2008) and SIGLE (1890 to September 2005 (database end date)). We also searched online trial registers and the bibliographies of relevant papers, and contacted authors of included studies. Selection criteria: Randomised controlled trials (RCTs), quasi-randomised controlled trials (q-RCTs), controlled before-and-after studies (CBAs); and interrupted time series (ITS) studies of interventions to increase shared decision making in people with mental health conditions (by DSM or ICD-10 criteria). Data collection and analysis: Data on recruitment methods, eligibility criteria, sample characteristics, interventions, outcome measures, participant flow and outcome data from each study were extracted by one author and checked by another. Data are presented in a narrative synthesis. Main results: We included two separate German studies involving a total of 518 participants. One study was undertaken in the inpatient treatment of schizophrenia and the other in the treatment of people newly diagnosed with depression in primary care. Regarding the primary outcomes, one study reported statistically significant increases in patient satisfaction, the other study did not. There was no evidence of effect on clinical outcomes or hospital readmission rates in either study. Regarding secondary outcomes, there was an indication that interventions to increase shared decision making increased doctor facilitation of patient involvement in decision making, and did not increase consultation times. Nor did the interventions increase patient compliance with treatment plans. Neither study reported any harms of the intervention. Definite conclusions cannot be drawn, however, on the basis of these two studies. Authors' conclusions: No firm conclusions can be drawn at present about the effects of shared decision making interventions for people with mental health conditions. There is no evidence of harm, but there is an urgent need for further research in this area.en_UK
dc.publisherWiley-Blackwell for the Cochrane Collaborationen_UK
dc.relationDuncan E, Best C & Hagen S (2010) Shared decision making interventions for people with mental health conditions. Cochrane Database of Systematic Reviews, (1), Art. No.: CD007297.
dc.rightsThis review is published as a Cochrane Review in the Cochrane Database of Systematic Reviews 2010, Issue 1. Cochrane Reviews are regularly updated as new evidence emerges and in response to comments and criticisms, and the Cochrane Database of Systematic Reviews should be consulted for the most recent version of the Review. This is the reference to the original version of this review: E. Duncan, C. Best, S. Hagen. Shared decision making interventions for people with mental health conditions. Cochrane Database of Systematic Reviews 2009, Issue 4. Art. No.: CD007297. DOI: 10.1002/14651858.CD007297 (
dc.subjectPsychiatric nursingen_UK
dc.titleShared decision making interventions for people with mental health conditionsen_UK
dc.typeJournal Articleen_UK
dc.citation.jtitleCochrane Database of Systematic Reviewsen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationHealth Sciences Stirlingen_UK
dc.contributor.affiliationGlasgow Caledonian Universityen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorDuncan, Edward|0000-0002-3400-905Xen_UK
local.rioxx.authorBest, Catherine|0000-0002-3652-2498en_UK
local.rioxx.authorHagen, Suzanne|en_UK
local.rioxx.projectInternal Project|University of Stirling|
Appears in Collections:Faculty of Health Sciences and Sport Systematic Reviews

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