Use of a Web-Based Shared Decision-Making Program: Impact on Ongoing Treatment Engagement and Antipsychotic Adherence
Open accessAbstract
OBJECTIVE: The authors examined the impact of a Web-based shared decision-making application, MyCHOIS-CommonGround, on ongoing outpatient mental health treatment engagement (all users) and antipsychotic medication adherence (users with schizophrenia). METHODS: An intervention study was conducted by comparing Medicaid-enrolled MyCHOIS-CommonGround users in 12 participating mental health clinics (N=472) with propensity score-matched adults receiving services in nonparticipating clinics (N=944). Medicaid claims were used to assess ongoing treatment engagement and antipsychotic adherence (among individuals with schizophrenia) one year prior to and after entry into the cohort. Multilevel linear models were conducted to estimate the effects of the MyCHOIS-CommonGround program over time. RESULTS: No differences during the baseline year were found between the MyCHOIS-CommonGround group and the matched control group on demographic, diagnostic, or service use characteristics. At one-year follow-up, engagement in outpatient mental health services was significantly higher for MyCHOIS-CommonGround users than for the control group (months with a service, 8.54±.22 versus 6.95±.15; β=1.40, p<.001). Among individuals with schizophrenia, antipsychotic medication adherence was also higher during the follow-up year among MyCHOIS-CommonGround users compared with the control group (proportion of days covered by medication, .78±.04 versus .69±.03; β=.06, p<.01). CONCLUSIONS: These findings provide new evidence that shared decision-making tools may promote ongoing mental health treatment engagement for individuals with serious mental illness and improved antipsychotic medication adherence for those with schizophrenia.
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At one-year follow-up, patients in the MyCHOIS-CommonGround group reported higher level of engagement in outpatient mental health services and of adherence to antipsychotic medication compared to control.
“At one-year follow-up, patients in the MyCHOIS–CommonGround report higher level of engagement in outpatient mental health services and of adherence to antipsychotic medication compared to the control group”
From The role of shared decision-making in improving adherence to pharmacological treatments in patients with schizophrenia: A clinical review (2020) · cites this paper as [44]
All experimental interventions specifically addressed to patients resulted in a more active behavior during psychiatric consultations within the hospitalization period.
“all experimental interventions specifically addressed to patients [38, 39, 44, 45] resulted in a more active behavior during psychiatric consultations within the hospitalization period.”
From The role of shared decision-making in improving adherence to pharmacological treatments in patients with schizophrenia: A clinical review (2020) · cites this paper as [44]
No clear effects have been found in terms of adherence rate to pharmacological treatments for interventions addressed to patients.
“However, no clear effects have been found in terms of adherence rate to pharmacological treatments, evidencing the need for adding decision-support tools and stronger communication skills by mental health professionals in order to achieve this objective.”
From The role of shared decision-making in improving adherence to pharmacological treatments in patients with schizophrenia: A clinical review (2020) · cites this paper as [44]
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- Authors
- Finnerty, M. T., Layman, D. M., Chen, Q., Leckman-Westin, E., Bermeo, N., Ng-Mak, D. S., Rajagopalan, K., & Hoagwood, K. E.
- Affiliations
- Fordham University (US)
- Dr. Finnerty, Ms. Layman, Ms. Chen, Dr. Leckman-Westin, and Ms. Bermeo are with the New York State Office of Mental Health (NYSOMH), New York. Dr. Finnerty is also with the Department of Child and Adolescent Psychiatry, New York University Langone Health, New York, where Dr. Hoagwood is affiliated. Ms. Layman is also a doctoral student, Department of Psychology, Fordham University, New York. Dr. Leckman-Westin is also with the Department of Epidemiology and Biostatistics, School of Public Health, State...
- Venue
- Psychiatric Services
- Published
- 2018-12-01
- Volume
- 69
- Issue
- 12
- Pages
- 1215-1221
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2894946705
- Cited by
- 28
- References
- 48
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 6 · 2022: 7 · 2021: 2 · 2020: 4 · 2019: 2
- FWCI
- 2.28
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- shared decision-making, web-based decision support, antipsychotic adherence, treatment engagement, outpatient mental health services, schizophrenia, severe mental illness, Medicaid
- MeSH terms
- Adult, Decision Making, Female, Follow-Up Studies, Humans, Male, Medicaid, Medical Informatics Applications, Middle Aged, Outcome and Process Assessment, Health Care, Patient Participation, Schizophrenia, Antipsychotic Agents, United States, Medication Adherence
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