“How to Speak to Your Psychiatrist”: Shared Decision-Making Training for Inpatients With Schizophrenia
Abstract
OBJECTIVE: Involving patients with mental illness in shared decision making about their treatment has recently attracted attention, but existing interventions may insufficiently motivate or enable patients with schizophrenia to behave more actively. This study evaluated a new intervention. METHODS: In a pilot study 61 inpatients with schizophrenia or schizoaffective disorder from a psychiatric hospital in Germany were randomly assigned to receive shared decision-making training (N=32) or cognitive training (N=29, control condition). RESULTS: The shared decision-making training yielded higher participation preferences and increased patients' desire to have more responsibility in treatment decisions, which continued to the six-month follow-up. Patients in the intervention group became more skeptical of treatment and were perceived as more "difficult" by their psychiatrists. CONCLUSIONS: Training in shared decision making was highly accepted by patients and changed attitudes toward participation in decision making. There were some hints that it might generate beneficial long-term effects.
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Patients receiving shared decision-making training reported higher participation preferences and increased desire to have more responsibility in treatment decisions, which continued at 6-month follow-up.
“Patients receiving the shared decision-making training reported higher participation preferences and increased patients’ desire to have more responsibility in treatment decisions, which continued at 6-month follow-up”
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 [38]
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 [38]
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 [38]
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- Authors
- Hamann, J., Mendel, R., Meier, A., Asani, F., Pausch, E., Leucht, S., & Kissling, W.
- Affiliations
- Technical University of Munich (DE)
- Venue
- Psychiatric Services
- Published
- 2011-10
- Volume
- 62
- Issue
- 10
- Pages
- 1218-1221
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2144604887
- Cited by
- 76
- References
- 11
- Citations by year
- 2025: 4 · 2024: 6 · 2023: 2 · 2022: 5 · 2021: 7 · 2020: 8 · 2019: 3 · 2018: 4 · 2017: 10 · 2016: 11 · 2015: 5 · 2014: 6 · 2013: 2 · 2012: 3
- FWCI
- 6.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- shared decision-making, schizophrenia, schizoaffective disorder, hospitalized patients, patient participation in treatment decisions, patient training, cognitive training, patient-physician communication, treatment attitudes, long-term follow-up
- MeSH terms
- Adolescent, Adult, Communication, Decision Making, Female, Germany, Humans, Inpatients, Male, Middle Aged, Patient Participation, Physician-Patient Relations, Pilot Projects, Schizophrenia, Young Adult
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