Shared decision-making for psychiatric medication: A mixed-methods evaluation of a UK training programme for service users and clinicians
Open accessAbstract
Background: Shared decision making (SDM) is recognised as a promising strategy to enhance good collaboration between clinicians and service users, yet it is not practised regularly in mental health. Aims: Develop and evaluate a novel training programme to enhance SDM in psychiatric medication management for service users, psychiatrists and care co-ordinators. Methods: The training programme design was informed by existing literature and local stakeholders consultations. Parallel group-based training programmes on SDM process were delivered to community mental health service users and providers. Evaluation consisted of quantitative measures at baseline and 12-month follow-up, post-programme participant feedback and qualitative interviews. Results: Training was provided to 47 service users, 35 care-coordinators and 12 psychiatrists. Participant feedback was generally positive. Statistically significant changes in service users’ decisional conflict and perceptions of practitioners’ interactional style in promoting SDM occurred at the follow-up. Qualitative data suggested positive impacts on service users’ and care co-ordinators confidence to explore medication experience, and group-based training was valued. Conclusions: The programme was generally acceptable to service users and practitioners. This indicates the value of conducting a larger study and exploring application for non-medical decisions.
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A positive impact was found on service users' and care coordinators' confidence to explore medication experience, and group-based training was valued.
“A positive impact was found on service users’ and care coordinators confidence to explore medication experience, and group-based training was valued”
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 [41]
Projects specifically addressed to mental health professionals have shown promising results in improving the quality of therapeutic alliance and patient acceptance of pharmacological treatments.
“Interestingly, projects specifically addressed to mental health professionals have shown promising results in improving the quality of therapeutic alliance and patient acceptance of pharmacological treatments.”
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 [41]
Efficacy of the shared approach was confirmed by the only experience of SDM training course developed for both patients and psychiatrists and care-coordinators by Ramon et al.
“Efficacy of the shared approach was also confirmed by the only experience of SDM training course developed for both patients and psychiatrists and care-coordinators by Ramon et al. [41].”
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 [41]
Patients reported a change in decisional conflict and perceptions of practitioners' interactional style in promoting SDM at follow-up.
“Patients reported a change in decisional conflict and perceptions of practitioners’ interactional style in promoting SDM at the 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 [41]
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- Authors
- Ramon, S., Morant, N., Stead, U., & Perry, B.
- Affiliations
- University of Hertfordshire (GB)
- University College London (GB)
- Cambridgeshire and Peterborough NHS Foundation Trust (GB)
- Freelance Researcher, London, UK
- Corresponding author
- Ramon, Shulamit
- Venue
- International Journal of Social Psychiatry
- Publisher
- SAGE Publications
- Published
- 2017-10-25
- Volume
- 63
- Issue
- 8
- Pages
- 763-772
- ISSN
- 0020-7640 (ISSN-L)
- 1741-2854
- PMC
- PMC5697562
- OpenAlex
- W2765269071
- Cited by
- 25
- References
- 38
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 1 · 2022: 5 · 2021: 5 · 2020: 4 · 2019: 1 · 2018: 1
- FWCI
- 2.65
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- International Journal of Social Psychiatry (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- University of Hertfordshire Research Archive (University of Hertfordshire) (submittedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- University of Hertfordshire Research Archive (University of Hertfordshire) (submittedVersion, cc-by-nc)
- Funders
- National Institute for Health and Care Research
- National Institutes of Health
- Research for Patient Benefit Programme
- 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
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Keywords
- shared decision-making, psychiatric medication, training program, service users, clinicians, psychiatrists, decisional conflict, medication experience, community mental health, group training
- MeSH terms
- Mental Disorders, Community Mental Health Services, Decision Making, Education, Female, United Kingdom, Health Personnel, Humans, Interviews as Topic, Male, Middle Aged, Qualitative Research, Medication Therapy Management
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