Efficacy of shared decision making on treatment satisfaction for patients with first-admission schizophrenia: study protocol for a randomised controlled trial
Open accessAbstract
BACKGROUND: Shared decision making is a promising model for patient-centred medicine, resulting in better clinical outcomes overall. In the mental health field, interventions that consider the patient-centred perspective--such as patient quality of life, involvement in the treatment, treatment satisfaction, and working alliance--have increased and better clinical outcomes discovered for patients with schizophrenia. However, few studies have examined the efficacy of shared decision making for schizophrenia treatment. The objective of this study is to evaluate the effect of a shared decision making intervention compared to treatment as usual on patient satisfaction at discharge for first-admission patients with schizophrenia. METHODS/DESIGN: This is a randomised, parallel-group, two-arm, open-label, single-centre study currently being conducted in an acute psychiatric ward of Numazu Chuo Hospital, Japan. We are recruiting patients between 16 and 65 years old who are admitted to the ward with a diagnosis of schizophrenia without prior experience of psychiatric admission. Fifty-eight participants are being randomised into a shared decision making intervention group or a treatment as usual control group in a 1:1 ratio. The intervention program was developed based on a shared decision making model and is presented as a weekly course lasting the duration of the patients' acute psychiatric ward stay. The primary outcome measure is patient satisfaction at discharge as assessed by the Client Satisfaction Questionnaire. Due to the study's nature, neither the patient nor staff can be blinded. DISCUSSION: This is the first randomised controlled trial to evaluate the efficacy of shared decision making for patients with early-treatment-stage schizophrenia. The intervention program in this study is innovative in that it includes both of the patient and staff who are involved in the treatment. TRIAL REGISTRATION: The study has been registered with ClinicalTrials.gov as NCT01869660.
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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 [45]
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 [45]
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- Authors
- Ishii, M., Okumura, Y., Sugiyama, N., Hasegawa, H., Noda, T., Hirayasu, Y., & Ito, H.
- Affiliations
- Yokohama City University (JP)
- National Center of Neurology and Psychiatry (JP)
- Numazu City Hospital (JP)
- Corresponding author
- Ishii, Mio
- Venue
- BMC Psychiatry
- Published
- 2014-04-14
- Volume
- 14
- Issue
- 1
- Pages
- 111-111
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC4021257
- OpenAlex
- W2050321467
- Cited by
- 13
- References
- 30
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 1 · 2017: 3 · 2016: 1 · 2015: 1 · 2014: 1
- FWCI
- 3.61
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- 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, first-episode psychosis, treatment satisfaction, patient-centered care, acute psychiatric wards, Client Satisfaction Questionnaire, therapeutic relationship, patient participation in treatment
- MeSH terms
- Adolescent, Adult, Aged, Cooperative Behavior, Decision Making, Female, Hospitalization, Humans, Japan, Male, Middle Aged, Patient Admission, Psychiatric Department, Hospital, Surveys and Questionnaires, Research Design, Schizophrenia, Schizophrenic Psychology, Patient Satisfaction, Young Adult
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