Decision aid on disclosure of mental health status to an employer: feasibility and outcomes of a randomised controlled trial.
Br J Psychiatry
; 203(5): 350-7, 2013 Nov.
Article
em En
| MEDLINE
| ID: mdl-24072755
ABSTRACT
BACKGROUND:
Many mental health service users delay or avoid disclosing their condition to employers because of experience, or anticipation, of discrimination. However, non-disclosure precludes the ability to request 'reasonable adjustments'. There have been no intervention studies to support decision-making about disclosure to an employer.AIMS:
To determine whether the decision aid has an effect that is sustained beyond its immediate impact; to determine whether a large-scale trial is feasible; and to optimise the designs of a larger trial and of the decision aid.METHOD:
In this exploratory randomised controlled trial (RCT) in London, participants were randomly assigned to use of a decision aid plus usual care or usual care alone. Follow-up was at 3 months. Primary outcomes were (a) stage of decision-making; (b) decisional conflict; and (c) employment-related outcomes (trial registration number NCT01379014).RESULTS:
We recruited 80 participants and interventions were completed for 36 out of 40 in the intervention group; in total 71 participants were followed up. Intention-to-treat analysis showed that reduction in decisional conflict was significantly greater in the intervention group than among controls (mean improvement -22.7 (s.d. = 15.2) v. -11.2 (s.d. = 18.1), P = 0.005). More of the intervention group than controls were in full-time employment at follow-up (P = 0.03).CONCLUSIONS:
The observed reduction in decisional conflict regarding disclosure has a number of potential benefits which next need to be tested in a definitive trial.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Revelação da Verdade
/
Técnicas de Apoio para a Decisão
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Avaliação de Resultados em Cuidados de Saúde
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Pessoas Mentalmente Doentes
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Tomada de Decisões
/
Emprego
Tipo de estudo:
Clinical_trials
/
Prognostic_studies
Limite:
Adult
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article