Efficacy of a Peer-Led, Recovery-Oriented Shared Decision-Making System: A Pilot Randomized Controlled Trial.
Psychiatr Serv
; 68(12): 1307-1311, 2017 Dec 01.
Article
em En
| MEDLINE
| ID: mdl-28945186
ABSTRACT
OBJECTIVE:
The effects of a comprehensive shared decision-making system based on the CommonGround approach and incorporating peer support and a computerized decision aid were investigated.METHODS:
A pilot randomized controlled trial with six-month follow-up was conducted in Japan. Fifty-six outpatients with mental illness were randomly allocated to a shared decision-making system (intervention) group or treatment as usual (control) group. The implementation process and several outcomes were compared between groups.RESULTS:
The core components and processes of shared decision making were observed in the intervention group more frequently than in the control group. The intervention group also reported a significantly more positive participants' view of the relationship with their doctor than the control group. The intervention did not have a significant effect on most clinical and recovery-related outcomes.CONCLUSIONS:
The shared decision-making system appeared to partly improve patients' perceptions of communication and relationships with doctors but did not have a significant effect on other patient-level outcomes.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Participação do Paciente
/
Grupo Associado
/
Relações Médico-Paciente
/
Técnicas de Apoio para a Decisão
/
Avaliação de Resultados em Cuidados de Saúde
/
Tomada de Decisões
/
Assistência Ambulatorial
/
Sistemas de Apoio Psicossocial
/
Transtornos Mentais
/
Serviços de Saúde Mental
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article