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Shared decision-making for psychiatric medication: A mixed-methods evaluation of a UK training programme for service users and clinicians

Ramon, S; Morant, N; Stead, U; Perry, B; (2017) Shared decision-making for psychiatric medication: A mixed-methods evaluation of a UK training programme for service users and clinicians. International Journal of Social Psychiatry , 63 (8) pp. 763-772. 10.1177/0020764017733764. Green open access

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Abstract

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.

Type: Article
Title: Shared decision-making for psychiatric medication: A mixed-methods evaluation of a UK training programme for service users and clinicians
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/0020764017733764
Publisher version: https://doi.org/10.1177/0020764017733764
Language: English
Additional information: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage)
Keywords: Shared decision making, evaluated training programme, professionals, psychiatric medication, service users
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/10027638
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