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Barriers and facilitators to shared decision-making in child and youth mental health: Exploring young person and parent perspectives using the Theoretical Domains Framework

Hayes, D; Edbrooke-Childs, J; Town, R; Wolpert, M; Midgley, N; (2020) Barriers and facilitators to shared decision-making in child and youth mental health: Exploring young person and parent perspectives using the Theoretical Domains Framework. Counselling and Psychotherapy Research , 20 (1) pp. 57-67. 10.1002/capr.12257. Green open access

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Abstract

Objective: Young people and parents want to be more active in treatment decisions. Using the Theoretical Domains Framework (TDF), which segments behaviour change into barriers and facilitators across fourteen domains, the aim of this study is to explore the barriers and facilitators to shared decision‐making (SDM) from young people and their parents’ perspectives. / Method: The sample comprised nine young people who presented with internalising difficulties and ten parents of young people with internalising difficulties across two sites in England. Interviews were conducted, and transcripts were analysed using a deductive thematic analysis. / Results: Overall, 15 barriers to and facilitators for SDM in child and youth mental health were identified. Under capability, these included an awareness of SDM, forgetting discussions or not asking questions, clinician listening skills and communication skills. For opportunity, these included the availability of treatment options, availability of understandable resources, staff shortages, the environment being conducive to SDM, and if the school, or parents of young people, facilitated decisions. For motivation, these included whether SDM was thought to empower individuals, result in better treatment, or individuals making the ‘wrong’ decision, as well as whether individuals felt capable to be involved in treatment decision‐making, whether young people lacked capacity, and whether they could make decisions due to enhanced emotional states. / Conclusions: Barriers and facilitators across capability, opportunity and motivation were identified. Interventions which target these barriers and facilitators may facilitate young people and their parents’ involvement in decision‐making.

Type: Article
Title: Barriers and facilitators to shared decision-making in child and youth mental health: Exploring young person and parent perspectives using the Theoretical Domains Framework
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/capr.12257
Publisher version: https://doi.org/10.1002/capr.12257
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Young Person; Parent; Mental Health; Shared Decision Making; Theoretical Domains Framework; Qualitative Research
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 > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10081673
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