Empowerment and satisfaction in a multinational study of routine clinical practice

Clarke, E.; Pusch, B.; Jordan, H.; Williams, P.; Konrad, J.; Kawohl, W.; B�r, A.; R�ssler, W.; Del Vecchio, V.; Sampogna, G.; Nagy, M.; S�veges, A.; Krogsgaard Bording, M.; Slade, Mike

Abstract

Objective: Decision-making between mental health clinicians and patients is under-researched. We tested whether mental health patients are more satisfied with a decision made (i) using their preferred decision-making style and (ii) with a clinician with the same decision-making style preference.

Method: As part of the CEDAR Study (ISRCTN75841675), a convenience sample of 445 patients with severe mental illness from six European countries were assessed for desired clinical decision-making style (rated by patients and paired clinicians), decision-specific experienced style and satisfaction.

Results: Patients who experienced more involvement in decision-making than they desired rated higher satisfaction (OR = 2.47, P = 0.005, 95% CI 1.32–4.63). Decisions made with clinicians whose decision-making style preference was for more active involvement than the patient preference were rated with higher satisfaction (OR = 3.17, P = 0.003, 95% CI 1.48–6.82).

Conclusion: More active involvement in decision-making than the patient stated as desired was associated with higher satisfaction. A clinical orientation towards empowering, rather than shared, decision-making may maximise satisfaction.

Citation

Clarke, E., Pusch, B., Jordan, H., Williams, P., Konrad, J., Kawohl, W., Bär, A., Rössler, W., Del Vecchio, V., Sampogna, G., Nagy, M., Süveges, A., Krogsgaard Bording, M., & Slade, M. (in press). Empowerment and satisfaction in a multinational study of routine clinical practice. Acta Psychiatrica Scandinavica, 131(5), https://doi.org/10.1111/acps.12365

• Journal Article Type: Article
• Acceptance Date: Oct 16, 2014
• Online Publication Date: Apr 15, 2015
• Deposit Date: Jun 20, 2016
• Publicly Available Date: Jun 20, 2016
• Journal: Acta Psychiatrica Scandinavica
• Print ISSN: 0001-690X
• Electronic ISSN: 1600-0447
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 131
• Issue: 5
• DOI: https://doi.org/10.1111/acps.12365
• Public URL: https://nottingham-repository.worktribe.com/output/749705
• Publisher URL: http://onlinelibrary.wiley.com/doi/10.1111/acps.12365/abstract
• Contract Date: Jun 20, 2016