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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

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E. Clarke

B. Pusch

H. Jordan

P. Williams

J. Konrad

W. Kawohl

A. B�r

W. R�ssler

V. Del Vecchio

G. Sampogna

M. Nagy

A. S�veges

M. Krogsgaard Bording

Professor of Mental Health Recovery and Social Inclusion


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.

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
Public URL
Publisher URL


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