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., …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