Empowerment and satisfaction in a multinational study of routine clinical practice
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, Mike
V. Del Vecchio
M. Krogsgaard Bording
MIKE SLADE M.SLADE@NOTTINGHAM.AC.UK
Professor in 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.
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|
|Peer Reviewed||Peer Reviewed|
|Copyright Statement||Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf|
AFD APS CEDAR Empowerment and satisfaction.pdf
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf
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