Effectiveness of the DECIDE Interventions on Shared Decision Making and Perceived Quality of Care in Behavioral Health With Multicultural Patients: A Randomized Clinical Trial

JAMA Psychiatry
Margarita AlegríaPatrick E Shrout

Abstract

Few randomized clinical trials have been conducted with ethnic/racial minorities to improve shared decision making (SDM) and quality of care. To test the effectiveness of patient and clinician interventions to improve SDM and quality of care among an ethnically/racially diverse sample. This cross-level 2 × 2 randomized clinical trial included clinicians at level 2 and patients (nested within clinicians) at level 1 from 13 Massachusetts behavioral health clinics. Clinicians and patients were randomly selected at each site in a 1:1 ratio for each 2-person block. Clinicians were recruited starting September 1, 2013; patients, starting November 3, 2013. Final data were collected on September 30, 2016. Data were analyzed based on intention to treat. The clinician intervention consisted of a workshop and as many as 6 coaching telephone calls to promote communication and therapeutic alliance to improve SDM. The 3-session patient intervention sought to improve SDM and quality of care. The SDM was assessed by a blinded coder based on clinical recordings, patient perception of SDM and quality of care, and clinician perception of SDM. Of 312 randomized patients, 212 (67.9%) were female and 100 (32.1%) were male; mean (SD) age was 44.0 (15...Continue Reading

Associated Clinical Trials

Citations

Sep 6, 2018·Journal of Clinical Nursing·Patricia M DavidsonSarah L Szanton
Aug 8, 2020·Japan Journal of Nursing Science : JJNS·Yumi Aoki
Nov 26, 2020·Journal of Psychosocial Nursing and Mental Health Services·Ukamaka M Oruche, Tamika C B Zapolski
Feb 25, 2021·Administration and Policy in Mental Health·Jessica A ChenEmily C Williams
Mar 24, 2021·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Ora NakashMargarita Alegría
Jun 22, 2021·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Renata W YenMarie-Anne Durand
Sep 8, 2021·Revista de psiquiatrí́a y salud mental·David FraguasCelso Arango
Nov 9, 2021·The Cochrane Database of Systematic Reviews·Janet JullDawn Stacey

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