Implementing shared decision-making on acute psychiatric wards: a cluster-randomized trial with inpatients suffering from schizophrenia (SDM-PLUS)

Epidemiology and Psychiatric Sciences
J HamannStephan Heres

Abstract

Although shared decision-making (SDM) has the potential to improve health outcomes, psychiatrists often exclude patients with more severe mental illnesses or more acute conditions from participation in treatment decisions. This study examines whether SDM is facilitated by an approach which is specifically adapted to the needs of acutely ill patients (SDM-PLUS). The study is a multi-centre, cluster-randomised, non-blinded, controlled trial of SDM-PLUS in 12 acute psychiatric wards of five psychiatric hospitals addressing inpatients with schizophrenia or schizoaffective disorder. All patients fulfilling the inclusion criteria were consecutively recruited for the trial at the time of their admission to the ward. Treatment teams of intervention wards were trained in the SDM-PLUS approach through participation in two half-day workshops. Patients on intervention wards received group training in SDM. Staff (and patients) of the control wards acted under 'treatment as usual' conditions. The primary outcome parameter was the patients' perceived involvement in decision-making at 3 weeks after study enrolment, analysed using a random-effects linear regression model. In total, 161 participants each were recruited in the intervention and co...Continue Reading

References

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Sep 14, 2006·Acta Psychiatrica Scandinavica·J HamannW Kissling
Apr 17, 2008·The Journal of Nervous and Mental Disease·Johannes HamannWerner Kissling
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Mar 13, 2014·Current Opinion in Psychiatry·Romain BeitingerJohannes Hamann
Mar 11, 2015·Psychiatric Services : a Journal of the American Psychiatric Association·Johannes Hamann, Stephan Heres
Jan 4, 2017·Social Psychiatry and Psychiatric Epidemiology·Johannes HamannWerner Kissling
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Feb 21, 2019·Psychiatric Services : a Journal of the American Psychiatric Association·Johannes Hamann, Stephan Heres
Jul 25, 2019·Frontiers in Psychiatry·Erin BurnDomenico Giacco

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Citations

Sep 29, 2020·European Psychiatry : the Journal of the Association of European Psychiatrists·Johannes HamannStephan Heres
Jul 15, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Stefanie BecherJohannes Hamann

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Software Mentioned

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