Empowerment and satisfaction in a multinational study of routine clinical practice. (4th December 2014)

• Record Type: Journal Article
• Authors: Clarke, E.; Puschner, 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, M.
• Is Part Of: Acta psychiatrica Scandinavica. Volume 131:Number 5(2015:May)
• Page Start: 369
• Page End: 378
• Publication Date: 2014-12-04
• Subjects: Psychiatry -- Periodicals; 616.89
• DOI: 10.1111/acps.12365
• Languages: English
• ISSNs: 0001-690X

Abstract

<abstract abstract-type="main" id="acps12365-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="acps12365-sec-0001" sec-type="section"> <title>Objective</title> <p>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.</p> </sec> <sec id="acps12365-sec-0002" sec-type="section"> <title>Method</title> <p>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.</p> </sec> <sec id="acps12365-sec-0003" sec-type="section"> <title>Results</title> <p>Patients who experienced more involvement in decision‐making than they desired rated higher satisfaction (OR = 2.47, <italic>P</italic> = 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, <italic>P</italic> = 0.003, 95% CI 1.48–6.82).</p> </sec> <sec id="acps12365-sec-0004" sec-type="section"> <title>Conclusion</title> <p>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.</p> </sec> </abstract>