Consumer and relationship factors associated with shared decision making in mental health consultations

Marianne S. Matthias, Sadaaki Fukui, Marina Kukla, Johanne Eliacin, Kelsey A. Bonfils, Ruth L. Firmin, Sylwia K. Oles, Erin L. Adams, Linda A. Collins, Michelle P. Salyers

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

Objective: This study explored the association between shared decision making and consumers' illness management skills and consumerprovider relationships. Methods: Medication management appointments for 79 consumers were audio recorded. Independent coders rated overall shared decision making, minimum level of shared decision making, and consumer-provider agreement for 63 clients whose visit included a treatment decision. Mental health diagnoses, medication adherence, patient activation, illness management, working alliance, and length of consumerprovider relationships were also assessed. Correlation analyses were used to determine relationships among measures. Results: Overall shared decision making was not associated with any variables.Minimum levels of shared decision making were associated with higher scores on the bond subscale of the Working Alliance Inventory, indicating a higher degree of liking and trust, and with better medication adherence. Agreement was associated with shorter consumer-provider relationships. Conclusions: Consumerprovider relationships and shared decision makingmight have amore nuanced association than originally thought.

Original languageEnglish (US)
Pages (from-to)1488-1491
Number of pages4
JournalPsychiatric Services
Volume65
Issue number12
DOIs
StatePublished - Dec 1 2014
Externally publishedYes

ASJC Scopus subject areas

  • Psychiatry and Mental health

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    Matthias, M. S., Fukui, S., Kukla, M., Eliacin, J., Bonfils, K. A., Firmin, R. L., Oles, S. K., Adams, E. L., Collins, L. A., & Salyers, M. P. (2014). Consumer and relationship factors associated with shared decision making in mental health consultations. Psychiatric Services, 65(12), 1488-1491. https://doi.org/10.1176/appi.ps.201300563