Effectiveness of Shared Decision-Making for Elderly Depressed Minority Primary Care Patients

Shared decision making for adults with severe mental illness: A concept analysis

“…Interprofessional collaboration consisting of different professions (e.g., psychiatrists, nurses, psychologists, pharmacists, social workers, occupational therapists) is perceived to facilitate SDM by addressing time constraints, allowing more opportunities for the users to discuss their concerns and opinions (Chong et al, 2013a). Nurses can serve as a bridge between the user and the psychiatrist, translating technical information and helping them as a decision coach, to further clarify the user's preferences and values (Aoki et al, 2019b; Paudel et al, 2018; Raue et al, 2019). Furthermore, engaging the involvement of loved ones as other potential carers , such as family members, and providing them information about mental illness and treatments are identified as facilitators to the SDM process (Chong et al, 2013b).…”

“…First, the service users became more knowledgeable about mental illnesses, treatment options, rehabilitation services, and themselves (LeBlanc et al, 2015; Perestelo‐Perez et al, 2017; Woltmann et al, 2011). Second, SDM could boost the service users' behaviors in persisting on the chosen treatment/care (Hamann et al, 2011; Ishii et al, 2017; Raue et al, 2019). Third, the service users could feel empowered and more self‐respect (Hamann, Parchmann, & Sassenberg, 2017b; Lovell et al, 2018), and then became less dependent on the health providers (Lukens et al, 2013).…”

NICE shared decision making guidelines and mental health: challenges for research, practice and implementation

“…9,10 As a result, the NICE recommendations for effectiveness approaches and activities to increase engagement in SDM (Evidence Document A) are based on only eight quantitative studies of SDM in mental health and ten qualitative studies. Of the included quantitative studies, only six [11][12][13][14][15][16] are relevant to SMI and addressed SDM in community mental health settings (the others focused on primary care or patients with behavioural health issues 17 or patients with dementia 18 ). Only one quantitative study measuring recovery, 16 a primary goal and outcome in mental health that is associated with SDM, [19][20][21] was included.…”

“…The search criteria adopted by the NICE exclude 'non-English language papers' studies conducted in 'Non-OECD countries.' As a result, only nine studies of SDM in mental health conducted in five Western countries, were included: USA, 14,17 Germany, 49,50 The Netherlands, 12,51 Saudi Arabia 52 and Japan. 16,53 The majority of study populations included people of White or Northern European descent, or those belonging to a majority group in a given country.…”

Modernizing Training in Psychotherapy Competencies With Adaptive Learning Systems: Proof of Concept

“…and consisted of nine weekly in-person class meetings, each 2 hr in length. The course focused on basic clinical interviewing skills and a brief behavioral intervention called patient activation (Raue, Sirey, et al, 2019; Raue et al, 2019), consisting of strategies drawn from formal behavioral activation. Students typically spent the first hour in didactic classroom instruction and discussion and the second hour using the ITS and role-playing simulated clients played by either fellow students or instructors.…”