Structured shared decision-making using dialogue and visualization: A randomized controlled trial

Westermann, George; Verheij, Fop; Winkens, Björn; Verhulst, Frank C.; Oort, Floor V. A. van

doi:10.1016/j.pec.2012.09.014

Cited by 64 publications

(63 citation statements)

References 27 publications

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“…The evidence on shared decision-making in these fields is quite robust. Studies on both assessment and decision-making show positive effects of shared decision-making and participation on treatment results (e.g., client satisfaction, treatment adherence and outcomes; Faber, Harmsen, Van der Burg, & Van der Weijden, 2013;Joosten et al, 2008;Patel, Bakken, & Ruland, 2008;Poston & Hanson, 2010;Swift & Callahan, 2009;Westermann, Verheij, Winkens, Verhulst, & Van Oort, 2013). Motivational interviewing and solution-focused interviewing techniques could be useful for client participation (both parents and children) in child welfare and child protection decision-making.…”

Section: Discussionmentioning

confidence: 99%

Deciding on child maltreatment: A literature review on methods that improve decision-making

Bartelink

Yperen

Berge

2015

Child Abuse & Neglect

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Assessment and decision-making in child maltreatment cases is difficult. Practitioners face many uncertainties and obstacles during their assessment and decision-making process. Research exhibits shortcomings in this decision-making process. The purpose of this literature review is to identify and discuss methods to overcome these shortcomings. We conducted a systematic review of the published literature on decision-making using PsychINFO and MEDLINE from 2000 through May 2014. We included reviews and quantitative research studies that investigated methods aimed at improving professional decision-making on child abuse and neglect in child welfare and child protection. Although many researchers have published articles on decision-making including ideas and theories to improve professional decision-making, empirical research on these improvements is scarce. Available studies have shown promising results. Structured decision-making has created a greater child-centred and holistic approach that takes the child's family and environment into account, which has made practitioners work more systematically and improved the analysis of complex situations. However, this approach has not improved inter-rater agreement on decisions made. Shared decision-making may improve the participation of parents and children and the quality of decisions by taking client treatment preferences into account in addition to scientific evidence and clinical experience. A number of interesting developments appear in recent research literature; however, child welfare and child protection must find additional inspiration from other areas, e.g., mental health services, because research on decision-making processes in child welfare and child protection is still rare.

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Section: Discussionmentioning

confidence: 99%

Deciding on child maltreatment: A literature review on methods that improve decision-making

Bartelink

Yperen

Berge

2015

Child Abuse & Neglect

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“…Studies in child mental health settings have found that interventions that include SDM reduce (child-reported) decisional conflict and improve treatment outcome, in terms of (child-reported) depression, quality of life, and satisfaction (Asarnow et al, 2009;Richardson, McCauley, & Katon, 2009;Westermann, Verheij, Winkens, Verhulst, & Van Oort, 2013).…”

mentioning

confidence: 99%

“…Still, to the best of our knowledge, there is no published evidence from data collected under routine conditions from child mental health services on the relationship between experience of SDM and treatment outcome and whether this is consistent between child-and parent-reported SDM. Previous studies exploring SDM in child services have captured the perspective of parents and clinicians, but this is the first study to explore the perspective of children themselves (Brinkman, 2011;Butler, Elkins, Kowalkowski, & Raphael, 2015;Fiks et al, 2012;Westermann et al, 2013). Examinations of data collected under routine conditions are needed to understand current practice and, therefore, how interventions can best promote SDM in child mental healthcare.…”

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confidence: 99%

The relationship between child- and parent-reported shared decision making and child-, parent-, and clinician-reported treatment outcome in routinely collected child mental health services data

Edbrooke‐Childs

Jacob

Argent

et al. 2015

Clin Child Psychol Psychiatry

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“…Less decisional conflict is associated with more patient participation in decision making about treatment, a better shared decision making process and equality in the working alliance [26, 44, 54]. …”

Section: Methodsmentioning

confidence: 99%

“…Aim of this trial is to test the efficacy of a digital exploration of patients’ treatment preferences at intake facilitated by Routine Outcome Monitoring (ROM), peer support and training of clinicians in terms of the primary outcome the degree of decisional conflict, as an important result of patient participation and shared decision making [26, 44]. This manuscript will report on the development of this new digital intake approach and the design of the study that will be conducted to evaluate this approach.…”

Section: Introductionmentioning

confidence: 99%

A digital intake approach in specialized mental health care: study protocol of a cluster randomised controlled trial

et al. 2017

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BackgroundEnhancing patient participation is becoming increasingly important in mental health care as patients use to have a dependent, inactive role and nonadherence to treatment is a regular problem. Research shows promising results of initiatives stimulating patient participation in partnership with their clinicians. However, few initiatives targeting both patients’ and clinicians’ behaviour have been evaluated in randomised trials (RCT). Therefore, in GGz Breburg, a specialized mental health institution, a digital intake approach was developed aimed at exploring treatment needs, expectations and preferences of patients intended to prepare patients for the intake consultations. Subsequently, patients and clinicians discuss this information during intake consultations and make shared decisions about options in treatment. The aim of this trial is to test the efficacy of this new digital intake approach facilitated by Routine Outcome Monitoring (ROM), peer support and training of clinicians as compared to the intake as usual. The primary outcome is decisional conflict about choices in treatment. Secondary outcomes focus on patient participation, shared decision making, working alliance, adherence to treatment and clinical outcomes.MethodsThis article presents the study protocol of a cluster-randomised controlled trial in four outpatient departments for adults with depression, anxiety and personality disorders, working in two different regions. Randomisation is done between two similar intake-teams within each department. In the four intervention teams the new intake approach is implemented. The four control teams apply the intake as usual and will implement the new approach after the completion of the study. In total 176 patients are projected to participate in the study. Data collection will be at baseline, and at two weeks and two months after the intake.DiscussionThis study will potentially demonstrate the efficacy of the new digital intake approach in mental health care in terms of the primary outcome the degree of decisional conflict about choices in treatment. The findings of this study may contribute to the roll out of such eHealth initiatives fostering patient involvement in decision making about their treatment.Trial registrationTrial registration: Dutch Trial Register NTR5677. Registered 17th January 2016.

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Structured shared decision-making using dialogue and visualization: A randomized controlled trial

Cited by 64 publications

References 27 publications

Deciding on child maltreatment: A literature review on methods that improve decision-making

Deciding on child maltreatment: A literature review on methods that improve decision-making

The relationship between child- and parent-reported shared decision making and child-, parent-, and clinician-reported treatment outcome in routinely collected child mental health services data

A digital intake approach in specialized mental health care: study protocol of a cluster randomised controlled trial

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