Whose Treatment is it Anyway? The Role of Consumer Preferences in Mental Health Care

Klein, Eileen; Rosenberg, Jessica; Rosenberg, Samuel

doi:10.1080/15487760601166365

Cited by 14 publications

(7 citation statements)

References 28 publications

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“…Research on consumer preferences and priorities has focused primarily within treatment settings (11–12). Byrne & Morrison (13) examined consumer preferences in treatment objectives targeting particular psychiatric symptoms (e.g.…”

Section: Introductionmentioning

confidence: 99%

Sorting it out: Eliciting consumer priorities for recovery in supportive housing

Choy-Brown

Padgett

Smith

et al. 2016

American Journal of Psychiatric Rehabilitation

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Objective This study aims to understand participant priorities in their personal recovery journey and their perspectives of recovery domains. Methods A card sort data gathering technique was employed to elicit priorities in recovery from consumers in supportive housing programs serving formerly homeless adults with severe mental illnesses in New York City. Participants (N=38) were asked to sort 12 cards printed with recovery domains in order of importance and describe the meaning attached to each domain. Results Mental health (95%), physical health (89%), and housing (92%) were the domains most frequently included and prioritized in the top three rankings. Family (76%) and partner (74%) were also frequently included and endorsed as most important second only to mental health. Housing was prioritized yet rated most important less often (58%). Work, school, hobbies, program, friends and neighborhood were less frequently endorsed. ‘Card sort talk’ revealed critical understanding of participants’ priorities and their reasons for endorsing other domains less frequently. Conclusions Most important to participants was regaining functional independence through improved mental and physical health and access to housing. With underlying principles of efficiency and empowerment, card sort is a promising engagement technique for providers to elicit consumer priorities in their own recovery.

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Section: Introductionmentioning

confidence: 99%

Sorting it out: Eliciting consumer priorities for recovery in supportive housing

Choy-Brown

Padgett

Smith

et al. 2016

American Journal of Psychiatric Rehabilitation

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show abstract

“…Desired outcomes may be broad in scope and encompass social and functional outcomes as well as symptomatic outcomes (Deegan and Drake 2006;Klein et al 2007). Inquiring about the patient's current quality of life and level of functioning can often serve as a starting point for discussing his or her overarching goals and preferences for achieving them.…”

Section: Methodsmentioning

confidence: 99%

“…They are not absolute but may shift with the clinical context or type of decision that is being made (Epstein and Gramling 2013). Fewer studies are available in psychiatric patients, but these also suggest individual variations in preferences (Deegan and Drake 2006;Klein et al 2007;Woltmann and Whitley 2010). Even for patients who are well informed and have high health literacy, shared decision making can sometimes impose an unrealistic burden on patients (Olthuis et al 2014).…”

Section: Methodsmentioning

confidence: 99%

The American Psychiatric Association Practice Guidelines for the Psychiatric Evaluation of Adults

Association¹

2015

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“…Researchers have identified several advantages of shared decision-making (for a review, see Schauer, Everett, del Vecchio, & Anderson, 2007). One advantage is that it can be empowering for patients, particularly given the almost universal preference among patients for receiving health care information and participating in treatment decision-making (Benbassat, Pilpel, & Tidhar, 1998;Klein, Rosenberg, & Rosenberg, 2007;Patel & Bakken, 2010;Roe, Goldblatt, Baloush-Klienman, Swarbrick, & Davidson, 2009). In addition, SDM leads to improvements in the therapeutic alliance between the patient and their health care provider, and is related to improved health outcomes as a result of greater treatment compliance and satisfaction (Joosten et al, 2008;Roe et al, 2009;Stewart, 1995;Swanson, Bastani, Rubenstein, Meredith, & Ford, 2007).…”

Section: Shared Decision-making (Sdm) In Health Carementioning

confidence: 99%

Evaluation of the Acceptability and Utility of a Decision Aid for the Treatment of Adult Depression

Rogojanski¹

2023

Preprint

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Decision aids communicate the best available evidence on treatment options to patients in order to facilitate informed decision-making. Research suggests that decision aids improve patients’ treatment knowledge, reduce decisional conflict, and promote more active decision-making. Despite evidence of the utility of decision aids in physical health conditions, they are both understudied and rarely used for mental health problems. The present study evaluated the acceptability and utility of a decision aid for the treatment of depression and its relationship to participants' knowledge and decision-making. Undergraduate students ( Participants completed a follow-up knowledge test, along with a series of questionnaires assessing acceptability of the decision aid and other variables of interest (e.g., decisional conflict, preparation for decision-making). One month later, participants completed the knowledge test for the third time. Overall, a majority of participants rated the decision aid as highly acceptable and useful. There was a significant increase in participants’ knowledge of depression treatment from prior to reading to after reading the decision aid. Although participants’ knowledge scores decreased slightly at the 1-month follow-up, they were still significantly higher than their baseline scores. The hypothesis that participants’ treatment choice would be influenced by the order in which treatment options were presented to them within the decision aid was partially supported. However, this effect was eliminated when the few participants who selected the “no treatment” option were excluded, as well as when participants were given the additional option of selecting a combined treatment (i.e., medication and psychotherapy). This is one of the few studies aimed at expanding the use of decision aids to mental health conditions. Future research should evaluate the utility of this decision aid with a clinical sample. Additionally, the methodology used in this study can be translated to the evaluation of other decision aids.

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Whose Treatment is it Anyway? The Role of Consumer Preferences in Mental Health Care

Cited by 14 publications

References 28 publications

Sorting it out: Eliciting consumer priorities for recovery in supportive housing

Sorting it out: Eliciting consumer priorities for recovery in supportive housing

The American Psychiatric Association Practice Guidelines for the Psychiatric Evaluation of Adults

Evaluation of the Acceptability and Utility of a Decision Aid for the Treatment of Adult Depression

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