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dc.date.accessioned2020-07-13T18:54:51Z
dc.date.available2020-07-13T18:54:51Z
dc.date.created2019-10-22T16:24:02Z
dc.date.issued2019
dc.identifier.citationDrivenes, Karin Haaland, Vegard Øksendal Mesel, Terje Tanum, Lars Håkon Reiestad . Practitioners' positive attitudes promote shared decision-making in mental health care. Journal of Evaluation In Clinical Practice. 2019, 25, 1041-1049
dc.identifier.urihttp://hdl.handle.net/10852/77855
dc.description.abstractRationale and aims There is a growing expectation of implementing shared decision making (SDM) in today's health care service, including mental health care. Traditional understanding of SDM may be too narrow to capture the complexity of treatments of mental health problems. Although the patients' contribution to SDM is well described, the contribution from the health care practitioners is less explored. Therefore, our aim was to explore the attitudes of practitioners in mental health care and the associations between practitioners' attitudes and SDM. Method We performed a cross‐sectional study where practitioners reported their sharing and caring attitudes on the Patient‐Practitioner Orientation Scale (PPOS) and age, gender, profession, and clinical working site. The patients reported SDM using the CollaboRate tool. We used a mixed effect model linking the data from each practitioner to one or more patients. We presented the findings and used them as background for a more philosophic reflection. Results We included 312 practitioners with mean age 46.1 years. Of the practitioners, 60 held a medical doctors degree, 97 were psychologists, and 127 held a college degree in nursing, social science, or pedagogy. Female practitioners reported higher sharing (4.79 vs 4.67 [range 1‐6], P = .04) and caring scores (4.77 vs 4.65 [range 1‐6], P = .02) than males. The regression model contained 206 practitioners and 772 patients. We found a higher probability for the patient to report high SDM score if the practitioner reported higher sharing scores, and lower probability if the practitioner worked in ambulatory care. Conclusions SDM in mental health care is complex and demands multifaceted preparations from practitioners as well as patients. The practitioners' attitudes are not sufficiently explored using one instrument. The positive association between practitioners' patient‐centred attitudes and SDM found in this study implies a relevance of the practitioners' attitudes for accomplishment of SDM processes in mental health care.
dc.languageEN
dc.rightsAttribution-NonCommercial 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.titlePractitioners' positive attitudes promote shared decision-making in mental health care
dc.typeJournal article
dc.creator.authorDrivenes, Karin
dc.creator.authorHaaland, Vegard Øksendal
dc.creator.authorMesel, Terje
dc.creator.authorTanum, Lars Håkon Reiestad
cristin.unitcode185,0,0,0
cristin.unitnameUniversitetet i Oslo
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.cristin1739649
dc.identifier.bibliographiccitationinfo:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Journal of Evaluation In Clinical Practice&rft.volume=25&rft.spage=1041&rft.date=2019
dc.identifier.jtitleJournal of Evaluation In Clinical Practice
dc.identifier.volume25
dc.identifier.issue6
dc.identifier.startpage1041
dc.identifier.endpage1049
dc.identifier.doihttps://doi.org/10.1111/jep.13275
dc.identifier.urnURN:NBN:no-80945
dc.type.documentTidsskriftartikkel
dc.type.peerreviewedPeer reviewed
dc.source.issn1356-1294
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/77855/1/Creative%2BCommons%2BAttribution%25E2%2580%2590NonCommercial%2BLicens%2BDrivenes_et_al-2019-Journal_of_Evaluation_in_Clinical_Practice.pdf
dc.type.versionPublishedVersion


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