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dc.date.accessioned2020-08-04T18:07:41Z
dc.date.available2020-08-04T18:07:41Z
dc.date.created2020-04-22T11:46:31Z
dc.date.issued2020
dc.identifier.citationDrivenes, Karin Haaland, Vegard Øksendal Hauge, Yina L. Vederhus, John-Kåre Irgens, Audun Campbell Solli, Kristin Klemmetsby Regevik, Hilde Falk, Ragnhild Sørum Tanum, Lars Håkon Reiestad . Discrepancy in Ratings of Shared Decision Making Between Patients and Health Professionals: A Cross Sectional Study in Mental Health Care. Frontiers in Psychology. 2020
dc.identifier.urihttp://hdl.handle.net/10852/78147
dc.description.abstractBackground: A defined goal in mental health care is to increase the opportunities for patients to more actively participate in their treatment. This goal includes integrating aspects of user empowerment and shared decision-making (SDM) into treatment courses. To achieve this goal, more knowledge is needed about how patients and therapists perceive this integration. Objective: To explore patient experiences of SDM, to describe differences between patient and therapist experiences, and to identify patient factors that might reduce SDM experiences for patients compared to the experiences of their therapists. Methods: This cross-sectional study included 992 patients that had appointments with 267 therapists at Sørlandet Hospital, Division of Mental Health during a 1-week period. Both patients and therapists completed the CollaboRATE questionnaire, which was used to rate SDM experiences. Patients reported demographic and treatment-related information. Therapists provided clinical information. Results: The analysis included 953 patient-therapist responder pairs that completed the CollaboRATE questionnaire. The mean SDM score was 80.7 (SD 20.8) among patients, and 86.6 (SD 12.1) among therapists. Females and patients that did not use medication for mental health disorders reported higher SDM scores than males and patients that used psychiatric medications (83.3 vs. 77.7; p < 0.001 and 82.6 vs. 79.8; p = 0.03, respectively). Patients with diagnoses involving psychotic symptoms reported lower SDM scores than all the other patients (66.8 vs. 82.3; p < 0.001). The probability that a patient would report lower SDM scores than their therapist was highest among patients that received involuntary treatment (OR 3.2, p = 0.02), patients with treatment durations longer than 2.2 years (OR 1.9, p = 0.001), and patients that required day care or in-patient care (OR 3.2, p = 0.01 and OR 3.2, p < 0.001, respectively). Conclusion: We showed that both therapists and patients reported good SDM experiences in decisional situations, which indicated that SDM was implemented well. However, the SDM scores reported by in-patients and patients with prolonged or involuntary treatments were significantly lower than scores reported by their therapists. Our findings suggested that it remains a struggle in mental health care to establish a common understanding between patients and therapists in decisional processes regarding treatments for some patient groups.en_US
dc.languageEN
dc.publisherFrontiers Media S.A.
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.titleDiscrepancy in Ratings of Shared Decision Making Between Patients and Health Professionals: A Cross Sectional Study in Mental Health Careen_US
dc.typeJournal articleen_US
dc.creator.authorDrivenes, Karin
dc.creator.authorHaaland, Vegard Øksendal
dc.creator.authorHauge, Yina L.
dc.creator.authorVederhus, John-Kåre
dc.creator.authorIrgens, Audun Campbell
dc.creator.authorSolli, Kristin Klemmetsby
dc.creator.authorRegevik, Hilde
dc.creator.authorFalk, Ragnhild Sørum
dc.creator.authorTanum, Lars Håkon Reiestad
cristin.unitcode185,17,5,0
cristin.unitnamePsykologisk institutt
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2
dc.identifier.cristin1807490
dc.identifier.bibliographiccitationinfo:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Frontiers in Psychology&rft.volume=&rft.spage=&rft.date=2020
dc.identifier.jtitleFrontiers in Psychology
dc.identifier.volume11
dc.identifier.doihttps://doi.org/10.3389/fpsyg.2020.00443
dc.identifier.urnURN:NBN:no-81253
dc.type.documentTidsskriftartikkelen_US
dc.type.peerreviewedPeer reviewed
dc.source.issn1664-1078
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/78147/2/Discrepancy%2Bin%2BRatings%2Bof%2BShared%2BDecision%2BMaking%2BBetween%2BPatients%2Band%2BHealth%2BProfessionals%2BA%2BCross%2BSectional%2BStudy%2Bin%2BMental%2BHealth%2BCare.pdf
dc.type.versionPublishedVersion
cristin.articleid443


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