A Systematic Review of Shared Decision-Making Interventions for Service Users With Serious Mental Illnesses: State of the Science and Future Directions.
A Systematic Review of Shared Decision-Making Interventions for Service Users With Serious Mental Illnesses: State of the Science and Future Directions.
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DOI：
10.1176/appi.ps.202000429
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发表时间：
2021-11-01
期刊：
影响因子：
--
通讯作者：
Zisman-Ilani Y
中科院分区：
文献类型：
--
作者：
Thomas EC;Ben-David S;Treichler E;Roth S;Dixon LB;Salzer M;Zisman-Ilani Y
共享决策(SDM)是一种健康沟通模式，可能对患有严重精神疾病的服务用户特别有吸引力，这些用户通常希望更多地参与有关其精神健康保健的决策。这项系统性综述的目的是描述和评估在该人群中进行的SDM干预研究的参与者、干预、方法学和结果特征。对截至2020年4月的文献进行了系统搜索，并辅之以参考文献列表的手工搜索。回顾中包括53项对患有严重精神疾病的服务使用者进行的关于SDM干预的独立研究，其中包括干预的定量或定性措施。数据由至少两名评审员独立提取。大多数研究是在来自西方国家的中年男性白人个体中进行的。干预措施分为以下几类：仅使用决策支持工具、涉及决策支持工具的多组成部分干预措施、不涉及决策支助工具的多组成部分干预措施、以及共享护理规划/偏好激发干预措施。大多数研究都是具有足够样本量的随机对照试验。评估的结果是不同的，跨越决策、临床、功能、治疗参与度/依从性和其他结构。这项审查为今后的研究提出了重要的方向，包括需要评估特殊人群(例如，年轻人、种族/少数民族)中SDM的影响，将干预措施扩展到更广泛的决策、用户和背景，以及建立评估干预有效性的共识措施。
Shared decision making (SDM) is a health communication model that may be particularly appealing to service users with serious mental illnesses, who often want to be more involved in making decisions about their mental healthcare. The purpose of this systematic review was to describe and evaluate participant, intervention, methodological, and outcome characteristics of SDM intervention studies conducted within this population. Systematic searches of the literature through April 2020 were conducted and supplemented by hand-searching of reference lists. Fifty-three independent studies of SDM interventions that were conducted with service users with serious mental illnesses and included a quantitative or qualitative measure of the intervention were included in the review. Data were independently extracted by at least two reviewers. Most studies were conducted with middle-aged, male, white individuals from western countries. Interventions fell into the following categories: decision support tools only, multi-component interventions involving decision support tools, multi-component interventions not involving decision support tools, and shared care planning/preference elicitation interventions. Most studies were randomized controlled trials of sufficient sample size. Outcomes assessed were diverse, spanning decision-making, clinical, functional, treatment engagement/adherence, and other constructs. This review suggests important future directions for research, including the need to evaluate the impact of SDM within special populations (e.g., young adults, racial/ethnic minorities), to expand interventions to a broader array of decisions, users, and contexts, and to establish consensus measures to assess intervention effectiveness.
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DOI：
10.1176/appi.ps.201700399
发表时间：
2018-08-01
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
--
作者：
Chen LS;Baker TB;Korpecki JM;Johnson KE;Hook JP;Brownson RC;Bierut LJ
通讯作者：
Bierut LJ
影响因子：
3.8
作者：
Adams, Jared R.;Drake, Robert E.;Wolford, George L.
通讯作者：
Wolford, George L.
DOI：
10.1177/0194599815620558
发表时间：
2016-03
期刊：
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
影响因子：
--
作者：
Boss EF;Mehta N;Nagarajan N;Links A;Benke JR;Berger Z;Espinel A;Meier J;Lipstein EA
通讯作者：
Lipstein EA
影响因子：
3.2
作者：
Bradley, Eleanor;Green, Debra
通讯作者：
Green, Debra
影响因子：
3.8
作者：
Bauer, Mark S.;McBride, Linda;Sajatovic, Martha
通讯作者：
Sajatovic, Martha