Measurement issues of shared decision making in mental health: Challenges and Opportunities

Perestelo-Perez, Lilisbeth and Rivero-Santana, Amado and Alvarez-Perez, Yolanda and Zizman-Ilani, Yaara and Kaminskiy, Emma and Serrano-Aguilar, Pedro (2017) Measurement issues of shared decision making in mental health: Challenges and Opportunities. Mental Health Review Journal, 22 (3). pp. 214-232. ISSN 2042-8758

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Purpose: Shared decision making (SDM) is a model of health care in which patients are involved in the decision-making process about their treatment, considering their preferences and concerns in a deliberative process with the health care provider. Many existing instruments assess the antecedents, process, or the outcomes of SDM. The purpose of this paper is to identify the SDM-related measures applied in a mental health context. Design/methodology/approach: The authors performed a systematic review in several electronic databases from 1990 to October 2016. Studies that assessed quantitatively one or more constructs related to SDM (antecedents, process, and outcomes) in the field of mental health were included. Findings: The authors included 87 studies that applied 48 measures on distinct SDM constructs. A large majority of them have been developed in the field of physical diseases and adapted or directly applied in the mental health context. The most evaluated construct is the SDM process in consultation, mainly by patients’ self-report but also by external observer measures, followed by the patients’ preferences for involvement in decision making. The most applied instrument was the Autonomy Preference Index, followed by the Observing Patient Involvement in Decision Making (OPTION) and the Control Preferences Scale (CPS). The psychometric validation in mental health samples of the instruments identified is scarce. Research limitations/implications: The bibliographic search is comprehensive, but could not be completely exhaustive. Effort should be invested in the development of new SDM for mental health tools that will reflect the complexity and specific features of mental health care. Originality/value: The authors highlight several limitations and challenges for the measurement of SDM in mental health care.

Item Type: Journal Article
Keywords: measurement, mental health, outcomes, patient involvement, shared decision making
Faculty: ARCHIVED Faculty of Science & Technology (until September 2018)
Depositing User: Dr Emma Kaminskiy
Date Deposited: 03 Jul 2017 11:16
Last Modified: 01 Jun 2022 14:52

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