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Published Online: 1 October 2011

“How to Speak to Your Psychiatrist”: Shared Decision-Making Training for Inpatients With Schizophrenia

Abstract

Objective:

Involving patients with mental illness in shared decision making about their treatment has recently attracted attention, but existing interventions may insufficiently motivate or enable patients with schizophrenia to behave more actively. This study evaluated a new intervention.

Methods:

In a pilot study 61 inpatients with schizophrenia or schizoaffective disorder from a psychiatric hospital in Germany were randomly assigned to receive shared decision-making training (N=32) or cognitive training (N=29, control condition).

Results:

The shared decision-making training yielded higher participation preferences and increased patients' desire to have more responsibility in treatment decisions, which continued to the six-month follow-up. Patients in the intervention group became more skeptical of treatment and were perceived as more “difficult” by their psychiatrists.

Conclusions:

Training in shared decision making was highly accepted by patients and changed attitudes toward participation in decision making. There were some hints that it might generate beneficial long-term effects. (Psychiatric Services 62:1218–1221, 2011)

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Table 1 Postintervention ratings by patients and physicians concerning schizophrenia treatment decisions
Table 2 Six-month follow-up ratings by patients and physicians concerning schizophrenia treatment decisions

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Cover: Carmel, by John O'Shea, circa 1927. Oil on canvas, 28 × 32¼ inches. Crocker Art Museum, Melza and Ted Barr Collection. 2008.107.
Psychiatric Services
Pages: 1218 - 1221
PubMed: 21969650

History

Published online: 1 October 2011
Published in print: October 2011

Authors

Details

Rosmarie Mendel, Ph.D.
The authors are affiliated with the Psychiatric Department, Technische Universität München, Moehlstrasse 26, Munich 81675, Germany (e-mail: [email protected]).

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