Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013;9:1045-52.
doi: 10.2147/NDT.S49021. Epub 2013 Jul 30.

Shared Decision Making in Psychiatric Practice and the Primary Care Setting Is Unique, as Measured Using a 9-item Shared Decision Making Questionnaire (SDM-Q-9)

Affiliations
Free PMC article

Shared Decision Making in Psychiatric Practice and the Primary Care Setting Is Unique, as Measured Using a 9-item Shared Decision Making Questionnaire (SDM-Q-9)

Carlos De Las Cuevas et al. Neuropsychiatr Dis Treat. .
Free PMC article

Abstract

Background: To measure and compare the extent to which shared a decision making (SDM) process is implemented both in psychiatric outpatient clinical encounters and in the primary care setting from the patient's perspective.

Methods: A total of 1,477 patients recruited from the Canary Islands Health Service mental health and primary care departments were invited to complete the nine-item Shared Decision Making Questionnaire (SDM-Q-9) immediately after their consultation. MANCOVA, Student's t-test, and Pearson correlations were used to assess the relationship and differences between SDM-Q-9 scores in patient samples.

Results: No differences were found in SDM-Q-9 total scores between the two patient samples, but there were relevant differences when item by item analysis was applied; differences were observed according to the different steps of the SDM process. SDM is present to a very limited extent in the routine psychiatric setting compared to primary care. Patients' age, education, type of appointment, and treatment decision all play a specific role in predicting SDM.

Conclusion: The study provides evidence that SDM is a complex process that needs to be analyzed according to its different steps. SDM patterns were different in the primary care and psychiatric outpatient care settings and reflect quite a different perspective of the decision making process.

Keywords: SDM-Q-9; primary care patients; psychiatric outpatients; shared decision making.

Similar articles

See all similar articles

Cited by 13 articles

See all "Cited by" articles

References

    1. Deegan PE, Drake RE. Shared decision making and medication management in the recovery process. Psychiatr Serv. 2006;57(11):1636–1639. - PubMed
    1. Hamann J, Leucht S, Kissling W. Shared decision making in psychiatry. Acta Psychiatr Scand. 2003;107(6):403–409. - PubMed
    1. Elwyn G, Edwards A, Kinnersley P, Grol R. Shared decision making and the concept of equipoise: the competences of involving patients in healthcare choices. Br J Gen Pract. 2000;50(460):892–899. - PMC - PubMed
    1. Härter M. Shared decision making – from the point of view of patients, physicians and health politics is set in place. Z Arztl Fortbild Qualitatssich. 2004;98(2):89–92. German. - PubMed
    1. Elwyn G, Charles C. Shared Decision Making: From Conceptual Models to Implementation in Clinical Practice. In: Edwards A, Elwyn G, editors. Shared Decision-Making in Health Care: Achieving evidence-based patient choice. Oxford University press; New York: 2009. pp. 117–121.
Feedback