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Psychiatric patients' attitudes towards concordance and shared decision making
Carlos De las Cuevas1, Amado Rivero, Lilisbeth Perestelo-Perez
1Department of Psychiatry, University of La Laguna, Tenerife, Spain. cdelascuevas@gmail.com
Patient Education and Counseling
|April 2, 2011
Summary
Psychiatric outpatients desire shared decision-making and concordance in treatment. Their beliefs about psychiatric medications significantly influence these attitudes, highlighting the need for personalized care approaches.
Area of Science:
- Psychiatry
- Clinical Psychology
- Health Services Research
Background:
- Shared decision-making (SDM) and concordance are crucial in psychiatric care.
- Understanding patient attitudes towards these concepts is essential for effective treatment.
Purpose of the Study:
- To assess psychiatric outpatients' attitudes towards concordance and SDM.
- To evaluate the influence of self-perceived knowledge and beliefs about psychiatric medications on these attitudes.
Main Methods:
- The Leeds Attitude to Concordance Scale (LATCon) was administered to 435 psychiatric outpatients.
- Factorial validity and internal consistency of the LATCon scale were assessed.
- Regression analysis explored predictors of LATCon scores, including sociodemographics, Beliefs about Medicines Questionnaire (BMQ) subscales, and perceived psychiatrist behavior.
Main Results:
- The LATCon scale demonstrated good factorial validity and high internal consistency.
- Outpatients generally agreed with concordance but differed on specific aspects.
- Cognitive representations of psychiatric medications (BMQ) significantly predicted attitudes towards concordance.
Conclusions:
- Psychiatric outpatients express a strong desire for involvement in treatment decisions.
- The Spanish version of the LATCon Scale is a valid instrument for assessing these attitudes.
- Clinicians should consider patient beliefs about medications when discussing treatment concordance.
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