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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Structured shared decision-making using dialogue and visualization: a randomized controlled trial.

George M A Westermann¹, Fop Verheij, Bjorn Winkens

¹Department Child and Adolescent Psychiatry, Orbis Medical Centre, The Netherlands. g.westermann@orbisconcern.nl

Patient Education and Counseling

|October 31, 2012

Summary

This summary is machine-generated.

The Counseling in Dialogue (CD) method significantly reduced parental decisional conflict in youth mental health care. This approach also increased treatment acceptance among parents compared to usual care.

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Area of Science:

Mental Health
Psychology
Pediatrics

Background:

Youth mental health services require high-quality counseling.
Shared decision-making is crucial for effective treatment in pediatric care.
Parental decisional conflict can impede treatment adherence.

Purpose of the Study:

To evaluate the "Counseling in Dialogue" (CD) method for improving youth mental health counseling quality.
To assess CD's impact on parental decisional conflict and shared decision-making.

Main Methods:

A randomized controlled trial comparing CD to care as usual (CU) in 94 children (aged 2-12).
Decisional conflict measured using the Decisional Conflict Scale (DCS) for parents and PDPAI for therapists.
Before-and-after design with follow-up data for 81 children.

Main Results:

Parents in the CD group reported significantly less decisional conflict than the CU group (mothers: p<.001; fathers: p=.045).
Treatment acceptance was higher in the CD group (96-98%) compared to the CU group (71-77%, p<0.05).
Therapist decisional conflict remained low in both groups post-counseling (p=.741).

Conclusions:

The CD counseling procedure effectively reduced parental decisional conflict.
CD enhanced parental acceptance of recommended youth mental health treatments.