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Consumer Outcomes After Implementing CommonGround as an Approach to Shared Decision Making
Michelle P Salyers1, Sadaaki Fukui1, Kelsey A Bonfils1
1Dr. Salyers, Ms. Bonfils, Ms. Firmin, and Ms. Luther are with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis (e-mail: mpsalyer@iupui.edu ). Dr. Fukui, Dr. Goscha, and Dr. Rapp are with the School of Social Welfare, University of Kansas, Lawrence, where Dr. Holter was affiliated when this work was done.
The CommonGround program improved symptoms and recovery attitudes for individuals with severe mental illness. While self-reported treatment involvement didn't change, providers noted increased consumer engagement over time.
Area of Science:
- Mental Health
- Health Informatics
- Shared Decision-Making
Background:
- Shared decision-making (SDM) is crucial in mental healthcare.
- Computer-based tools can support SDM.
- Limited research exists on the impact of SDM tools on consumer outcomes in severe mental illness.
Purpose of the Study:
- To evaluate the impact of the CommonGround computer-based SDM program on consumer outcomes.
- To assess changes in active treatment involvement, symptoms, and recovery attitudes.
Main Methods:
- A quasi-experimental study involving 167 consumers with severe mental illness.
- Data collected at baseline, 12 months, and 18 months post-implementation.
- Mixed-effects regression analyses and provider ratings were used.
Main Results:
- 67% of consumers used CommonGround at least once; regular use was low.
- Significant improvements were observed in self-reported symptoms and recovery attitudes.
- Provider-rated treatment involvement increased for a subset of consumers.
Conclusions:
- CommonGround shows potential for improving recovery outcomes in severe mental illness.
- Further research is needed to enhance consumer engagement with SDM tools.
- More rigorous methods are required to validate findings.
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