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Supporting Shared Decision-making for Children's Complex Behavioral Problems: Development and User Testing of an
Erin R Barnett1, Elizabeth A Boucher2, William B Daviss3
1Department of Psychiatry, Geisel School of Medicine at Dartmouth, Dartmouth Trauma Interventions Research Center, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH, 03756, USA. erin.r.barnett@dartmouth.edu.
Community Mental Health Journal
|April 13, 2017
Summary
A new Option Grid™ tool aids shared decision-making for children's complex behavioral problems. This patient decision aid shows significant value but requires further support for successful clinical implementation.
Area of Science:
- Child and Adolescent Psychiatry
- Behavioral Health Services Research
- Health Decision Science
Background:
- Limited research guides collaborative treatment decisions for children with complex behavioral issues.
- Mental health services are extensively used by this population, highlighting a need for improved decision-making processes.
- Shared decision-making (SDM) is crucial for effective treatment planning in pediatric behavioral health.
Purpose of the Study:
- To develop and pilot-test a one-page Option Grid™ patient decision aid.
- To facilitate shared decision-making (SDM) for pediatric complex behavioral problems.
- To assess the perceived value and implementation needs of the Option Grid™.
Main Methods:
- An editorial team including parents and clinicians developed the Option Grid™ structure and content.
- Information on psychosocial and pharmacological treatments was based on the best available evidence.
- User and field testing involved semi-structured qualitative interviews with parents, clinical prescribers, and administrators (n=18).
Main Results:
- Stakeholders (parents, clinicians, administrators) perceived significant value in the Option Grid™.
- Qualitative analysis revealed positive reception of the decision aid's utility.
- Participants indicated a need for additional training and support for successful clinical implementation.
Conclusions:
- The Option Grid™ is a promising tool for enhancing SDM in pediatric behavioral health.
- Successful implementation of the Option Grid™ requires addressing identified support and training needs.
- Further research and development are warranted to optimize SDM tools for children with complex behavioral problems.
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