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Psychiatric service staff perceptions of implementing a shared decision-making tool: a process evaluation study.

Ulla-Karin Schön1, Katarina Grim1,2, Lars Wallin1

  • 1a School of Education, Health and Social Studies , Dalarna University , Falun , Sweden.

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|February 7, 2018
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Summary

Implementing shared decision making (SDM) in psychiatric services enhances patient involvement and autonomy. A Swedish study found that decision support tools, when supported by organizational structures and facilitation, improve user participation in treatment decisions.

Keywords:
Shared decision makingdecision support toolimplementationprocess evaluationpsychiatric services

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Area of Science:

  • Psychiatric Services Research
  • Health Informatics
  • Implementation Science

Background:

  • Shared decision making (SDM) in psychiatric services enhances patient involvement, self-efficacy, autonomy, and reduces coercion.
  • Decision support tools can facilitate SDM and reshape user-staff collaboration in treatment planning.

Purpose of the Study:

  • To describe and analyze the implementation process of an SDM intervention for psychiatric service users in Sweden.

Main Methods:

  • A process evaluation using mixed quantitative and qualitative methods.
  • Focus on contextual factors, implementation issues, and mechanisms of impact.

Main Results:

  • Addressed critical implementation issues: decision-making authority, user decision-making ability, and service readiness for increased participation.
  • Highlighted the importance of facilitation and contextual adaptations for local organizations.

Conclusions:

  • Staff found the decision support tool user-friendly and beneficial for participation.
  • Concrete supports for participation can be key to successful implementation if organizational contexts and structures are adequately considered.