ArticleBMC psychiatry2012
Attitudes toward concordance in psychiatry: a comparative, cross-sectional study of psychiatric patients and mental health professionals.
Article in BMC psychiatry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Shared decision-making interventions for people with mental health conditions.The Cochrane database of systematic reviews · 2022Pooled it
- Effectiveness of the DECIDE Interventions on Shared Decision Making and Perceived Quality of Care in Behavioral Health With Multicultural Patients: A Randomized Clinical Trial.JAMA psychiatry · 2018Trial
- Prescribing Under Uncertainty: The Hidden Psychology of Psychiatric Decision-Making.Actas espanolas de psiquiatria · 2026Article
- Concordance in the healthcare context: A concept analysis.Belitung nursing journal · 2024Article
- Shared Decision-Making and Information Needs among People with Generalized Anxiety Disorder.European journal of investigation in health, psychology and education · 2021Article
- The views of New Zealand general practitioners and patients on a proposed risk assessment and communication tool: a qualitative study using Normalisation Process Theory.Implementation science communications · 2021Article
- Being Heard, Exerting Influence, or Knowing How to Play the Game? Expectations of Client Involvement among Social and Health Care Professionals and Clients.International journal of environmental research and public health · 2020Article
- Compulsory admissions and preferences in decision-making in patients with psychotic and bipolar disorders.Social psychiatry and psychiatric epidemiology · 2020Article
- Co-production for service improvement: Developing a training programme for mental health professionals to enhance medication adherence in Black, Asian and Minority Ethnic Service Users.Health expectations : an international journal of public participation in health care and health policy · 2019Article
- Observational
- Treatment alliance and adherence in bipolar disorder.World journal of psychiatry · 2018Article
- Attitudes toward concordance and self-efficacy in decision making: a cross-sectional study on pharmacist-patient consultations.Patient preference and adherence · 2018Article
- Pregnancy termination for fetal abnormality: are health professionals' perceptions of women's coping congruent with women's accounts?BMC pregnancy and childbirth · 2017Article
- Exploring the potential implementation of a tool to enhance shared decision making (SDM) in mental health services in the United Kingdom: a qualitative exploration of the views of service users, carers and professionals.International journal of mental health systems · 2017Article
- Psychometrics of shared decision making and communication as patient centered measures for two language groups.Psychological assessment · 2016Article
- Clinical decision making and outcome in the routine care of people with severe mental illness across Europe (CEDAR).Epidemiology and psychiatric sciences · 2016Article
- Treatment-related decisional conflict in patients with depressive and anxious disorders.Patient preference and adherence · 2016Article
- Effects of a nurse-led medication self-management programme in cancer patients: protocol for a mixed-method randomised controlled trial.BMC nursing · 2016Article
- Validation of the Spanish version of the 9-item Shared Decision-Making Questionnaire.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Psychiatric Providers' Willingness to Participate in Shared Decision Making When Prescribing Psychotropics.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2015Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConcordance and Shared Decision-Making (SDM) are considered measures of the quality of care that improves communication, promotes patient participation, creates a positive relationship with the healthcare professional, and results in greater adherence with the treatment plan.
methodsThis study compares the attitudes of 225 mental health professionals (125 psychiatrists and 100 psychiatry registrars) and 449 psychiatric outpatients towards SDM and concordance in medicine taking by using the "Leeds Attitude toward Concordance Scale" (LATCon).
resultsThe internal consistency of the scale was good in all three samples (Cronbach's α: patients = 0.82, psychiatrists = 0.76, and registrars = 0.82). Patients scored significantly lower (1.96 ± 0.48) than professionals (P < .001 in both cases), while no statistically significant differences between psychiatrists (2.32 ± 0.32) and registrars (2.23 ± 0.35) were registered; the three groups showed a positive attitude towards concordance in most indicators. Patients are clearly in favor of being informed and that their views and preferences be taken into account during the decision-making process, although they widely consider that the final decision must be the doctor's responsibility. Among mental health professionals, the broader experience provides a greater conviction of the importance of the patient's decision about treatment.
conclusionsWe observed a positive attitude towards concordance in the field of psychotropic drugs prescription both in professionals and among patients, but further studies are needed to address the extent to which this apparently accepted model is reflected in the daily practice of mental health professionals.
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