Trial reportJAMA psychiatry2014
Activation, self-management, engagement, and retention in behavioral health care: a randomized clinical trial of the DECIDE intervention.
Trial report in JAMA psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01226329 (The Right Question Project-Mental Health), which is not on this map. Cited by 41 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Right Question Project-Mental Health: An Intervention to Increase Engagement and Retention in Mental Health Care
Who cites it
41 citing papers in PubMed, 7 syntheses or guidelines pooled it, 82 citations in OpenAlex.
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Do health education initiatives assist socioeconomically disadvantaged populations? A systematic review and meta-analyses.BMC public health · 2023Pooled it
- Shared decision-making interventions for people with mental health conditions.The Cochrane database of systematic reviews · 2022Pooled it
- Parenting Self-Efficacy in Immigrant Families-A Systematic Review.Frontiers in psychology · 2020Pooled it
- Patient Education and Continuing Medical Education to Promote Shared Decision-Making. A Systematic Literature Review.International journal of environmental research and public health · 2019Pooled it
- Interventions to Increase Depression Treatment Initiation in Primary Care Patients: a Systematic Review.Journal of general internal medicine · 2018Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- Barriers and facilitators of shared decision making in acutely ill inpatients with schizophrenia-Qualitative findings from the intervention group of a randomised-controlled trial.Health expectations : an international journal of public participation in health care and health policy · 2021Trial
- Engaging hospitalized patients with personalized health information: a randomized trial of an inpatient portal.Journal of the American Medical Informatics Association : JAMIA · 2019Trial
- 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
- Adherence to Depression Treatment in Primary Care: A Randomized Clinical Trial.JAMA psychiatry · 2017Trial
- Training patients with schizophrenia to share decisions with their psychiatrists: a randomized-controlled trial.Social psychiatry and psychiatric epidemiology · 2017Trial
- A Randomized Controlled Trial of a Patient-Centered Approach to Improve Screening for the Metabolic Side Effects of Antipsychotic Medications.Community mental health journal · 2017Trial
- Psychological treatment of comorbid asthma and panic disorder in Latino adults: Results from a randomized controlled trial.Behaviour research and therapy · 2016Trial
- Characteristics of community mental health clinics associated with treatment engagement.Psychiatric services (Washington, D.C.) · 2014Trial
- DECIDE for MOM Provider Training to improve healthcare providers' competency in engaging and communicating with perinatal individuals: protocol for a non-randomized feasibility study.Pilot and feasibility studies · 2026Article
- The Access, Initiation, Engagement, Retention, and Recovery (AIERR) Model: A Stage-Based Framework for Understanding Mental Health Service Utilization.Healthcare (Basel, Switzerland) · 2026Review
- Putting measurement-based care into action: a multi-method study of the benefits of integrating routine client feedback in coordinated specialty care programs for early psychosis.BMC psychiatry · 2024Article
- "If he doesn't buy in, it's a waste of time": Perspectives from diverse parents and adolescents on engaging children in ADHD treatment.Child psychiatry and human development · 2024Article
- Engaging Youth Voice and Family Partnerships to Improve Children's Mental Health Outcomes.Child and adolescent psychiatric clinics of North America · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
19 authors at 12 institutions in 1 country.
Funding
Abstract
importanceGiven minority patients' unequal access to quality care, patient activation and self-management strategies have been suggested as a promising approach to improving mental health care.
objectiveTo determine whether the DECIDE (Decide the problem; Explore the questions; Closed or open-ended questions; Identify the who, why, or how of the problem; Direct questions to your health care professional; Enjoy a shared solution) intervention, an educational strategy that teaches patients to ask questions and make collaborative decisions with their health care professional, improves patient activation and self-management, as well as engagement and retention in behavioral health care. DESIGN, SETTING, AND PATIENTS: In this multisite randomized clinical trial performed from February 1, 2009, through October 9, 2011 (date of last follow-up interview), we recruited 647 English- or Spanish-speaking patients 18 to 70 years old from 13 outpatient community mental health clinics across 5 states and 1 US territory. A total of 722 patients were included in analyses of secondary outcomes.
interventionsThree DECIDE training sessions delivered by a care manager vs giving patients a brochure on management of behavioral health. MAIN OUTCOMES AND MEASURES: Primary outcomes were patient assessment of activation (Patient Activation Scale) and self-management (Perceived Efficacy in Patient-Physician Interactions). Secondary outcomes included patient engagement (proportion of visits attended of those scheduled) and retention (attending at least 4 visits in the 6 months after the baseline research assessment), collected through medical record review or electronic records.
resultsPatients assigned to DECIDE reported significant increases in activation (mean β = 1.74, SD = 0.58; P = .003) and self-management (mean β = 2.42, SD = 0.90; P = .008) relative to control patients, but there was no evidence of an effect on engagement or retention in care. CONCLUSIONS AND RELEVANCE: The DECIDE intervention appears to help patients learn to effectively ask questions and participate in decisions about their behavioral health care, but a health care professional component might be needed to augment engagement in care. DECIDE appears to have promise as a strategy for changing the role of minority patients in behavioral health care.
trial registrationclinicaltrials.gov Identifier: NCT01226329
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.