Evidence map›Paper›PMID 27167556›Full record

ArticleInternational journal of qualitative studies on health and well-being2016

Shared decision-making in mental health care-A user perspective on decisional needs in community-based services.

Katarina Grim, David Rosenberg, Petra Svedberg, Ulla-Karin Schön

Abstract read
In one paragraph

Article in International journal of qualitative studies on health and well-being, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  17. Psychiatric service staff perceptions of implementing a shared decision-making tool: a process evaluation study.International journal of qualitative studies on health and well-being · 2018
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  18. Article
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  20. Perspectives on health and well-being in social sciences.International journal of qualitative studies on health and well-being · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Katarina GrimSchool of Health and Social Work, Dalarna University, Falun, Sweden.
David RosenbergDepartment of Social Work, Umeå University, Umeå, Sweden.
Petra SvedbergSchool of Social and Health Sciences, Halmstad University, Halmstad, Sweden.
Ulla-Karin SchönSchool of Health and Social Work, Dalarna University, Falun, Sweden; uks@du.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShared decision-making (SDM) is an emergent research topic in the field of mental health care and is considered to be a central component of a recovery-oriented system. Despite the evidence suggesting the benefits of this change in the power relationship between users and practitioners, the method has not been widely implemented in clinical practice.

objectiveThe objective of this study was to investigate decisional and information needs among users with mental illness as a prerequisite for the development of a decision support tool aimed at supporting SDM in community-based mental health services in Sweden.

methodsThree semi-structured focus group interviews were conducted with 22 adult users with mental illness. The transcribed interviews were analyzed using a directed content analysis. This method was used to develop an in-depth understanding of the decisional process as well as to validate and conceptually extend Elwyn et al.'s model of SDM.

resultsThe model Elwyn et al. have created for SDM in somatic care fits well for mental health services, both in terms of process and content. However, the results also suggest an extension of the model because decisions related to mental illness are often complex and involve a number of life domains. Issues related to social context and individual recovery point to the need for a preparation phase focused on establishing cooperation and mutual understanding as well as a clear follow-up phase that allows for feedback and adjustments to the decision-making process. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: The current study contributes to a deeper understanding of decisional and information needs among users of community-based mental health services that may reduce barriers to participation in decision-making. The results also shed light on attitudinal, relationship-based, and cognitive factors that are important to consider in adapting SDM in the mental health system.

Indexed as

Community Mental Health ServicesDecision MakingMental HealthPatient ParticipationProfessional-Patient RelationsAdultCognitionCommunicationCooperative BehaviorFemaleFocus GroupsHumansMaleMental DisordersModels, PsychologicalPower, Psychologicaldirected content analysisinformation needsmental health careShared decision-making

Identifiers

PMID27167556
PMCPMC4862955

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LicenceCC BY
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Registered trials

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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.