Evidence map›Paper›PMID 29805250›Full record

ArticlePatient preference and adherence2018

Choosing the appropriate treatment setting: which information and decision-making needs do adult inpatients with mental disorders have? A qualitative interview study.

Laura Kivelitz, Martin Härter, Jil Mohr, Hanne Melchior, Lutz Goetzmann, Max Holger Warnke, Silke Kleinschmidt, Jörg Dirmaier

Open access · goldAbstract read
In one paragraph

Article in Patient preference and adherence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-weighted citation impact, top 13% of its field
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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Shared Decision-Making and Information Needs among People with Generalized Anxiety Disorder.European journal of investigation in health, psychology and education · 2021
    Article
  7. Review
  8. Article
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

8 authors at 3 institutions in 1 country.

Laura KivelitzDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Martin HärterDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Jil MohrDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Hanne MelchiorDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Lutz GoetzmannDepartment of Psychosomatic Medicine and Psychotherapy, Segeberg Hospital, Bad Segeberg, Germany.
Max Holger WarnkeSpecialist Clinic for Psychosomatic Medicine and Psychotherapy, MediClin Seepark Klinik, Bad Bodenteich, Germany.
Silke KleinschmidtSpecialist Clinic for Psychosomatic Medicine and Psychotherapy, Curtius Klinik, Bad Malente-Gremsmühlen, Germany.
Jörg DirmaierDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Universität Hamburg · DEKlinik für Psychosomatik · DESegeberger Kliniken · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDecisions on medical treatment setting are perceived as important but often difficult to make for patients with mental disorders. Shared decision-making as a strategy to decrease decisional conflict has been recommended, but is not yet widely implemented. This study aimed to investigate the information needs and the decision-making preferences of patients with mental disorders prior to the decision for a certain treatment setting. The results will serve as a prerequisite for the development of a high-quality patient decision aid (PtDA) regarding the treatment setting decision.

methodsWe conducted retrospective individual semi-structured interviews with n=24 patients with mental disorders in three psychotherapeutic inpatient care units. The interviews were audiotaped, transcribed, coded, and content-analyzed.

resultsThe majority of the patients wanted to be involved in the decision-making process. They reported high information needs regarding treatment options in order to feel empowered to participate adequately in the decision for a certain treatment setting. However, some patients did not want to participate or receive information, for example, because of their high burden of mental disorder. Whereas the majority were satisfied with the extent they were involved in the decision, few participants felt sufficiently informed about treatment options. Most patients reported that a decision aid regarding an appropriate treatment setting would have been helpful for them. Important information that should be included in a PtDA was general information about mental illness, effective treatment options, specific information about the different treatment settings, and access to treatment. DISCUSSION: The identified information and decision-making needs provide a valuable basis for the development of a PtDA aiming to support patients and caregivers regarding the decision for an adequate treatment setting. As preferences for participation vary among patients and also depend on the current mental state, a flexible approach is needed to meet patients' individual wishes and needs.

Indexed as

mental disordersneeds assessmentpsychotherapyqualitative interviewsshared decision-makingtreatment decisiontreatment setting

Identifiers

PMID29805250
PMCPMC5960250
OpenAlexW2803031777

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.