Trial reportSocial psychiatry and psychiatric epidemiology2019
Shared decision-making in mental health care using routine outcome monitoring: results of a cluster randomised-controlled trial.
Trial report in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses 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.
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.
Who cites it
23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Supported Decision-Making Interventions in Mental Healthcare: A Systematic Review of Evidence on the Outcomes for People With Mental Ill Health.Health expectations : an international journal of public participation in health care and health policy · 2024Pooled it
- Shared decision-making interventions for people with mental health conditions.The Cochrane database of systematic reviews · 2022Pooled it
- Decision coaching for people making healthcare decisions.The Cochrane database of systematic reviews · 2021Pooled it
- A Systematic Review of Shared Decision-Making Interventions for Service Users With Serious Mental Illnesses: State of the Science and Future Directions.Psychiatric services (Washington, D.C.) · 2021Pooled it
- Patient and provider contributions to shared decision making in a modular primary care behavioral health anxiety intervention: A qualitative descriptive analysis.Psychological services · 2025Article
- Severity Indices of Personality Problems (SIPP-118): Dutch Norms, T-scores, and Percentile Rank Scores.Personality and mental health · 2025Article
- Development of a Cocreated Decision Aid for Patients With Depression-Combining Data-Driven Prediction With Patients' and Clinicians' Needs and Perspectives: Mixed Methods Study.Journal of participatory medicine · 2025Article
- Shared decision-making in the treatment of bipolar disorder: findings from a nationwide naturalistic cohort study in everyday clinical practice.Social psychiatry and psychiatric epidemiology · 2025Observational
- Personalized and collaborative use of digital measurement-based care tools enhances engagement among young adults: a mixed-methods study.BMC health services research · 2025Article
- Using Progress Feedback to Enhance Treatment Outcomes: A Narrative Review.Administration and policy in mental health · 2025Review
- What treatment outcomes matter in adolescent depression? A Q-study of priority profiles among mental health practitioners in the UK and Chile.European child & adolescent psychiatry · 2024Article
- Shared Decision-Making to Improve Health-Related Outcomes for Adults with Stroke Disease.Healthcare (Basel, Switzerland) · 2023Article
- Translating and Validating the Vietnamese Version of the Health Sciences Evidence-Based Practice Questionnaire.International journal of environmental research and public health · 2023Article
- Characterizing measurement-based care implementation using therapist report.Evidence-based practice in child and adolescent mental health · 2023Article
- Are We Comparing Apples with Oranges? Assessing Improvement Across Symptoms, Functioning, and Goal Progress for Adolescent Anxiety and Depression.Child psychiatry and human development · 2022Article
- NICE shared decision making guidelines and mental health: challenges for research, practice and implementation.BJPsych open · 2021Article
- Centering the Voice of the Client: On Becoming a Collaborative Practitioner with Low-Income Individuals and Families.Family process · 2021Article
- Patients' perception of user involvement in psychiatric outpatient treatment: Associations with patient characteristics and satisfaction.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Shared decision making for adults with severe mental illness: A concept analysis.Japan journal of nursing science : JJNS · 2020Review
- Compulsory admissions and preferences in decision-making in patients with psychotic and bipolar disorders.Social psychiatry and psychiatric epidemiology · 2020Article
Corrections and comments
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Authors and funding
6 authors at 6 institutions in 1 country.
Funding
Abstract
purposeTo investigate the effects of Shared Decision-Making (SDM) using Routine Outcome Monitoring (ROM) primary on patients' perception of Decisional Conflict (DC), which measures patients' engagement in and satisfaction with clinical decisions, and secondary on working alliance and treatment outcomes.
methodMulti-centre two-arm matched-paired cluster randomised-controlled trial in Dutch specialist mental health care. SDM using ROM (SDMR) was compared with Decision-Making As Usual (DMAU). Outcomes were measured at baseline (T0) and 6 months (T1). Multilevel regression and intention-to-treat analyses were used. Post hoc analyses were performed on influence of subgroups and application of SDMR on DC.
resultsSeven teams were randomised to each arm. T0 was completed by 186 patients (51% intervention; 49% control) and T1 by 158 patients (51% intervention, 49% control). DC, working alliance, and treatment outcomes reported by patients did not differ significantly between two arms. Post hoc analyses revealed that SDMR led to less DC among depressed patients (p = 0.047, d =- 0.69). If SDMR was applied well, patients reported less DC (SDM: p = 0.000, d = - 0.45; ROM: p = 0.021, d = - 0.32), which was associated with better treatment outcomes.
conclusionExcept for patients with mood disorders, we found no difference between the arms for patient-reported DC. This might be explained by the less than optimal uptake of this generic intervention, which did not support patients directly. Regarding the positive influence of a higher level of applying SDM and ROM on less DC and better treatment outcomes, the results are encouraging for further investments in patient-oriented development and implementation of SDMR.
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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.