ArticleBMC health services research2020
Mental health professionals' experiences with shared decision-making for patients with psychotic disorders: a qualitative study.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03271242 (A Pairwise Randomized Study on Implementation of Guidelines and Evidence Based Treatments of Psychoses), which is not on this map. Cited by 22 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.
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.
A Pairwise Randomized Study on Implementation of Guidelines and Evidence Based Treatments of Psychoses
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Trends, challenges, and priorities for shared decision making in mental health: The first umbrella review.The International journal of social psychiatry · 2023Pooled it
- Experiential and Medical Knowledge of Shared Decision-Making: Exploring Clinician and Service User Perspectives in NHS Community Mental Health Services.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Empowering Collaboration With Patients: Healthcare Staff's Perspectives on Conditions for Shared Decision-Making in Swedish Psychiatric Care.Journal of evaluation in clinical practice · 2026Article
- Lived experiences of shared decision-making in young adults prescribed antipsychotics: a qualitative interview study.International journal of clinical pharmacy · 2026Article
- Are People Worse Off in a Mental Health Treatment Paradigm Where Medication Is Deemphasised? A Naturalistic Noninferiority Trial of an Initiative to Improve Patient Choice.The International journal of social psychiatry · 2026Article
- Exploring early intervention in psychosis (EIP) perspectives towards pharmacogenomics (PGx) implementation to support antipsychotic prescribing: a multi-method qualitative exploration.Frontiers in pharmacology · 2026Article
- Implementing shared decision-making for hospitalized patients with schizophrenia: a qualitative study of nurse and patient perspectives.Frontiers in psychiatry · 2026Article
- Preferences for Decision-Making Style and Knowledge of and Attitudes To Recovery in Mental Health Professionals Working in Inpatient and Outpatient Settings in Routine Mental Health Practice: An Exploratory Cross-Sectional Study in the Danish Mental Health Services.Administration and policy in mental health · 2026Article
- User and staff experiences of a revised process for coordinating support with shared decision making in the comorbidity field of practice: a qualitative interview study.International journal of qualitative studies on health and well-being · 2025Article
- Behind the Gaps: A Narrative Review of Healthcare Barriers for Individuals with Serious Mental Illness.Healthcare (Basel, Switzerland) · 2025Review
- Article
- A Mobile App Designed to Promote Shared Decision-Making in the Treatment of Psychotic Disorders: Feasibility and Acceptability Study.JMIR human factors · 2025Article
- Review
- From Idealist to Realist-Designing and Implementing Shared Decision-Making Interventions in the Choice of Antipsychotic Prescription in People Living with Psychosis (SHAPE): A Realist Review.Schizophrenia bulletin · 2025Review
- A realist review of medication optimisation of community dwelling service users with serious mental illness.BMJ quality & safety · 2024Review
- Exploring the unconventional: health professionals' experiences into medication-free treatment for patients with severe mental illness.BMC psychiatry · 2024Article
- Perspectives of adult patients with mental health disorders on the relationship with nurses: a focus group study.BMC nursing · 2024Article
- Shared decision making and associated factors among patients with psychotic disorders: a cross-sectional study.BMC psychiatry · 2023Article
- Article
- Experiences of shared decision making among patients with psychotic disorders in Norway: a qualitative study.BMC psychiatry · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundShared decision-making (SDM) is a process whereby clinicians and patients work together to select treatments based on both the patient's preferences and clinical evidence. Although patients with psychotic disorders want to participate more in decisions regarding their care, they have limited opportunities to do so because of various barriers. Knowing about health professionals' experiences with SDM is important toward achieving successful implementation. The study aim was to describe and explore health professionals' SDM experiences with patients with psychotic disorders.
methodsThree focus group interviews were conducted, with a total of 18 health professionals who work at one of three Norwegian community mental health centres where patients with psychotic disorders are treated. We applied a descriptive and exploratory approach using qualitative content analysis.
resultsHealth professionals primarily understand the SDM concept to mean giving patients information and presenting them with a choice between different antipsychotic medications. Among the barriers to SDM, they emphasized that patients with psychosis have a limited understanding of their health situation and that time is needed to build trust and alliances. Health professionals mainly understand patients with psychotic disorders as a group with limited abilities to make their own decisions. They also described the concept of SDM with little consideration of presenting different treatment options. Psychological or social interventions were often presented as complementary to antipsychotic medications, rather than as an alternative to them.
conclusionHealth professionals' understanding of SDM is inconsistent with the definition commonly used in the literature. They consider patients with psychotic disorders to have limited abilities to participate in decisions regarding their own treatment. These findings suggest that health professionals need more theoretical and practical training in SDM.
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