ArticleFrontiers in psychiatry2021
Barriers and Enablers to Shared Decision Making in Psychiatric Medication Management: A Qualitative Investigation of Clinician and Service Users' Views.
Article in Frontiers in psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- A meta-ethnography of shared decision-making in mental health care from the perspective of staff and service users.BMC health services research · 2024Pooled it
- Trends, challenges, and priorities for shared decision making in mental health: The first umbrella review.The International journal of social psychiatry · 2023Pooled it
- Pilot evaluation of an educational and lived experience training program on ketogenic metabolic therapy in mental health care for health care professionals.Frontiers in psychiatry · 2026Trial
- 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
- Letting patients lead? Practitioners' experiences of using DIALOG+ in psychosis outpatient care - patient involvement, collaborative dynamics, and professional roles.BMC psychiatry · 2026Article
- Development and Preliminary Validation of a Tool to Assess Barriers and Facilitators to Participation in Adjuvant Endocrine Therapy Switch Trials.Current oncology (Toronto, Ont.) · 2026Article
- Shared Decision Making as a Policy and Clinical Framework for the Responsible Introduction of Repetitive Transcranial Magnetic Stimulation Therapy in Japan.Psychiatry investigation · 2026Article
- 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
- Review
- Review
- Patients' and health professionals' perspectives regarding shared decision making in the psychiatric inpatient setting - A multiple qualitative case study.PEC innovation · 2024Article
- Exploring the Relationship Between Psychological Constructs and Decision-Making Preferences in Psychiatric Outpatients.Patient preference and adherence · 2024Article
- Research Progress of Shared Decision-Making in Schizophrenia with Anxiety.Neuropsychiatric disease and treatment · 2024Review
- Shared decision making and associated factors among patients with psychotic disorders: a cross-sectional study.BMC psychiatry · 2023Article
- Experiencing (Shared) Decision Making: Results from a Qualitative Study of People with Mental Illness and Their Family Members.Healthcare (Basel, Switzerland) · 2023Article
- What are patients' experiences of discontinuing clozapine and how does this impact their views on subsequent treatment?BMC psychiatry · 2023Article
- Psychotropic medication use in people living with severe and persistent mental illness in the Australian community: a cross-sectional study.BMC psychiatry · 2022Article
- Experiences of shared decision making among patients with psychotic disorders in Norway: a qualitative study.BMC psychiatry · 2022Article
- Co-production development of a decision support tool for peers and service users to choose technologies to support recovery.Patient experience journal · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Shared decisionmaking (SDM) is a recommended health communication approach in mental health settings. Yet, implementation of SDM in psychiatric consultations discussing medication management is challenging. Insufficient attention has been given to examine the views of both clinicians and service users together about the experiences of SDM in psychiatric medication management. The purpose of this paper is to examine the views of service users, community psychiatric nurses, and psychiatrists about enablers and barriers of SDM. A thematic analysis of 30 semi structured interviews with service users, psychiatrists, and community psychiatric nurses, in a community mental health team in the UK, was conducted. A service user advisory group was involved in all phases of the research cycle, including data collection, analysis, and dissemination. The results offer a detailed contextualized account of how medication decisions are made. For psychiatrists and service user participants SDM is seen as a way of enhancing service users' engagement in and control over treatment decisions. While psychiatrists value the transactional benefits of SDM, service user participants and psychiatric nurses conceptualize SDM as a long-term endeavor embedded within therapeutic partnerships. For service users these partnerships mitigate acknowledged problems of feeling unable to be fully involved during times of crisis. This study identified a range of barriers and facilitators to SDM concerning psychiatric medications from the lived experience of service users and the professional experience of clinicians. Furthermore, it indicates new potential intervention points to support SDM in psychiatric medication decisions.
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