Evidence map›Paper›PMID 34369801›Full record

SynthesisPsychiatric services (Washington, D.C.)2021

A Systematic Review of Shared Decision-Making Interventions for Service Users With Serious Mental Illnesses: State of the Science and Future Directions.

Elizabeth C Thomas, Shelly Ben-David, Emily Treichler, Stephanie Roth, Lisa B Dixon, Mark Salzer, Yaara Zisman-Ilani

Open access · greenAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Psychiatric services (Washington, D.C.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
8.4field-weighted citation impact, top 2% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

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  5. 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 · 2026
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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

7 authors at 1 institution in 1 country.

Elizabeth C ThomasDepartment of Social and Behavioral Sciences, Temple University, Philadelphia (Thomas, Salzer, Zisman-Ilani); Department of Social Work, University of British Columbia, Okanagan (Ben-David); Mental Illness Research, Education and Clinical Center, U.S. Department of Veterans Affairs (VA) Desert Pacific, San Diego (Treichler); Department of Psychiatry, University of California, San Diego, La Jolla (Treichler); Ginsburg Health Sciences Library, Temple University, Philadelphia (Roth); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York City (Dixon). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Shelly Ben-DavidDepartment of Social and Behavioral Sciences, Temple University, Philadelphia (Thomas, Salzer, Zisman-Ilani); Department of Social Work, University of British Columbia, Okanagan (Ben-David); Mental Illness Research, Education and Clinical Center, U.S. Department of Veterans Affairs (VA) Desert Pacific, San Diego (Treichler); Department of Psychiatry, University of California, San Diego, La Jolla (Treichler); Ginsburg Health Sciences Library, Temple University, Philadelphia (Roth); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York City (Dixon). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Emily TreichlerDepartment of Social and Behavioral Sciences, Temple University, Philadelphia (Thomas, Salzer, Zisman-Ilani); Department of Social Work, University of British Columbia, Okanagan (Ben-David); Mental Illness Research, Education and Clinical Center, U.S. Department of Veterans Affairs (VA) Desert Pacific, San Diego (Treichler); Department of Psychiatry, University of California, San Diego, La Jolla (Treichler); Ginsburg Health Sciences Library, Temple University, Philadelphia (Roth); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York City (Dixon). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Stephanie RothDepartment of Social and Behavioral Sciences, Temple University, Philadelphia (Thomas, Salzer, Zisman-Ilani); Department of Social Work, University of British Columbia, Okanagan (Ben-David); Mental Illness Research, Education and Clinical Center, U.S. Department of Veterans Affairs (VA) Desert Pacific, San Diego (Treichler); Department of Psychiatry, University of California, San Diego, La Jolla (Treichler); Ginsburg Health Sciences Library, Temple University, Philadelphia (Roth); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York City (Dixon). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Lisa B DixonDepartment of Social and Behavioral Sciences, Temple University, Philadelphia (Thomas, Salzer, Zisman-Ilani); Department of Social Work, University of British Columbia, Okanagan (Ben-David); Mental Illness Research, Education and Clinical Center, U.S. Department of Veterans Affairs (VA) Desert Pacific, San Diego (Treichler); Department of Psychiatry, University of California, San Diego, La Jolla (Treichler); Ginsburg Health Sciences Library, Temple University, Philadelphia (Roth); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York City (Dixon). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Mark SalzerDepartment of Social and Behavioral Sciences, Temple University, Philadelphia (Thomas, Salzer, Zisman-Ilani); Department of Social Work, University of British Columbia, Okanagan (Ben-David); Mental Illness Research, Education and Clinical Center, U.S. Department of Veterans Affairs (VA) Desert Pacific, San Diego (Treichler); Department of Psychiatry, University of California, San Diego, La Jolla (Treichler); Ginsburg Health Sciences Library, Temple University, Philadelphia (Roth); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York City (Dixon). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Yaara Zisman-IlaniDepartment of Social and Behavioral Sciences, Temple University, Philadelphia (Thomas, Salzer, Zisman-Ilani); Department of Social Work, University of British Columbia, Okanagan (Ben-David); Mental Illness Research, Education and Clinical Center, U.S. Department of Veterans Affairs (VA) Desert Pacific, San Diego (Treichler); Department of Psychiatry, University of California, San Diego, La Jolla (Treichler); Ginsburg Health Sciences Library, Temple University, Philadelphia (Roth); Division of Behavioral Health Services and Policies, New York State Psychiatric Institute, New York City (Dixon). Editor Emeritus Howard H. Goldman, M.D., Ph.D., served as decision editor on the manuscript.
Temple University · US

Funding

Supplement: Facilitating Emerging Adult Engagement in Evidence-Based Treatment for Early Psychosis through Peer-Delivered Decision.K08MH116101 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI THOMAS, ELIZABETH · 2018 to 2022
$739k
Improving Collaborative Decision Making in Veterans with Serious Mental IllnessIK2RX003079 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI TREICHLER, EMILY · 2020 to 2025
–
NIMH NIH HHS K08 MH116101RRD VA IK2 RX003079
6 · The paper itself

Abstract

objectiveShared decision making (SDM) is a health communication model that may be particularly appealing to service users with serious mental illnesses, who often want to be involved in making decisions about their mental health care. The purpose of this systematic review was to describe and evaluate participant, intervention, methodological, and outcome characteristics of SDM intervention studies conducted within this population.

methodsSystematic searches of the literature through April 2020 were conducted and supplemented by hand searching of reference lists of identified studies. A total of 53 independent studies of SDM interventions that were conducted with service users with serious mental illnesses and that included a quantitative or qualitative measure of the intervention were included in the review. Data were independently extracted by at least two authors.

resultsMost studies were conducted with middle-age, male, White individuals from Western countries. Interventions fell into the following categories: decision support tools only, multicomponent interventions involving decision support tools, multicomponent interventions not involving decision support tools, and shared care planning and preference elicitation interventions. Most studies were randomized controlled trials with sufficient sample sizes. Outcomes assessed were diverse, spanning decision-making constructs, clinical and functional, treatment engagement or adherence, and other constructs.

conclusionsFindings suggest important future directions for research, including the need to evaluate the impact of SDM in special populations (e.g., young adults and racial-ethnic minority groups); to expand interventions to a broader array of decisions, users, and contexts; and to establish consensus measures to assess intervention effectiveness.

Indexed as

Decision Making, SharedMental DisordersEthnicityHumansMaleMinority GroupsDecision aidsDecision supportGeneral psychiatryPerson-centered careResearchService delivery

Identifiers

PMID34369801
PMCPMC8570969
OpenAlexW3191845075

What OpenQuestion holds

Textmetadata
LicenceTDM
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.