Evidence map›Paper›PMID 36190817›Full record

ArticleJournal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53

Shared Decision-Making as a Tool for Navigating Multi-Stakeholder Discrepancies in Youth Psychotherapy.

Olivia M Fitzpatrick, Juliana M Holcomb, John R Weisz, David A Langer

Abstract read
In one paragraph

Article in Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
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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

4 authors.

Olivia M FitzpatrickDepartment of Psychology, Harvard University.ORCID 0000-0001-8868-6702
Juliana M HolcombDepartment of Psychology, Suffolk University.ORCID 0000-0002-6098-4932
John R WeiszDepartment of Psychology, Harvard University.ORCID 0000-0002-5560-6814
David A LangerDepartment of Psychology, Suffolk University.ORCID 0000-0001-5843-1039

Funding

Testing FIRST in Youth Outpatient PsychotherapyR01MH124965 · NIMH · HARVARD UNIVERSITY · PI BEARMAN, SARAH KATE KATE, WEISZ, JOHN RICHARD · 2021 to 2025
$4.3M
Increasing Treatment Efficiency Using SMART Methods for Personalizing CareR34MH123601 · NIMH · UNIVERSITY OF KENTUCKY · PI LANGER, DAVID A, SAUER-ZAVALA, SHANNON E · 2020 to 2021
$823k
Clinician-Consumer Collaboration in Transdiagnostic, Modular Youth PsychotherapyF31MH127862 · NIMH · HARVARD UNIVERSITY · PI FITZPATRICK, OLIVIA MAE · 2021 to 2023
$111k
NIMH NIH HHS F31 MH127862NIMH NIH HHS R01 MH124965NIMH NIH HHS R34 MH123601
6 · The paper itself

Abstract

objectiveDiscrepancies among the key stakeholders in youth psychotherapy (e.g., caregivers, youths) commonly present an obstacle to treatment planning, forcing clinicians to align with one perspective over another and increasing the likelihood of a treatment plan that is not fully responsive to divergent opinions. At the same time, multi-stakeholder discrepancies can also offer opportunities to build an inclusive, effective treatment plan, guided by the integration of numerous sources of domain-specific knowledge related to the concerns for which families seek clinical care.

methodWe aim to: 1) investigate the degree to which multi-stakeholder discrepancies are observed when youths and caregivers are invited to report their treatment priorities, rather than the presence and severity of youth symptoms, 2) describe the rationale for, as well as the promise and challenges of, shared decision-making (SDM)-an approach designed to facilitate multi-stakeholder collaboration during treatment planning, 3) provide a case example illustrating how a clinician, youth, and caregiver could use SDM to navigate discrepancies and identify therapy targets, and 4) propose future directions for exploring the potential value of SDM in youth psychotherapy.

resultsDifferent levels of multi-stakeholder agreement were observed when caregivers and youths were asked to identify their treatment priorities, compared to youth symptom presence and severity, revealing nuances in multi-stakeholder agreement in youth psychotherapy.

conclusionsMulti-stakeholder discrepancies can inform treatment planning processes, and SDM may be an effective approach for navigating them and building a treatment plan that integrates the perspective of all stakeholders in youth psychotherapy.

Indexed as

CaregiversPsychotherapyAdolescentDecision MakingDelivery of Health CareHumansTreatment Outcome

Identifiers

PMID36190817
PMCPMC9898176

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Registered trials

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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.