Clarke, E., Puschner, B., Jordan, H., Williams, P., Konrad, J., Kawohl, W., Bär, A., Rössler, W., Del Vecchio, V., Sampogna, G., Nagy, M., Süveges, A., Krogsgaard Bording, M. and Slade, M. 2015. Empowerment and satisfaction in a multinational study of routine clinical practice. Acta Psychiatrica Scandinavica 131 (5) , pp. 369-378. 10.1111/acps.12365 |
Abstract
Objective Decision-making between mental health clinicians and patients is under-researched. We tested whether mental health patients are more satisfied with a decision made (i) using their preferred decision-making style and (ii) with a clinician with the same decision-making style preference. Method As part of the CEDAR Study (ISRCTN75841675), a convenience sample of 445 patients with severe mental illness from six European countries were assessed for desired clinical decision-making style (rated by patients and paired clinicians), decision-specific experienced style and satisfaction. Results Patients who experienced more involvement in decision-making than they desired rated higher satisfaction (OR = 2.47, P = 0.005, 95% CI 1.32–4.63). Decisions made with clinicians whose decision-making style preference was for more active involvement than the patient preference were rated with higher satisfaction (OR = 3.17, P = 0.003, 95% CI 1.48–6.82). Conclusion More active involvement in decision-making than the patient stated as desired was associated with higher satisfaction. A clinical orientation towards empowering, rather than shared, decision-making may maximise satisfaction.
Item Type: | Article |
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Date Type: | Publication |
Status: | Published |
Schools: | Schools > Medicine |
Publisher: | Wiley |
ISSN: | 0001-690X |
Date of Acceptance: | 16 October 2014 |
Last Modified: | 12 May 2025 14:16 |
URI: | https://orca.cardiff.ac.uk/id/eprint/177656 |
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