Consumer and Relationship Factors Associated with Shared Decision-Making in Mental Health Consultations

dc.contributor.authorMatthias, Marianne S.
dc.contributor.authorFukui, Sadaaki
dc.contributor.authorKukla, Marina
dc.contributor.authorEliacin, Johanne
dc.contributor.authorBonfils, Kelsey A.
dc.contributor.authorFirmin, Ruth
dc.contributor.authorOles, Sylwia
dc.contributor.authorAdams, Erin L.
dc.contributor.authorCollins, Linda A.
dc.contributor.authorSalyers, Michelle P.
dc.contributor.departmentDepartment of Psychology, IU School of Scienceen_US
dc.date.accessioned2015-08-18T14:41:04Z
dc.date.available2015-08-18T14:41:04Z
dc.date.issued2014-12
dc.description.abstractObjective: This study explored the association between shared decision making and consumers’ illness management skills and consumer-provider relationships. Methods: Medication management appointments for 79 consumers were audio recorded. Independent coders rated overall shared decision making, minimum level of shared decision making, and consumer-provider agreement for 63 clients whose visit included a treatment decision. Mental health diagnoses, medication adherence, patient activation, illness management, working alliance, and length of consumer-provider relationships were also assessed. Correlation analyses were used to determine relationships among measures. Results: Overall shared decision making was not associated with any variables. Minimum levels of shared decision making were associated with higher scores on the bond subscale of the Working Alliance Inventory, indicating a higher degree of liking and trust, and with better medication adherence. Agreement was associated with shorter consumer-provider relationships. Conclusions: Consumer-provider relationships and shared decision making might have a more nuanced association than originally thought.en_US
dc.eprint.versionAuthor's manuscripten_US
dc.identifier.citationMatthias, M. S., Fukui, S., Kukla, M., Eliacin, J., Bonfils, K. A., Firmin, R. L., ... & Salyers, M. P. (2014). Consumer and relationship factors associated with shared decision making in mental health consultations. Psychiatric Services, 65(12), 1488-1491. http://dx.doi.org/10.1176/appi.ps.201300563en_US
dc.identifier.urihttps://hdl.handle.net/1805/6642
dc.language.isoen_USen_US
dc.relation.isversionof10.1176/appi.ps.201300563en_US
dc.relation.journalPsychiatric Servicesen_US
dc.rightsPublisher Policyen_US
dc.sourceAuthoren_US
dc.subjectmental healthen_US
dc.subjectshared decision makingen_US
dc.subjectveteransen_US
dc.subjectillness managementen_US
dc.titleConsumer and Relationship Factors Associated with Shared Decision-Making in Mental Health Consultationsen_US
dc.typeArticleen_US
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