title: Descriptive study of shared decision making about lifestyle modifications with individuals who have psychiatric disabilities.
abstract: BACKGROUND
  Shared decision making (SDM) is a process of active participation by clients with practitioners in weighing the risks and benefits of treatments. It has not been extended to decisions about making lifestyle modifications.
  
  
  OBJECTIVE
  Describe how frequently health lifestyle behaviors are addressed in 15- to 20-minute medicine clinic visits with individuals who have psychiatric disabilities and how often SDM is used in reaching decisions.
  
  
  METHODS
  Content analysis of 98 audiotaped transcripts from practitioner and client medicine clinic visits.
  
  
  RESULTS
  The most frequently discussed lifestyle behaviors discussed were sleep (89%) and diet (61%). SDM, defined as sharing information and options about behavior by either or both practitioner and client and affirmation of a decision by both, occurred 48 times (44%) when a problem existed.
  
  
  CONCLUSIONS
  Discussion of lifestyle behaviors along with use of SDM in negotiating changes in behavior is feasible in a 15- to 20-minute visit.
authors.affiliation: University of Kansas School of Nursing, Kansas City, KS, USA, ehamera@kumc.edu.
authors.forename: Edna
authors.initials: E
authors.lastname: Hamera
authors.forename: Leonie
authors.initials: L
authors.lastname: Pallikkathayil
authors.forename: Donna
authors.initials: D
authors.lastname: Baker
authors.forename: Dena
authors.initials: D
authors.lastname: White