title: "How to speak to your psychiatrist": shared decision-making training for inpatients with schizophrenia.
abstract: OBJECTIVE
  Involving patients with mental illness in shared decision making about their treatment has recently attracted attention, but existing interventions may insufficiently motivate or enable patients with schizophrenia to behave more actively. This study evaluated a new intervention.
  
  
  METHODS
  In a pilot study 61 inpatients with schizophrenia or schizoaffective disorder from a psychiatric hospital in Germany were randomly assigned to receive shared decision-making training (N=32) or cognitive training (N=29, control condition).
  
  
  RESULTS
  The shared decision-making training yielded higher participation preferences and increased patients' desire to have more responsibility in treatment decisions, which continued to the six-month follow-up. Patients in the intervention group became more skeptical of treatment and were perceived as more "difficult" by their psychiatrists.
  
  
  CONCLUSIONS
  Training in shared decision making was highly accepted by patients and changed attitudes toward participation in decision making. There were some hints that it might generate beneficial long-term effects.
authors.affiliation: Psychiatric Department, Technische Universität München, Munich , Germany. j.hamann@lrz.tum.de
authors.forename: Johannes
authors.initials: J
authors.lastname: Hamann
authors.forename: Rosmarie
authors.initials: R
authors.lastname: Mendel
authors.forename: Anna
authors.initials: A
authors.lastname: Meier
authors.forename: Florim
authors.initials: F
authors.lastname: Asani
authors.forename: Esther
authors.initials: E
authors.lastname: Pausch
authors.forename: Stefan
authors.initials: S
authors.lastname: Leucht
authors.forename: Werner
authors.initials: W
authors.lastname: Kissling
mesh_terms: D000293:Adolescent; D000328:Adult; D003142:Communication; D003657:Decision Making; D005260:Female; D005858:Germany; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D010817:Physician-Patient Relations; D010865:Pilot Projects; D012559:Schizophrenia; D055815:Young Adult