title: Relationships of Shared Decision Making with Parental Perceptions of Child Mental Health Functioning and Care.
abstract: Experts encourage parents and practitioners to engage in shared decision making (SDM) to provide high quality child mental health care. However, little is known regarding SDM among families of children with common mental health conditions. The objectives of this study were to examine associations between parental report of SDM and parental perceptions of (a) receiving child mental health care and (b) child mental health functioning. We analyzed cross-sectional data on children with a common mental health condition (attention-deficit hyperactivity disorder, oppositional-defiant or conduct disorder, anxiety, or depression) from the 2009/2010 National Survey of Children with Special Healthcare Needs (N = 9,434). The primary independent variable was parent-reported SDM, and the dependent variables were parental perception of (a) their child receiving all needed mental health care (b) their children's impairment in school attendance and extracurricular activity participation, and (c) severity of their children's mental health condition. Multivariate logistic and multinomial regression analyses were conducted. Greater parent-reported SDM was associated with parental perceptions of receiving all needed child mental health care and children not having school or extracurricular impairment. Greater SDM was also associated with perceptions of children having a mild mental health condition compared to children having a moderate or severe condition. Findings provide a basis for future longitudinal and intervention studies to examine the benefit of SDM for improving parental perceptions of the quality of child mental health care and mental health functioning among children with common mental health conditions.
authors.affiliation: Department of Pediatrics, Baylor College of Medicine, 1102 Bates St., Suite 940, Houston, TX, 77030, USA. ambutler@bcm.edu.
authors.forename: Ashley M
authors.initials: AM
authors.lastname: Butler
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA.
authors.forename: Bridget
authors.initials: B
authors.lastname: Weller
authors.affiliation: Department of Pediatrics, Baylor College of Medicine, 1102 Bates St., Suite 940, Houston, TX, 77030, USA.
authors.forename: Courtney
authors.initials: C
authors.lastname: Titus
mesh_terms: D000293:Adolescent; D001008:Anxiety Disorders; D001289:Attention Deficit Disorder with Hyperactivity / Q000628:therapy; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000628:therapy; D001294:Attitude to Health; D002648:Child; D002675:Child, Preschool; D019955:Conduct Disorder / Q000628:therapy; D003430:Cross-Sectional Studies; D003657:Decision Making; D003866:Depressive Disorder / Q000628:therapy; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D015999:Multivariate Analysis; D010290:Parents; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires
keywords: Child; Mental health; Mental health functioning; Mental health impairment; Shared decision making