title: What Factors are Associated with Consumer Initiation of Shared Decision Making in Mental Health Visits?
abstract: Understanding consumer initiation of shared decision making (SDM) is critical to improving SDM in mental health consultations, particularly because providers do not always invite consumer participation in treatment decisions. This study examined the association between consumer initiation of nine elements of SDM as measured by the SDM scale, and measures of consumer illness self-management and the consumer-provider relationship. In 63 mental health visits, three SDM elements were associated with self-management or relationship factors: discussion of consumer goals, treatment alternatives, and pros and cons of a decision. Limitations, implications, and future directions are discussed.
authors.affiliation: Department of Veterans Affairs Health Services Research and Development Service, Center for Health Information and Communication, 1481 W 10th St (11H), Indianapolis, IN, 46202, USA. mmatthia@iupui.edu.|Regenstrief Institute, Indianapolis, IN, USA. mmatthia@iupui.edu.|Department of Communication Studies, Indiana University Purdue University, Indianapolis, IN, USA. mmatthia@iupui.edu.
authors.forename: Marianne S
authors.initials: MS
authors.lastname: Matthias
authors.affiliation: Center for Mental Health Research and Innovation, University of Kansas School of Social Welfare, Lawrence, KS, USA.
authors.forename: Sadaaki
authors.initials: S
authors.lastname: Fukui
authors.affiliation: Department of Psychology, Indiana University Purdue University, Indianapolis, IN, USA.
authors.forename: Michelle P
authors.initials: MP
authors.lastname: Salyers
mesh_terms: D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities; D003142:Communication; D003657:Decision Making; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D001523:Mental Disorders; D008605:Mental Health Services; D008875:Middle Aged; D010358:Patient Participation; D012017:Referral and Consultation; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Communication; Consumer–provider relationship; Shared decision making