title: Consumer Outcomes After Implementing CommonGround as an Approach to Shared Decision Making.
abstract: The authors examined consumer outcomes before and after implementing CommonGround, a computer-based shared decision-making program.
  
  
  
  Consumers with severe mental illness (N=167) were interviewed prior to implementation and 12 and 18 months later to assess changes in active treatment involvement, symptoms, and recovery-related attitudes. Providers also rated consumers on level of treatment involvement.
  
  
  
  Most consumers used CommonGround at least once (67%), but few used the program regularly. Mixed-effects regression analyses showed improvement in self-reported symptoms and recovery attitudes. Self-reported treatment involvement did not change; however, for a subset of consumers with the same providers over time (N=83), the providers rated consumers as more active in treatment.
  
  
  
  This study adds to the growing literature on tools to support shared decision making, showing the potential benefits of CommonGround for improving recovery outcomes. More work is needed to better engage consumers in CommonGround and to test the approach with more rigorous methods.
authors.affiliation: Dr. Salyers, Ms. Bonfils, Ms. Firmin, and Ms. Luther are with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis (e-mail: mpsalyer@iupui.edu ). Dr. Fukui, Dr. Goscha, and Dr. Rapp are with the School of Social Welfare, University of Kansas, Lawrence, where Dr. Holter was affiliated when this work was done.
authors.forename: Michelle P
authors.initials: MP
authors.lastname: Salyers
authors.affiliation: Dr. Salyers, Ms. Bonfils, Ms. Firmin, and Ms. Luther are with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis (e-mail: mpsalyer@iupui.edu ). Dr. Fukui, Dr. Goscha, and Dr. Rapp are with the School of Social Welfare, University of Kansas, Lawrence, where Dr. Holter was affiliated when this work was done.
authors.forename: Sadaaki
authors.initials: S
authors.lastname: Fukui
authors.affiliation: Dr. Salyers, Ms. Bonfils, Ms. Firmin, and Ms. Luther are with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis (e-mail: mpsalyer@iupui.edu ). Dr. Fukui, Dr. Goscha, and Dr. Rapp are with the School of Social Welfare, University of Kansas, Lawrence, where Dr. Holter was affiliated when this work was done.
authors.forename: Kelsey A
authors.initials: KA
authors.lastname: Bonfils
authors.affiliation: Dr. Salyers, Ms. Bonfils, Ms. Firmin, and Ms. Luther are with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis (e-mail: mpsalyer@iupui.edu ). Dr. Fukui, Dr. Goscha, and Dr. Rapp are with the School of Social Welfare, University of Kansas, Lawrence, where Dr. Holter was affiliated when this work was done.
authors.forename: Ruth L
authors.initials: RL
authors.lastname: Firmin
authors.affiliation: Dr. Salyers, Ms. Bonfils, Ms. Firmin, and Ms. Luther are with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis (e-mail: mpsalyer@iupui.edu ). Dr. Fukui, Dr. Goscha, and Dr. Rapp are with the School of Social Welfare, University of Kansas, Lawrence, where Dr. Holter was affiliated when this work was done.
authors.forename: Lauren
authors.initials: L
authors.lastname: Luther
authors.affiliation: Dr. Salyers, Ms. Bonfils, Ms. Firmin, and Ms. Luther are with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis (e-mail: mpsalyer@iupui.edu ). Dr. Fukui, Dr. Goscha, and Dr. Rapp are with the School of Social Welfare, University of Kansas, Lawrence, where Dr. Holter was affiliated when this work was done.
authors.forename: Rick
authors.initials: R
authors.lastname: Goscha
authors.affiliation: Dr. Salyers, Ms. Bonfils, Ms. Firmin, and Ms. Luther are with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis (e-mail: mpsalyer@iupui.edu ). Dr. Fukui, Dr. Goscha, and Dr. Rapp are with the School of Social Welfare, University of Kansas, Lawrence, where Dr. Holter was affiliated when this work was done.
authors.forename: Charles A
authors.initials: CA
authors.lastname: Rapp
authors.affiliation: Dr. Salyers, Ms. Bonfils, Ms. Firmin, and Ms. Luther are with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis (e-mail: mpsalyer@iupui.edu ). Dr. Fukui, Dr. Goscha, and Dr. Rapp are with the School of Social Welfare, University of Kansas, Lawrence, where Dr. Holter was affiliated when this work was done.
authors.forename: Mark C
authors.initials: MC
authors.lastname: Holter
mesh_terms: D000328:Adult; D003657:Decision Making; D003661:Decision Support Techniques; D005260:Female; D006801:Humans; D008297:Male; D008491:Medical Informatics Applications; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services; D017063:Outcome Assessment, Health Care
keywords: Community mental health services; Medication management; Recovery; Rehabilitation/psychosocial; Shared decision making