Shared Decision-Making: Increases Autonomy in Substance-Dependent Patients

Joosten, E.A.G.; Jong, C.A.J. de; Oene, G.H. de Weert-van; Sensky, Tom; Staak, C.P.F. van der

doi:10.3109/10826084.2011.552931

Cited by 56 publications

(47 citation statements)

References 22 publications

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“…A Cochrane systematic review showed that SDM interventions including PtDAs and training of physicians were associated with positive decision process outcomes such as improved knowledge, patient participation, and satisfaction with care . Since the publication of this review, the body of evidence on the effects of SDM interventions in mental health care has been raised . However, studies investigating effects of PtDAs as solely provided interventions are still rare and show inconclusive results .…”

Section: Introductionmentioning

confidence: 99%

Information and decision‐making needs among people with mental disorders: a systematic review of the literature

Tlach

Wüsten

Daubmann

et al. 2014

Health Expectations

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Section: Introductionmentioning

confidence: 99%

Information and decision‐making needs among people with mental disorders: a systematic review of the literature

Tlach

Wüsten

Daubmann

et al. 2014

Health Expectations

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“…Costello, 2003;Da Silva, 2012;Huffine, 2005;Joosten et al, 2011). The clinician reports suggested that SDM allowed young people to be more involved in decision making, which allowed them to make more explicit choices.…”

Section: Discussionmentioning

confidence: 95%

A qualitative analysis of implementing shared decision making in Child and Adolescent Mental Health Services in the United Kingdom: Stages and facilitators

Abrines-Jaume

Midgley

Hopkins

et al. 2014

Clin Child Psychol Psychiatry

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“…Therefore, shared decision-making is critical for patient-centered care for patients with AUDs, a condition for which most patients do not want the standard treatment [2], the patient must carry out any care plan him or herself, and there is no one treatment that is generally more effective than others [49–51]. Although shared decision-making has been evaluated in patients seeking inpatient treatment for substance use disorders in Europe and resulted in increased patient autonomy and decreased drug use and psychiatric problems at 3 months [52, 53], it is not routinely incorporated into primary care or specialty treatment for AUDs in the U.S.…”

Section: Conceptual and Scientific Foundations Of The Choice Modelmentioning

confidence: 99%

Patient-centered primary care for adults at high risk for AUDs: the Choosing Healthier Drinking Options In primary CarE (CHOICE) trial

Bradley

Ludman

Chavez

et al. 2017

Addict Sci Clin Pract

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BackgroundMost patients with alcohol use disorders (AUDs) never receive alcohol treatment, and experts have recommended management of AUDs in primary care. The Choosing Healthier Drinking Options In primary CarE (CHOICE) trial was a randomized controlled effectiveness trial of a novel intervention for primary care patients at high risk for AUDs. This report describes the conceptual and scientific foundation of the CHOICE model of care, critical elements of the CHOICE trial design consistent with the Template for Intervention Description and Replication (TIDieR), results of recruitment, and baseline characteristics of the enrolled sample.Methods The CHOICE intervention is a multi-contact, extended counseling intervention, based on the Chronic Care Model, shared decision-making, motivational interviewing, and evidence-based options for managing AUDs, designed to be practical in primary care. Outpatients who received care at 3 Veterans Affairs primary care sites in the Pacific Northwest and reported frequent heavy drinking (≥4 drinks/day for women; ≥5 for men) were recruited (2011–2014) into a trial in which half of the participants would be offered additional alcohol-related care from a nurse. CHOICE nurses offered 12 months of patient-centered care, including proactive outreach and engagement, repeated brief motivational interventions, monitoring with and without alcohol biomarkers, medications for AUDs, and/or specialty alcohol treatment as appropriate and per patient preference. A CHOICE nurse practitioner was available to prescribe medications for AUDs.ResultsA total of 304 patients consented to participate in the CHOICE trial. Among consenting participants, 90% were men, the mean age was 51 (range 22–75), and most met DSM-IV criteria for alcohol abuse (14%) or dependence (59%). Many participants also screened positive for tobacco use (44%), depression (45%), anxiety disorders (30-41%) and non-tobacco drug use disorders (19%). At baseline, participants had a median AUDIT score of 18 [Interquartile range (IQR) 14–24] and a median readiness to change drinking score of 5 (IQR 2.75–6.25) on a 1–10 Likert scale.ConclusionThe CHOICE trial tested a patient-centered intervention for AUDs and recruited primary care patients at high risk for AUDs, with a spectrum of severity, co-morbidity, and readiness to change drinking. Trial registration The trial is registered at clinicaltrial.gov (NCT01400581).Electronic supplementary materialThe online version of this article (doi:10.1186/s13722-017-0080-2) contains supplementary material, which is available to authorized users.

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Shared Decision-Making: Increases Autonomy in Substance-Dependent Patients

Cited by 56 publications

References 22 publications

Information and decision‐making needs among people with mental disorders: a systematic review of the literature

Information and decision‐making needs among people with mental disorders: a systematic review of the literature

A qualitative analysis of implementing shared decision making in Child and Adolescent Mental Health Services in the United Kingdom: Stages and facilitators

Patient-centered primary care for adults at high risk for AUDs: the Choosing Healthier Drinking Options In primary CarE (CHOICE) trial

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