@article{ref1,
title="Factors influencing patients' preferences and perceived involvement in shared decision-making in mental health care",
journal="Journal of mental health",
year="2014",
author="Eliacin, Johanne and Salyers, Michelle P. and Kukla, Marina and Matthias, Marianne S.",
volume="24",
number="1",
pages="24-28",
abstract="BACKGROUND: Although research has suggested that patients desire to participate in shared decision-making, recent studies show that most patients take a passive role in their treatment decisions. The discrepancy between patients' expressed desire and actual behaviors underscores the need to better understand how patients perceive shared decision-making and what factors influence their participation. Aims: To investigate patients' preferences and appraisals of their involvement in treatment decisions. <br><br>METHODS: Fifty-four qualitative interviews were conducted with veterans receiving outpatient mental health care at a U.S. Veterans Affairs Medical Center. Interviews were analyzed using thematic analysis. <br><br>RESULTS: Participants outlined several factors that influence their preferences and involvement in treatment decisions. These include the patient-provider relationship, fear of being judged, perceived inadequacy, and a history of substance abuse. <br><br>CONCLUSION: Patients' preferences and willingness to engage in shared decision-making fluctuate over time and are context dependent. A better understanding of these factors and a strong patient-provider relationship will facilitate better measurement and implementation of shared decision-making.<p /> <p>Language: en</p>",
language="en",
issn="0963-8237",
doi="10.3109/09638237.2014.954695",
url="http://dx.doi.org/10.3109/09638237.2014.954695"
}