TY  - JOUR
PY  - 2014//
TI  - Factors influencing patients' preferences and perceived involvement in shared decision-making in mental health care
JO  - Journal of mental health
A1  - Eliacin, Johanne
A1  - Salyers, Michelle P.
A1  - Kukla, Marina
A1  - Matthias, Marianne S.
SP  - 24
EP  - 28
VL  - 24
IS  - 1
N2  - 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>
LA  - en
SN  - 0963-8237
UR  - http://dx.doi.org/10.3109/09638237.2014.954695
ID  - ref1
ER  -