TY  - JOUR
PY  - 2017//
TI  - Efficacy of a peer-led, recovery-oriented shared decision-making system: a pilot randomized controlled trial
JO  - Psychiatric services
A1  - Yamaguchi, Sosei
A1  - Taneda, Ayano
A1  - Matsunaga, Asami
A1  - Sasaki, Natsuki
A1  - Mizuno, Masashi
A1  - Sawada, Yumiko
A1  - Sakata, Masuhiro
A1  - Fukui, Satoe
A1  - Hisanaga, Fumie
A1  - Bernick, Peter
A1  - Ito, Junichiro
SP  - 1307
EP  - 1311
VL  - 68
IS  - 12
N2  - OBJECTIVE: The effects of a comprehensive shared decision-making system based on the CommonGround approach and incorporating peer support and a computerized decision aid were investigated. <br><br>METHODS: A pilot randomized controlled trial with six-month follow-up was conducted in Japan. Fifty-six outpatients with mental illness were randomly allocated to a shared decision-making system (intervention) group or treatment as usual (control) group. The implementation process and several outcomes were compared between groups. <br><br>RESULTS: The core components and processes of shared decision making were observed in the intervention group more frequently than in the control group. The intervention group also reported a significantly more positive participants' view of the relationship with their doctor than the control group. The intervention did not have a significant effect on most clinical and recovery-related outcomes. <br><br>CONCLUSIONS: The shared decision-making system appeared to partly improve patients' perceptions of communication and relationships with doctors but did not have a significant effect on other patient-level outcomes.<p />  <p>Language: en</p>
LA  - en
SN  - 1075-2730
UR  - http://dx.doi.org/10.1176/appi.ps.201600544
ID  - ref1
ER  -