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Shared decision-making interventions for people with mental health conditions

作者:Yumi Aoki, Yukari Yaju, Tomohiro Utsumi, Leigh N. Sanyaolu, Marianne Storm, Yoshikazu Takaesu, Koichiro Watanabe, Norio Watanabe, Edward Duncan, Adrian Edwards · 发表于:Cochrane Database of Systematic Reviews · 年份:2022 · DOI:10.1002/14651858.cd007297.pub3 · 被引用次数:101 · 研究领域:Mental Health and Patient Involvement、Healthcare innovation and challenges、Family Caregiving in Mental Illness

BACKGROUND: One person in every four will suffer from a diagnosable mental health condition during their life. Such conditions can have a devastating impact on the lives of the individual and their family, as well as society. International healthcare policy makers have increasingly advocated and enshrined partnership models of mental health care. Shared decision-making (SDM) is one such partnership approach. Shared decision-making is a form of service user-provider communication where both parties are acknowledged to bring expertise to the process and work in partnership to make a decision. This review assesses whether SDM interventions improve a range of outcomes. This is the first update of this Cochrane Review, first published in 2010. OBJECTIVES: To assess the effects of SDM interventions for people of all ages with mental health conditions, directed at people with mental health conditions, carers, or healthcare professionals, on a range of outcomes including: clinical outcomes, participation/involvement in decision-making process (observations on the process of SDM; user-reported, SDM-specific outcomes of encounters), recovery, satisfaction, knowledge, treatment/medication continuation, health service outcomes, and adverse outcomes. SEARCH METHODS: We ran searches in January 2020 in CENTRAL, MEDLINE, Embase, and PsycINFO (2009 to January 2020). We also searched trial registers and the bibliographies of relevant papers, and contacted authors of included studies. We update...