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Shared decision-making in serious mental illness : A comparative study
Huang, Chongmei Plummer, Virginia Lam, Louisa Cross, Wendy
Huang, Chongmei
Plummer, Virginia
Lam, Louisa
Cross, Wendy
Abstract
Objective
To compare consumer and mental health professionals’ (MHPs) preferences for decision-making in China and Europe.
Methods
This study used cross-sectional design; Chinese data were collected by questionnaires and European data were obtained from the literature. Data were analysed using t-test, One-way ANOVA and Pearson correlation coefficient as appropriate.
Results
This study involved 800 people diagnosed with severe mental illness and 506 MHPs. Chinese participants rated lower scores on preference for participation in decision-making (PD = 1.88) and information (IN = 2.70) than European participants (PD = 2.05, IN = 2.83). Chinese consumers rated a higher score on IN (2.78) but lower on for PD (1.75) than MHPs (IN = 2.64, PD = 1.97). Chinese consumers’ education level is positively associated with preference for PD and IN. The gender, occupation and age of Chinese MHPs are associated with preference for PD.
Conclusion
Both Chinese and Europeans had preference for shared involvement in mental health, while the preference in China is less. Opinions of consumers and MHPs might be different, regarding the level of patient involvement in specific decisions.
Practice implication
It is essential that consumers’ preferences are understood for provision of optimal support for a shared decision-making approach.
Keywords
consumers, cross-cultural issues, health professionals, schizophrenia, serious mental illness, shared decision-making
Date
2020
Type
Journal article
Journal
Patient Education and Counseling
Book
Volume
103
Issue
8
Page Range
1637-1644
Article Number
ACU Department
School of Nursing, Midwifery and Paramedicine
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled