Individual research recommendation details

Recommendation ID

CG136/3

Question

Shared decision-making:- For people using adult mental health services, what are the key aspects of 'shared decision-making' that they prefer, and does a training programme for health and social care professionals designed around these key aspects, when compared with no training, improve service users' experience of care? A study should be undertaken to evaluate the impact on treatment choice, the experience of care and treatment effectiveness of training service users to deal with health and social care professionals assertively.

Any explanatory notes
(if applicable)

Why this is important:- In healthcare, 'shared decision-making' is the sharing of preferences and decisions by both the professional and the service user to reach a consensus regarding the preferred treatment options. However, the key aspects of shared decision-making are unknown, although the principle of shared decision-making is an important element of a person-centred care approach.
This question should be answered by a pilot qualitative study of shared decision-making to determine what, if any, key aspects of shared decision-making are preferred by service users. The pilot should be followed by a randomised controlled trial on shared decision-making in community mental health teams (CMHTs) compared with standard decision-making, which would be carefully characterised by in-depth qualitative interview. Evaluation would quantify the impact on service user knowledge, the experience of care, rates of side effects and perceived benefits
from treatment. Purposive-selected service users would undertake in-depth interviews to identify themes related to an improved experience of care associated with the shared decision-making and the standard approach.

Source guidance details

Comes from guidance

Service user experience in adult mental health: improving the experience of care for people using adult NHS mental health services

Number

CG136

Date issued

December 2011

Other details