Measurement issues of shared decision making in mental health: challenges and opportunities
Abstract
Purpose
Shared decision making (SDM) is a model of health care in which patients are involved in the decision-making process about their treatment, considering their preferences and concerns in a deliberative process with the health care provider. Many existing instruments assess the antecedents, process, or the outcomes of SDM. The purpose of this paper is to identify the SDM-related measures applied in a mental health context.
Design/methodology/approach
The authors performed a systematic review in several electronic databases from 1990 to October 2016. Studies that assessed quantitatively one or more constructs related to SDM (antecedents, process, and outcomes) in the field of mental health were included.
Findings
The authors included 87 studies that applied 48 measures on distinct SDM constructs. A large majority of them have been developed in the field of physical diseases and adapted or directly applied in the mental health context. The most evaluated construct is the SDM process in consultation, mainly by patients’ self-report but also by external observer measures, followed by the patients’ preferences for involvement in decision making. The most applied instrument was the Autonomy Preference Index, followed by the Observing Patient Involvement in Decision Making (OPTION) and the Control Preferences Scale (CPS). The psychometric validation in mental health samples of the instruments identified is scarce.
Research limitations/implications
The bibliographic search is comprehensive, but could not be completely exhaustive. Effort should be invested in the development of new SDM for mental health tools that will reflect the complexity and specific features of mental health care.
Originality/value
The authors highlight several limitations and challenges for the measurement of SDM in mental health care.
Keywords
Acknowledgements
Conflict of interest: the authors confirm that this paper content has no conflict of interest.
Funding: the authors declare no support from any organization for the submitted work.
Citation
Perestelo-Perez, L., Rivero-Santana, A., Alvarez-Perez, Y., Zisman-Ilani, Y., Kaminskiy, E. and Serrano Aguilar, P. (2017), "Measurement issues of shared decision making in mental health: challenges and opportunities", Mental Health Review Journal, Vol. 22 No. 3, pp. 214-232. https://doi.org/10.1108/MHRJ-01-2017-0004
Publisher
:Emerald Publishing Limited
Copyright © 2017, Emerald Publishing Limited