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Interactivity in Shared Decision Making in Swedish mental health services; A process evaluation of a tool to support user participation
Stockholm University, Stockholm, Sweden.
Dalarna University, Falun, Sweden.
Umeå University, Umeå, Sweden.
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.ORCID iD: 0000-0003-4438-6673
2017 (English)In: ENMESH: Groningen 2017: Abstractbook, 2017, 127-127 p.Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

The purpose of the study was to explore aspects of implementing an SDM intervention which featured an interactive digital decision tool, designed for patients with severe mental illness using community mental health services in Sweden. A process evaluation design was selected in order to investigate actual obstacles and possibilities for a structured intervention to facilitate participation in decision making. The design utilized in the study (Moore et al. 2015) included collecting data focused on three identified evaluation components; Context, Implementation and Mechanism of impact.

The results illustrate both facilitating factors and barriers to implementing SDM. Facilitating factors included staff assertions that SDM was most appropriate for formal decisions such as care planning, assessments and planning at admission and discharge from services. Another facilitating factor was the use of the digital decision tool, which enabled interactive communication between staff and users, thereby supporting the user to be informed and prepared in decisions.

A contextual barrier was found to be the lack of a common agenda for concretely increasing user participation in the program. SDM was rather a voluntary activity shaped by each staff member in accordance with his or her judgment, experience and attitude. Another barrier concerned the decision making capacity of both staff and users. While staff sometimes felt that they did not have formal power regarding treatment planning decisions, they also expressed doubt as to the patient's willingness and ability to participate in decisions. Confidence in patients' decision-making capacity and their ability to integrate information was generally low.

Place, publisher, year, edition, pages
2017. 127-127 p.
Keyword [en]
Implementation, Process Evaluation, SDM
National Category
Health Sciences Nursing
Identifiers
URN: urn:nbn:se:hh:diva-35087OAI: oai:DiVA.org:hh-35087DiVA: diva2:1145783
Conference
ENMESH, Groningen, Netherlands, October 5-7, 2017
Available from: 2017-09-29 Created: 2017-09-29 Last updated: 2017-10-09Bibliographically approved

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Svedberg, Petra

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf