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Psychiatric service staff perceptions of implementing a shared decision-making tool: a process evaluation study
School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
School of Education, Health and Social Studies, Dalarna University, Falun, Sweden & Institution for Social Work, Karlstad University, Karlstad, Sweden.
School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
Department of Social Work, Umeå University, Umeå, Sweden.
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2018 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, no 1, article id 1421352Article in journal (Refereed) Published
Abstract [en]

Purpose: Shared decision making, SDM, in psychiatric services, supports users to experience a greater sense of involvement in treatment, self-efficacy, autonomy and reduced coercion. Decision tools adapted to the needs of users have the potential to support SDM and restructure how users and staff work together to arrive at shared decisions.

The aim of this study was to describe and analyse the implementation process of an SDM intervention for users of psychiatric services in Sweden. 

Method: The implementation was studied through a process evaluation utilizing both quantitative and qualitative methods. In designing the process evaluation for the intervention, three evaluation components were emphasized: contextual factors, implementation issues and mechanisms of impact.

Results: The study addresses critical implementation issues related to decision-making authority, the perceived decision-making ability of users and the readiness of the service to increase influence and participation. It also emphasizes the importance of facilitation, as well as suggesting contextual adaptations that may be relevant for the local organizations.

Conclusion: The results indicate that staff perceived the decision support tool as user-friendly and useful in supporting participation in decision-making, and suggest that such concrete supports to participation can be a factor in implementation if adequate attention is paid to organizational contexts and structures. © 2018 The Author(s).

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2018. Vol. 13, no 1, article id 1421352
Keywords [en]
Shared decision making, psychiatric services, decision support tool, implementation, process evaluation
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hh:diva-37006DOI: 10.1080/17482631.2017.1421352ISI: 000424831900001PubMedID: 29405889Scopus ID: 2-s2.0-85045243442OAI: oai:DiVA.org:hh-37006DiVA, id: diva2:1217124
Funder
Forte, Swedish Research Council for Health, Working Life and WelfareAvailable from: 2018-06-12 Created: 2018-06-12 Last updated: 2018-06-13Bibliographically approved

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Svedberg, Petra

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Citation style
  • apa
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