Empowerment and satisfaction in a multinational study of routine clinical practice
Objective: Decision-making between mental health clinicians and patients is under-researched. We tested whether mental health patients are more satisfied with a decision made (i) using their preferred decision-making style and (ii) with a clinician with the same decision-making style preference....
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
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Wiley
2015
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| Online Access: | https://eprints.nottingham.ac.uk/34260/ |
| _version_ | 1848794811117600768 |
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| author | Clarke, E. Pusch, B. Jordan, H. Williams, P. Konrad, J. Kawohl, W. Bär, A. Rössler, W. Del Vecchio, V. Sampogna, G. Nagy, M. Süveges, A. Krogsgaard Bording, M. Slade, Mike |
| author_facet | Clarke, E. Pusch, B. Jordan, H. Williams, P. Konrad, J. Kawohl, W. Bär, A. Rössler, W. Del Vecchio, V. Sampogna, G. Nagy, M. Süveges, A. Krogsgaard Bording, M. Slade, Mike |
| author_sort | Clarke, E. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Objective: Decision-making between mental health clinicians and patients is under-researched. We tested whether mental health patients are more satisfied with a decision made (i) using their preferred decision-making style and (ii) with a clinician with the same decision-making style preference.
Method: As part of the CEDAR Study (ISRCTN75841675), a convenience sample of 445 patients with severe mental illness from six European countries were assessed for desired clinical decision-making style (rated by patients and paired clinicians), decision-specific experienced style and satisfaction.
Results: Patients who experienced more involvement in decision-making than they desired rated higher satisfaction (OR = 2.47, P = 0.005, 95% CI 1.32–4.63). Decisions made with clinicians whose decision-making style preference was for more active involvement than the patient preference were rated with higher satisfaction (OR = 3.17, P = 0.003, 95% CI 1.48–6.82).
Conclusion: More active involvement in decision-making than the patient stated as desired was associated with higher satisfaction. A clinical orientation towards empowering, rather than shared, decision-making may maximise satisfaction. |
| first_indexed | 2025-11-14T19:22:07Z |
| format | Article |
| id | nottingham-34260 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:22:07Z |
| publishDate | 2015 |
| publisher | Wiley |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-342602020-05-04T17:06:45Z https://eprints.nottingham.ac.uk/34260/ Empowerment and satisfaction in a multinational study of routine clinical practice Clarke, E. Pusch, B. Jordan, H. Williams, P. Konrad, J. Kawohl, W. Bär, A. Rössler, W. Del Vecchio, V. Sampogna, G. Nagy, M. Süveges, A. Krogsgaard Bording, M. Slade, Mike Objective: Decision-making between mental health clinicians and patients is under-researched. We tested whether mental health patients are more satisfied with a decision made (i) using their preferred decision-making style and (ii) with a clinician with the same decision-making style preference. Method: As part of the CEDAR Study (ISRCTN75841675), a convenience sample of 445 patients with severe mental illness from six European countries were assessed for desired clinical decision-making style (rated by patients and paired clinicians), decision-specific experienced style and satisfaction. Results: Patients who experienced more involvement in decision-making than they desired rated higher satisfaction (OR = 2.47, P = 0.005, 95% CI 1.32–4.63). Decisions made with clinicians whose decision-making style preference was for more active involvement than the patient preference were rated with higher satisfaction (OR = 3.17, P = 0.003, 95% CI 1.48–6.82). Conclusion: More active involvement in decision-making than the patient stated as desired was associated with higher satisfaction. A clinical orientation towards empowering, rather than shared, decision-making may maximise satisfaction. Wiley 2015-04-15 Article PeerReviewed Clarke, E., Pusch, B., Jordan, H., Williams, P., Konrad, J., Kawohl, W., Bär, A., Rössler, W., Del Vecchio, V., Sampogna, G., Nagy, M., Süveges, A., Krogsgaard Bording, M. and Slade, Mike (2015) Empowerment and satisfaction in a multinational study of routine clinical practice. Acta Psychiatrica Scandinavica, 131 (5). pp. 369-378. ISSN 1600-0447 http://onlinelibrary.wiley.com/doi/10.1111/acps.12365/abstract doi:10.1111/acps.12365 doi:10.1111/acps.12365 |
| spellingShingle | Clarke, E. Pusch, B. Jordan, H. Williams, P. Konrad, J. Kawohl, W. Bär, A. Rössler, W. Del Vecchio, V. Sampogna, G. Nagy, M. Süveges, A. Krogsgaard Bording, M. Slade, Mike Empowerment and satisfaction in a multinational study of routine clinical practice |
| title | Empowerment and satisfaction in a multinational study of routine clinical practice |
| title_full | Empowerment and satisfaction in a multinational study of routine clinical practice |
| title_fullStr | Empowerment and satisfaction in a multinational study of routine clinical practice |
| title_full_unstemmed | Empowerment and satisfaction in a multinational study of routine clinical practice |
| title_short | Empowerment and satisfaction in a multinational study of routine clinical practice |
| title_sort | empowerment and satisfaction in a multinational study of routine clinical practice |
| url | https://eprints.nottingham.ac.uk/34260/ https://eprints.nottingham.ac.uk/34260/ https://eprints.nottingham.ac.uk/34260/ |