Psychiatric patients' preferences and experiences in clinical decision-making: examining concordance and correlates of patients' preferences.

Abstract:

OBJECTIVE:To assess the concordance between patients' preferred role in clinical decision-making and the role they usually experience in their psychiatric consultations and to analyze the influence of socio-demographic, clinical and personality characteristics on patients' preferences. METHODS:677 consecutive psychiatric outpatients were invited to participate in a cross-sectional survey and 507 accepted. Patients completed Control Preference Scale twice consecutively before consultation, one for their preferences of participation and another for the style they usually experienced until then, and locus of control and self-efficacy scales. RESULTS:Sixty-three percent of psychiatric outpatients preferred a collaborative role in decision-making, 35% preferred a passive role and only a 2% an active one. A low concordance for preferred and experienced participation in medical decision-making was registered, with more than a half of patients wanting a more active role than they actually had. Age and doctors' health locus of control orientation were found to be the best correlates for participation preferences, while age and gender were for experienced. Psychiatric diagnoses registered significant differences in patients' preferences of participation but no concerning experiences. CONCLUSION:The limited concordance between preferred and experienced roles in psychiatric patients is indicative that clinicians need to raise their sensitivity regarding patient's participation. PRACTICE IMPLICATIONS:The assessment of patient's attribution style should be useful for psychiatrist to set objectives and priority in the communication with their patients.

journal_name

Patient Educ Couns

authors

De las Cuevas C,Peñate W,de Rivera L

doi

10.1016/j.pec.2014.05.009

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

222-8

issue

2

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(14)00189-X

journal_volume

96

pub_type

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