SDM between people with psychosis and mental health staff. v1
Research type
Research Study
Full title
Shared decision-making between people with experience of psychosis and mental health professionals: A discourse analysis.
IRAS ID
195173
Contact name
Alice Staniford
Contact email
Sponsor organisation
University of Leeds
Duration of Study in the UK
1 years, 6 months, 30 days
Research summary
Shared decision-making (SDM) has been an important issue in healthcare since the late 1970’s. Clinicians have been encouraged to move away from professional led consultations towards service user centred care where decisions about treatment are made collaboratively (Coulter & Collins, 2011). This constitutes an important paradigm shift which acknowledges service-users’ right to be involved in important decisions about their lives. Existing research has focused on shared decision-making in physical health, whilst the area of mental health has received less attention.
NICE guidelines (2014) suggest that people with a diagnosis of psychosis should be actively involved in decisions about their care. However, research has shown that collaboration in decision making with this population is not always advocated by professionals and levels of shared decision making in mental health settings are low (Loh et al, 2007; Goss et al, 2008; Beitinger, Kissling & Hamann, 2014). Issues around capacity and the legal framework of the Mental Health Act (2007) can make shared decision making more difficult. The literature in this area is somewhat limited by research that has focused on the presence or absence of collaboration with service-users using standardised measures. Fewer studies have explored characteristics of decision-making conversations using qualitative methods.
This project would explore clinical conversations with service-users who have experienced psychosis. Data would be captured by video recording routine conversations involving decisions taking place between service-users and clinicians. These conversations would then be analysed using discourse analysis research methods in order to explore shared decision making and collaboration in the talk of the participants. Service users and staff who participate would also be given an opportunity to watch back the recordings and spend some time with the researcher reflecting on the conversation that was captured.
It is hoped that the study might highlight ways for clinicians and service-users to make decision-making processes more collaborative.
References:
Coulter, A., & Collins, A. (2011). Making shared decision-making a reality. No decision about me, without me. The King’s Fund.
Goss, C., Moretti, F., Mazzi, M. A., Del Piccolo, L., Rimondini, M., & Zimmermann, C. (2008). Involving patients in decisions during psychiatric consultations. The British Journal of Psychiatry, 193(5), 416-421.
Beitinger, R., Kissling, W., & Hamann, J. (2014). Trends and perspectives of shared decision-making in schizophrenia and related disorders. Current opinion in psychiatry, 27(3), 222-229
Loh, A., Simon, D., Hennig, K., Hennig, B., Härter, M., & Elwyn, G. (2006). The assessment of depressive patients’ involvement in decision making in audio-taped primary care consultations. Patient education and counseling,63(3), 314-318.
REC name
Yorkshire & The Humber - Leeds East Research Ethics Committee
REC reference
16/YH/0189
Date of REC Opinion
20 Jun 2016
REC opinion
Favourable Opinion