Empowerment and satisfaction in a multinational study of routine clinical practice

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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

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Abstract

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.

Item Type: Article
RIS ID: https://nottingham-repository.worktribe.com/output/749705
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Health Sciences
Identification Number: 10.1111/acps.12365
Depositing User: Eprints, Support
Date Deposited: 20 Jun 2016 13:13
Last Modified: 04 May 2020 17:06
URI: https://eprints.nottingham.ac.uk/id/eprint/34260

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