Research Department of Clinical, Educational and Health Psychology, University College London, London, WC1E 6BT, UK.
Evidence Based Practice Unit, UCL and Anna Freud Centre, London, UK.
Clin Psychol Psychother. 2017 Nov;24(6):O1495-O1511. doi: 10.1002/cpp.2106. Epub 2017 Jul 28.
Whilst the benefits of shared decision-making (SDM) have been promoted across different health settings, its implementation is complex, particularly for children and young people with mental health difficulties. The aim of this scoping review was to identify and describe SDM approaches (tools, techniques, and technologies) used in child and youth mental health.
Electronic databases and grey literature were searched. Papers were included if they satisfied these criteria: English language; described an SDM approach (tool, technique, or technology); included sufficient detail on the SDM approach for quality assessment; did not use only a questionnaire to provide feedback on SDM or related concepts (e.g., therapeutic alliance) without another SDM approach; child or adolescent population (up to 18 years); carers of children or adolescents; and mental health setting. Screening and data extraction were performed by two co-authors, and each included record was quality assessed against a set of essential ingredients of SDM identified by previous studies.
Of the 8,153 initial results, 22 were eligible for final inclusion. These could be grouped into six approaches: therapeutic techniques, psychoeducational information, decision aids, action planning or goal setting, discussion prompts, and mobilizing patients to engage. The quality of approaches identified ranged from one to seven of the nine essential elements of SDM.
Evidence suggests that a range of approaches are being developed to support SDM in child and youth mental health. Rigorous research evaluating the effectiveness of these approaches is urgently needed, particularly from the perspective of children and young people.
尽管共享决策（SDM）在不同的健康环境中都带来了益处，但它的实施非常复杂，尤其是对于有心理健康问题的儿童和青少年。本综述旨在确定和描述儿童和青少年心理健康中使用的 SDM 方法（工具、技术和技术）。
电子数据库和灰色文献进行了搜索。如果符合以下标准，则将论文纳入研究范围：英语语言；描述了一种 SDM 方法（工具、技术或技术）；对 SDM 方法有足够详细的描述，以便进行质量评估；没有仅使用问卷来提供 SDM 或相关概念（例如治疗联盟）的反馈，而没有其他 SDM 方法；儿童或青少年人群（最多 18 岁）；儿童或青少年的照顾者；和心理健康环境。两名合著者进行了筛选和数据提取，并且对每篇纳入的记录都根据先前研究确定的 SDM 的九个基本要素进行了质量评估。
最初的 8153 个结果中，有 22 个符合最终纳入标准。这些方法可以分为六种：治疗技术、心理教育信息、决策辅助、行动计划或目标设定、讨论提示和动员患者参与。确定的方法的质量从 SDM 的九个基本要素中的一个到七个不等。
有证据表明，正在开发一系列方法来支持儿童和青少年心理健康中的 SDM。迫切需要对这些方法的有效性进行严格的研究，特别是从儿童和青少年的角度来看。
