同伴主导、以康复为导向的共享决策系统的疗效：一项试点随机对照试验。
Efficacy of a Peer-Led, Recovery-Oriented Shared Decision-Making System: A Pilot Randomized Controlled Trial.
机构信息
Dr. Yamaguchi, Dr. Taneda, Ms. Matsunaga, Ms. Sasaki, Dr. Mizuno, and Dr. Ito are with the Department of Psychiatric Rehabilitation, National Center of Neurology and Psychiatry, National Institute of Mental Health, Kodaira, Tokyo. Ms. Sawada is with the Graduate School of Social Welfare, Japan College of Social Work, Kiyose, Tokyo. Dr. Sakata is with the Department of Psychiatry, National Center of Neurology and Psychiatry Hospital, Kodaira, Tokyo. Dr. Fukui is with the Department of Educational Psychology, Tokyo Gakugei University, Koganei, Tokyo. Ms. Hisanaga is with the Community Mental Health and Welfare Bonding Organization, Ichikawa, Chiba, Japan. Mr. Bernick is with the Student Accessibility Office, Nagasaki University, Nagasaki, Nagasaki, Japan.
出版信息
Psychiatr Serv. 2017 Dec 1;68(12):1307-1311. doi: 10.1176/appi.ps.201600544. Epub 2017 Sep 15.
OBJECTIVE
The effects of a comprehensive shared decision-making system based on the CommonGround approach and incorporating peer support and a computerized decision aid were investigated.
METHODS
A pilot randomized controlled trial with six-month follow-up was conducted in Japan. Fifty-six outpatients with mental illness were randomly allocated to a shared decision-making system (intervention) group or treatment as usual (control) group. The implementation process and several outcomes were compared between groups.
RESULTS
The core components and processes of shared decision making were observed in the intervention group more frequently than in the control group. The intervention group also reported a significantly more positive participants' view of the relationship with their doctor than the control group. The intervention did not have a significant effect on most clinical and recovery-related outcomes.
CONCLUSIONS
The shared decision-making system appeared to partly improve patients' perceptions of communication and relationships with doctors but did not have a significant effect on other patient-level outcomes.
目的
研究基于 CommonGround 方法并结合同伴支持和计算机决策辅助的综合共享决策系统的效果。
方法
在日本进行了一项为期六个月随访的试点随机对照试验。将 56 名精神疾病门诊患者随机分配到共享决策系统（干预）组或常规治疗（对照）组。比较了两组之间的实施过程和几个结果。
结果
干预组比对照组更频繁地观察到共享决策的核心组成部分和过程。干预组还报告说，患者对与医生关系的看法明显更为积极，而对照组则不然。该干预措施对大多数临床和康复相关结果没有显著影响。
结论
共享决策系统似乎部分改善了患者对沟通和与医生关系的看法，但对其他患者层面的结果没有显著影响。
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