Department of Health Policy and Management, University of California, Los Angeles, USA.
Department of Psychiatry, University of California, San Diego; Child and Adolescent Services Research Center, San Diego, USA.
Patient Educ Couns. 2023 Oct;115:107867. doi: 10.1016/j.pec.2023.107867. Epub 2023 Jun 22.
This observational study examined shared decision-making (SDM) with caregivers of Latinx youth within the delivery of multiple evidence-based practices (EBPs) in community mental health services. Study aims were to (1) Characterize therapist use of SDM strategies and (2) Describe the types of treatment decisions that were the focus of therapist use of SDM.
The OPTION instrument was used to measure SDM in 210 audio-recorded therapy sessions with 62 community therapists and 109 Latinx caregivers; frequency and mean ratings of OPTION items were examined. Qualitative analysis on the descriptions of treatment decisions being deliberated was also conducted.
Results revealed that therapists used at least one SDM step in most sessions (N = 192; 91.43%) with a mean composite score of 32.78 (SD=17.79; range: 6.25-81.25). Four superordinate categories of decisions were: (1) Treatment planning, (2) Evidence-based Parenting Strategies, (3) Addressing Youth Functioning, and (4) Addressing Family Psychosocial Needs.
Findings suggest that community therapists serving Latinx families are naturalistically engaging in SDM steps about a variety of decisions during most EBP sessions, but only at modest levels.
本观察性研究在社区心理健康服务中实施多种循证实践（EBP）的过程中，考察了拉丁裔青年照顾者的共同决策（SDM）。研究目的是：（1）描述治疗师使用 SDM 策略的情况，（2）描述治疗师使用 SDM 的重点治疗决策类型。
使用 OPTION 工具在 210 次与 62 名社区治疗师和 109 名拉丁裔照顾者的音频记录治疗会议中测量 SDM；检查 OPTION 项目的频率和平均值评分。还对正在审议的治疗决策描述进行了定性分析。
结果显示，治疗师在大多数会议中（N=192；91.43%）至少使用了一个 SDM 步骤，平均综合得分为 32.78（SD=17.79；范围：6.25-81.25）。有四个主要决策类别：（1）治疗计划，（2）循证育儿策略，（3）解决青年功能问题，（4）解决家庭心理社会需求。
研究结果表明，为拉丁裔家庭服务的社区治疗师在大多数 EBP 会议中自然地参与了关于各种决策的 SDM 步骤，但只是在适度的水平。
