The Role of Shared Decision-Making in Promoting Family Participation in Treatment for Adolescents and Young Adults with First-Episode Psychosis.

IF 1.8 4区医学 Q3 HEALTH POLICY & SERVICES

Community Mental Health Journal Pub Date : 2025-02-01 Epub Date: 2024-12-07 DOI:10.1007/s10597-024-01363-7

Nicole L Davies, Paige E Cervantes, Mary C Acri, Kimberly E Hoagwood

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Abstract

We aimed to examine the role of shared decision-making (SDM) in family participation in the treatment of adolescents and young adults with first-episode psychosis (FEP). Based on responses of 144 family members of OnTrackNY (OTNY) participants, we divided the sample into low participators and high participators. We calculated the total SDM score for each participant by summing the ratings across items inquiring about SDM and assessed the extent to which loved ones encouraged family participation in their care. Our results indicated that the level of loved ones' encouragement was significantly related to family participation. When controlling for loved ones' encouragement, we found that the total SDM score was significantly higher in the high participator group. These findings suggest that SDM may be influenced by loved ones' attitudes towards family involvement in treatment and SDM may play a role in promoting family participation in care for individuals with FEP.

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共同决策在促进家庭参与青少年和青年首发精神病治疗中的作用。

我们的目的是检查共同决策（SDM）在家庭参与治疗青少年和年轻人首发精神病（FEP）中的作用。根据144名OnTrackNY （OTNY）参与者的家庭成员的回答，我们将样本分为低参与者和高参与者。我们通过汇总询问SDM的项目的评分来计算每个参与者的SDM总分，并评估亲人鼓励家人参与照顾他们的程度。我们的研究结果表明，亲人的鼓励水平与家庭参与显著相关。当控制亲人的鼓励时，我们发现高参与者组的SDM总得分显着更高。这些研究结果表明，SDM可能受到亲人对家庭参与治疗的态度的影响，SDM可能在促进家庭参与FEP个体的护理中发挥作用。

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来源期刊

Community Mental Health Journal Multiple-

CiteScore

5.30

自引率

3.70%

发文量

133

期刊介绍： Community Mental Health Journal focuses on the needs of people experiencing serious forms of psychological distress, as well as the structures established to address those needs. Areas of particular interest include critical examination of current paradigms of diagnosis and treatment, socio-structural determinants of mental health, social hierarchies within the public mental health systems, and the intersection of public mental health programs and social/racial justice and health equity. While this is the journal of the American Association for Community Psychiatry, we welcome manuscripts reflecting research from a range of disciplines on recovery-oriented services, public health policy, clinical delivery systems, advocacy, and emerging and innovative practices.