The Effect of Shared Decision-Making by Mental Health Nurses on Medication Adherence in Patients with Alcohol Use Disorders: Provider-Patient Communication Pathway Model.

IF 3.1 2区医学 Q1 COMMUNICATION

Journal of Health Communication Pub Date : 2023-11-02 DOI:10.1080/10810730.2023.2268561

MoonJU Song, Yul-Mai Song

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Abstract

The involvement of patients with mental health issues in their own treatment decision-making has often been overlooked. This study aimed to investigate the impact of shared decision-making between mental health nurses and patients with alcohol use disorders (AUD) on medication adherence. The provider-patient communication pathway model was utilized to examine the ways in which therapeutic communication strategies employed by mental health nurses positively influence medication adherence. The study employed a percentile bootstrap method and pairwise comparison tests in structural equation modeling. The results revealed that shared decision-making between AUD patients and mental health nurses directly enhanced medication adherence, as well as indirectly influenced adherence through the mediating factors of therapeutic alliance and alcohol abstinence self-efficacy. These findings hold both theoretical and practical implications for involving patients with AUD in therapeutic decision-making within psychiatric and mental health nursing settings, as well as for improving medication adherence among this patient population.

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精神卫生护士共同决策对酒精使用障碍患者药物依从性的影响：提供者-患者沟通路径模型。

有心理健康问题的患者参与自己的治疗决策往往被忽视。本研究旨在调查心理健康护士和酒精使用障碍（AUD）患者之间的共同决策对药物依从性的影响。提供者-患者沟通路径模型用于检验心理健康护士采用的治疗沟通策略对药物依从性的积极影响。该研究在结构方程建模中采用了百分位bootstrap方法和成对比较测试。结果表明，AUD患者和心理健康护士的共同决策直接提高了药物依从性，并通过治疗联盟和戒酒自我效能等中介因素间接影响依从性。这些发现对让AUD患者参与精神病和心理健康护理环境中的治疗决策，以及提高患者群体的药物依从性具有理论和实践意义。

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来源期刊

Journal of Health Communication Multiple-

CiteScore

5.60

自引率

4.50%

发文量

期刊介绍： Journal of Health Communication: International Perspectives is the leading journal covering the full breadth of a field that focuses on the communication of health information globally. Articles feature research on: • Developments in the field of health communication; • New media, m-health and interactive health communication; • Health Literacy; • Social marketing; • Global Health; • Shared decision making and ethics; • Interpersonal and mass media communication; • Advances in health diplomacy, psychology, government, policy and education; • Government, civil society and multi-stakeholder initiatives; • Public Private partnerships and • Public Health campaigns. Global in scope, the journal seeks to advance a synergistic relationship between research and practical information. With a focus on promoting the health literacy of the individual, caregiver, provider, community, and those in the health policy, the journal presents research, progress in areas of technology and public health, ethics, politics and policy, and the application of health communication principles. The journal is selective with the highest quality social scientific research including qualitative and quantitative studies.