Shared Decision Making and Life Style Modifications of Individuals with Psychiatric Disabilities.

2.50
Hdl Handle:
http://hdl.handle.net/10755/159927
Type:
Presentation
Title:
Shared Decision Making and Life Style Modifications of Individuals with Psychiatric Disabilities.
Abstract:
Shared Decision Making and Life Style Modifications of Individuals with Psychiatric Disabilities.
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Pallikkathayil, Leonie, DNS
P.I. Institution Name:U.of kansas
Title:School of Nursing
Contact Address:3901 Rainbow Blvd., Kansas city, KS, 66106, USA
Contact Telephone:913-588-3351
Co-Authors:L. Pallikkathayil, E. Hamera, School of Nursing, University of Kansas , Kansas City, KS;
Deegan has pioneered Shared Decision Making (SDM) in serious mental illness (Deegan & Drake, 2006) including self care strategies which encompass life style modifications (LSM). Within mental health settings, SDM is most often applied to medication. While improvements in lifestyle can reduce risks associated with chronic disease, SDM in this area have rarely been studied. For this study we define SDM as information sharing about options between consumer and practitioner and a joint agreement regarding the change. This study is a secondary analysis of audio taped and transcribed medicine clinic visits (N=98) collected as part of Randomized Control Trial of Shared Decision Making Technology. Qualitative content analysis was conducted on the 98 transcripts of consumer interaction with 3 practitioners. The primary research question focused on inclusion of SDM about LSM. Of the 98 transcripts reviewed 89% of the transcripts included LSM content about sleep, exercise, diet, smoking or alcohol/drug use. Of the 216 LSM discussions 122 were identified as problems. Fifty percent of the identified LSM problems resulted in SDM: sleep 67%, exercise 44%, diet 41%, smoking 20% and alcohol /drug 25%. Most instances of SDM around sleep resulted in medication adjustment, while those around diet centered on better food choices and healthy preparation. That 89% of the medicine clinic visits containing discussion of LSM is remarkable. Equally remarkable is that half of the identified problems resulted in SDM. These findings show that it is possible to address LSM with a community-based psychiatric population in a 20 minute clinic visit. Further exploration is needed to assess whether consumers are more likely to implement LSM decisions when partnering with practitioners in SDM. Acknowledgement. Research supported by SRS#KAN 2388, Randomized Trial of SDM Technology.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleShared Decision Making and Life Style Modifications of Individuals with Psychiatric Disabilities.en_GB
dc.identifier.urihttp://hdl.handle.net/10755/159927-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Shared Decision Making and Life Style Modifications of Individuals with Psychiatric Disabilities.</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Pallikkathayil, Leonie, DNS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">U.of kansas</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">School of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">3901 Rainbow Blvd., Kansas city, KS, 66106, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">913-588-3351</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lpallikk@kumc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">L. Pallikkathayil, E. Hamera, School of Nursing, University of Kansas , Kansas City, KS;</td></tr><tr><td colspan="2" class="item-abstract">Deegan has pioneered Shared Decision Making (SDM) in serious mental illness (Deegan &amp; Drake, 2006) including self care strategies which encompass life style modifications (LSM). Within mental health settings, SDM is most often applied to medication. While improvements in lifestyle can reduce risks associated with chronic disease, SDM in this area have rarely been studied. For this study we define SDM as information sharing about options between consumer and practitioner and a joint agreement regarding the change. This study is a secondary analysis of audio taped and transcribed medicine clinic visits (N=98) collected as part of Randomized Control Trial of Shared Decision Making Technology. Qualitative content analysis was conducted on the 98 transcripts of consumer interaction with 3 practitioners. The primary research question focused on inclusion of SDM about LSM. Of the 98 transcripts reviewed 89% of the transcripts included LSM content about sleep, exercise, diet, smoking or alcohol/drug use. Of the 216 LSM discussions 122 were identified as problems. Fifty percent of the identified LSM problems resulted in SDM: sleep 67%, exercise 44%, diet 41%, smoking 20% and alcohol /drug 25%. Most instances of SDM around sleep resulted in medication adjustment, while those around diet centered on better food choices and healthy preparation. That 89% of the medicine clinic visits containing discussion of LSM is remarkable. Equally remarkable is that half of the identified problems resulted in SDM. These findings show that it is possible to address LSM with a community-based psychiatric population in a 20 minute clinic visit. Further exploration is needed to assess whether consumers are more likely to implement LSM decisions when partnering with practitioners in SDM. Acknowledgement. Research supported by SRS#KAN 2388, Randomized Trial of SDM Technology.</td></tr></table>en_GB
dc.date.available2011-10-26T22:27:53Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:27:53Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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