Shared decision making in patients with substance use disorders : A one-year follow-up study
Serrano-Pérez, Pedro (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
Rivero-Santana, Amado (Fundación Canaria Instituto de Investigación Sanitaria de Canarias)
Daigre, Constanza (Hospital Universitari Vall d'Hebron)
Palma-Álvarez, Raúl Felipe (Hospital Universitari Vall d'Hebron)
Nistal-Franco, Icía (Hospital Álvaro Cunqueiro (Vigo))
Ramos-Quiroga, Josep Antoni (Hospital Universitari Vall d'Hebron)
Grau-López, Lara (Hospital Universitari Vall d'Hebron)

Date:	2023
Description:	10 pàg.
Abstract:	Patient-centered care in therapeutic processes has been associated with better clinical outcomes, however, it remains a poorly studied aspect in Substance Use Disorder (SUD). The study aimed to evaluate patient's preferences, perceived participation in treatment decisions and activation level; and how they predict retention, pharmacological adherence and substance use during one-year follow-up. Logistic regression models were used to analyze the association between independent variables, along with a wide number of sociodemographic and clinical covariates, and outcomes. Most patients prefer a shared or passive role when making decisions about their treatment, and showed concordance between their preferred and perceived roles. In the univariate models, perceiving more involvement than desired showed a higher likelihood of treatment discontinuation at 12 months, and substance use at 6 and 12 months. No significant associations were found between the remaining decisional variables or the degree of activation with the assessed outcomes. A majority of SUD patients prefer and perceive to be involved in the decision-making process about their treatment. Patients perceiving more involvement than desired might experience an excess of responsibility that could negatively influence treatment continuation and substance use. Limitations of the study preclude any definitive conclusion, and more research is needed to confirm these results.
Note:	Altres ajuts: acords transformatius de la UAB
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Addiction ; Chemical dependency ; Patient activation ; Patient engagement ; Patient preferences ; Patient-centered care
Published in:	Psychiatry research, Vol. 329 (2023) , p. 115540, ISSN 1872-7123

DOI: 10.1016/j.psychres.2023.115540
PMID: 37857131

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