Cochrane · systematic review · CD007297
Shared decision‐making interventions for people with mental health conditions
Aoki, Y, Yaju, Y, Utsumi, T, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library
Consumers and CommunicationAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 3 · 42.9%Low 3 · 42.9%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Shared decision‐making interventions compared with usual care for people with mental health conditions
Population: people with mental health conditions
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Psychiatric symptoms Brief Psychiatric Rating Scale (BPRS; Overall 1988): 16 items with 7‐item Likert scale ('not present' to 'extremely severe') measured 6 months after intervention (Yamaguchi 2017). Shared decision‐making interventions vs usual care | no estimate extracted | 1 study · 53 participants | Very low Downgraded: risk of bias, imprecision |
Depression (1 to 6 months) Montgomery–Åsberg Depression Rating Scale (MADRS; Montgomery 1979): measured 3 months after intervention (Aljumah 2015). Patient Health Questionnaire‐9 (PHQ‐9; Kroenke 2001): measured 6 to 8 weeks after intervention (Loh... Shared decision‐making interventions vs usual care | no estimate extracted | 4 studies · 717 participants | Low Downgraded: imprecision, indirectness |
Depression (6 months or more) MADRS measured 6 months after intervention (Aljumah 2015). PHQ‐9 measured 6 months after intervention (LeBlanc 2015). QIDS‐J measured 6 months after intervention (Aoki 2019a). Hospital Anxiety and Depression Scale (HA... Shared decision‐making interventions vs usual care | no estimate extracted | 4 studies · 898 participants | Low Downgraded: imprecision, indirectness |
Readmission (6 months or more) Rehospitalisation at 8 months after discharge (Hamann 2006) or 12 months after discharge (Hamann 2017). Shared decision‐making interventions vs usual care | RR 1.06 [0.77, 1.46] | 2 studies · 249 participants | Very low Downgraded: risk of bias, indirectness |
Participation (observations on the process of SDM) Observing Patient Involvement in shared decisiON‐making (OPTION; Elwyn 2005) assessed from video recording on the encounter (LeBlanc 2015). Core components of SDM: scoring the transcripts of conve... Shared decision‐making interventions vs usual care | no estimate extracted | 2 studies · 133 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Participation (SDM‐specific‐reported outcomes, immediately after intervention) Combined Outcome Measure for Risk Communication and Treatment Decision‐making Effectiveness (COMRADE; Edwards 2003) measured immediately after decision‐making (Aoki 201... Shared decision‐making interventions vs usual care | no estimate extracted | 3 studies · 534 participants | Low Downgraded: inconsistency, indirectness |
Adverse events ‐ not reported Shared decision‐making interventions vs usual care | no estimate extracted | NR | No studies |