Role preferences of patients with alcohol use disorders
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Role preferences of patients with alcohol use disorders. / Friedrichs, Anke; Silkens, Anna; Reimer, Jens; Kraus, Ludwig; Scherbaum, Norbert; Piontek, Daniela; Röhrig, Jeanette; Hempleman, Jochen; Härter, Martin; Buchholz, Angela.
In: ADDICT BEHAV, Vol. 84, 09.2018, p. 248-254.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Role preferences of patients with alcohol use disorders
AU - Friedrichs, Anke
AU - Silkens, Anna
AU - Reimer, Jens
AU - Kraus, Ludwig
AU - Scherbaum, Norbert
AU - Piontek, Daniela
AU - Röhrig, Jeanette
AU - Hempleman, Jochen
AU - Härter, Martin
AU - Buchholz, Angela
N1 - Copyright © 2018 Elsevier Ltd. All rights reserved.
PY - 2018/9
Y1 - 2018/9
N2 - AIMS: Shared decision making (SDM) is increasingly demanded in medical decision making. SDM acknowledges patients' role preferences in decision making processes. There has been limited research on SDM and role preferences in substance use disorders; results are promising. Aim of this study was to investigate role preferences of patients with alcohol use disorders (AUD), and to identify predictors of these preferences.METHOD: Cross-sectional data collected from June 2013 to May 2014 in four detoxification wards in Germany during a randomised controlled trial (RCT, Registration Code 01GY1114) was analysed. Of the 250 patients with AUD who were included in the RCT, data from 242 patients [65% male; mean age = 45.2 years (sd = 10.3)] were analysed. Participants' role preferences were assessed with the Control Preference Scale. Potential correlates were drawn from instruments used in the RCT; multinomial logistic regression was used.RESULTS: 90% (n = 217) of the AUD patients preferred an active or shared role in decision-making, 10% (n = 25) preferred a passive role. Patients' desire for help was associated with their role preference (OR = 3.087, p = .05). The model's goodness of fit was Nagelkerke's R2 = 0.153 [χ2 (24) = 25.206, p = .395].CONCLUSIONS: Patients' preference for an active role in decision-making underscores the importance of involving patients in their treatment planning. Patients' desire for help seems to be an important determinant of paternalistic decision making. However, further research is needed to determine whether patients' role preferences are related to their behavior during their treatment referral and recovery.
AB - AIMS: Shared decision making (SDM) is increasingly demanded in medical decision making. SDM acknowledges patients' role preferences in decision making processes. There has been limited research on SDM and role preferences in substance use disorders; results are promising. Aim of this study was to investigate role preferences of patients with alcohol use disorders (AUD), and to identify predictors of these preferences.METHOD: Cross-sectional data collected from June 2013 to May 2014 in four detoxification wards in Germany during a randomised controlled trial (RCT, Registration Code 01GY1114) was analysed. Of the 250 patients with AUD who were included in the RCT, data from 242 patients [65% male; mean age = 45.2 years (sd = 10.3)] were analysed. Participants' role preferences were assessed with the Control Preference Scale. Potential correlates were drawn from instruments used in the RCT; multinomial logistic regression was used.RESULTS: 90% (n = 217) of the AUD patients preferred an active or shared role in decision-making, 10% (n = 25) preferred a passive role. Patients' desire for help was associated with their role preference (OR = 3.087, p = .05). The model's goodness of fit was Nagelkerke's R2 = 0.153 [χ2 (24) = 25.206, p = .395].CONCLUSIONS: Patients' preference for an active role in decision-making underscores the importance of involving patients in their treatment planning. Patients' desire for help seems to be an important determinant of paternalistic decision making. However, further research is needed to determine whether patients' role preferences are related to their behavior during their treatment referral and recovery.
KW - Journal Article
U2 - 10.1016/j.addbeh.2018.05.002
DO - 10.1016/j.addbeh.2018.05.002
M3 - SCORING: Journal article
C2 - 29754065
VL - 84
SP - 248
EP - 254
JO - ADDICT BEHAV
JF - ADDICT BEHAV
SN - 0306-4603
ER -