Shared decision-making interventions in the choice of antipsychotic prescription in people living with psychosis (SHAPE): Protocol for a realist review.
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Authors
Fitzgerald, Ita
Sahm, Laura J
Howe, Jo
Maidment, Ian
Wallace, Emma
Crowley, Erin K
Issue Date
2024-07-25
Type
Journal Article
Review
Review
Language
en
Keywords
Alternative Title
Abstract
Shared decision-making (SDM) has yet to be successfully adopted into routine use in psychiatric settings amongst people living with severe mental illnesses. Suboptimal rates of SDM are particularly prominent amongst patients with psychotic illnesses during antipsychotic treatment choices. Many interventions have been assessed for their efficacy in improving SDM within this context, although results have been variable and inconsistent.
To generate an in-depth understanding of how, why, for whom, and to what extent interventions facilitating the application of SDM during antipsychotic treatment choices work and the impact of contextual factors on intervention effectiveness.
This review will use realist review methodology to provide a causal understanding of how and why interventions work when implementing SDM during antipsychotic treatment choices. The cohort of interest will be those experiencing psychosis where ongoing treatment with an antipsychotic is clinically indicated. The review will take place over five stages; (1) Locating existing theories, (2) Searching for evidence, (3) Selecting articles, (4) Extracting and organising data and (5) Synthesizing evidence and drawing conclusions. An understanding of how and why interventions work will be achieved by developing realist programme theories on intervention effectiveness through iterative literature reviews and engaging with various stakeholder groups, including patient, clinician and carer representatives.
This is the first realist review aiming to identify generative mechanisms explaining how and why successful interventions aimed at improving SDM within the parameters outlined work and in which contexts desired outcomes are most likely to be achieved. Review findings will include suggestions for clinicians, policy and decision-makers about the most promising interventions to pursue and their ideal attributes.
To generate an in-depth understanding of how, why, for whom, and to what extent interventions facilitating the application of SDM during antipsychotic treatment choices work and the impact of contextual factors on intervention effectiveness.
This review will use realist review methodology to provide a causal understanding of how and why interventions work when implementing SDM during antipsychotic treatment choices. The cohort of interest will be those experiencing psychosis where ongoing treatment with an antipsychotic is clinically indicated. The review will take place over five stages; (1) Locating existing theories, (2) Searching for evidence, (3) Selecting articles, (4) Extracting and organising data and (5) Synthesizing evidence and drawing conclusions. An understanding of how and why interventions work will be achieved by developing realist programme theories on intervention effectiveness through iterative literature reviews and engaging with various stakeholder groups, including patient, clinician and carer representatives.
This is the first realist review aiming to identify generative mechanisms explaining how and why successful interventions aimed at improving SDM within the parameters outlined work and in which contexts desired outcomes are most likely to be achieved. Review findings will include suggestions for clinicians, policy and decision-makers about the most promising interventions to pursue and their ideal attributes.
Description
Citation
Fitzgerald I, Sahm LJ, Howe J, Maidment I, Wallace E, Crowley EK (2024) Shared decision-making interventions in the choice of antipsychotic prescription in people living with psychosis (SHAPE): Protocol for a realist review. PLoS ONE 19(7): e0304626. https://doi.org/10.1371/journal.pone.0304626
Publisher
License
Copyright: © 2024 Fitzgerald et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Journal
PloS one
Volume
19
Issue
7
PubMed ID
DOI
10.1371/journal.pone.0304626
10.1002/wps.20412
10.1002/14651858.CD007297.pub3
10.1097/YCO.0000000000000057
10.1016/j.schres.2023.03.025
10.1016/S0140-6736(19)31135-3
10.1111/hex.12392
10.1176/appi.ajp.162.12.2382
10.1016/j.socscimed.2005.11.002
10.1176/ps.2009.60.8.1107
10.1186/s12888-022-03849-8
10.1001/jamapsychiatry.2021.2247
10.1017/S2045796020000505
10.1192/bjp.bp.116.193458
10.1111/j.1600-0447.2006.00798.x
10.4088/jcp.v68n0703
10.2196/40292
10.1176/appi.ps.201400413
10.1186/s12888-018-1750-7
10.1177/00207640221140291
10.1136/bmjopen-2021-057293
10.1016/s0277-9536(96)00221-3
10.1136/bmjopen-2015-009059
10.1371/journal.pone.0270028
10.1136/bmjqs-2022-015236
10.1186/1471-2288-11-115
10.1186/1748-5908-8-103
10.1093/jac/dkx194
10.1136/bmjopen-2021-058524
10.1186/s13643-022-01912-9
10.1136/bmjopen-2021-048937
10.1002/14651858.CD010523.pub2
10.1176/appi.ps.001322012
10.1016/j.pec.2022.03.007
10.1192/bjo.2021.987
10.1016/j.pec.2012.03.005
10.1186/s12888-022-04036-5
10.1016/j.pec.2005.06.010
10.1186/1471-2288-13-118
10.1101/2023.08.02.23293542v1
10.1002/jrsm.1630
10.1136/bmjopen-2018-025943
10.1002/wps.20412
10.1002/14651858.CD007297.pub3
10.1097/YCO.0000000000000057
10.1016/j.schres.2023.03.025
10.1016/S0140-6736(19)31135-3
10.1111/hex.12392
10.1176/appi.ajp.162.12.2382
10.1016/j.socscimed.2005.11.002
10.1176/ps.2009.60.8.1107
10.1186/s12888-022-03849-8
10.1001/jamapsychiatry.2021.2247
10.1017/S2045796020000505
10.1192/bjp.bp.116.193458
10.1111/j.1600-0447.2006.00798.x
10.4088/jcp.v68n0703
10.2196/40292
10.1176/appi.ps.201400413
10.1186/s12888-018-1750-7
10.1177/00207640221140291
10.1136/bmjopen-2021-057293
10.1016/s0277-9536(96)00221-3
10.1136/bmjopen-2015-009059
10.1371/journal.pone.0270028
10.1136/bmjqs-2022-015236
10.1186/1471-2288-11-115
10.1186/1748-5908-8-103
10.1093/jac/dkx194
10.1136/bmjopen-2021-058524
10.1186/s13643-022-01912-9
10.1136/bmjopen-2021-048937
10.1002/14651858.CD010523.pub2
10.1176/appi.ps.001322012
10.1016/j.pec.2022.03.007
10.1192/bjo.2021.987
10.1016/j.pec.2012.03.005
10.1186/s12888-022-04036-5
10.1016/j.pec.2005.06.010
10.1186/1471-2288-13-118
10.1101/2023.08.02.23293542v1
10.1002/jrsm.1630
10.1136/bmjopen-2018-025943
ISSN
1932-6203