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``It's My Body'': Does Patient Involvement in Decision Making Reduce Decisional Conflict?

Author

Listed:
  • Heidemarie Kremer

    (Department of Psychology, University of Miami, Miami, Florida, USA, HeidemarieKremer@yahoo.de)

  • Gail Ironson

    (Department of Psychology, University of Miami, Miami, Florida, USA)

  • Neil Schneiderman

    (Department of Psychology, University of Miami, Miami, Florida, USA)

  • Martin Hautzinger

    (Department of Psychology, University of Tuebingen, Germany)

Abstract

Objective. This study explores how much people with HIV/AIDS wanted and how much they actually perceived being involved in the decision to take or not to take antiretroviral treatment (ART). The congruence between desired and perceived decisional involvement was also related to decisional conflict. Method. Cross-sectional (N = 79), the Control Preferences Scale assessed patients' preferred versus perceived role in treatment decision making. The Decisional Conflict Scale measured patients' perceived difficulties in decision making. Results. Although a minority of patients (32%) perceived their role as shared decision making, the majority (59%) preferred shared decision making. Some did not desire shared decision making, with 28% preferring to decide on their own versus 13% wanting their physicians to decide for them. Overall, 58% did not feel they had achieved their desired role in decision making (half of whom perceived more control and the other half less control than preferred). Participants declining ART felt more pressure to decide alone compared with those taking ART (P

Suggested Citation

  • Heidemarie Kremer & Gail Ironson & Neil Schneiderman & Martin Hautzinger, 2007. "``It's My Body'': Does Patient Involvement in Decision Making Reduce Decisional Conflict?," Medical Decision Making, , vol. 27(5), pages 522-532, September.
    • Handle: RePEc:sae:medema:v:27:y:2007:i:5:p:522-532
    DOI: 10.1177/0272989X07306782
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    Citations

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    Cited by:

    1. Margaret Gerteis & Rosemary Borck, "undated". "Shared Decision-Making in Practice: Lessons from Implementation Efforts," Mathematica Policy Research Reports f802e52b8442486594ecda927, Mathematica Policy Research.
    2. Aletheia Donald & Cheryl Doss & Markus Goldstein & Sakshi Gupta, 2024. "Sharing responsibility through joint decision-making and implications for intimate-partner violence: evidence from 12 Sub-Saharan African Countries," Review of Economics of the Household, Springer, vol. 22(1), pages 35-66, March.
    3. Li‐Hsiang Wang & Suzanne Goopy & Chun‐Chih Lin & Alan Barnard & Chin‐Yen Han & Hsueh‐Erh Liu, 2016. "The emergency patient's participation in medical decision‐making," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(17-18), pages 2550-2558, September.
    4. repec:mpr:mprres:7143 is not listed on IDEAS
    5. Edi Karni & Moshe Leshno & Sivan Rapaport, 2014. "Helping patients and physicians reach individualized medical decisions: theory and application to prenatal diagnostic testing," Theory and Decision, Springer, vol. 76(4), pages 451-467, April.
    6. Bhatti, Waheed Akbar & Chwialkowska, Agnieszka & Hussain, Nazim & Glowik, Mario, 2024. "The Googling Effect on patient co-creation in physiotherapy service exchange," Social Science & Medicine, Elsevier, vol. 359(C).

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