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Open Access 01-05-2019 | Original Paper

Implementation and Use of a Client-Facing Web-Based Shared Decision-Making System (MyCHOIS-CommonGround) in Two Specialty Mental Health Clinics

Authors: Molly Finnerty, Elizabeth Austin, Qingxian Chen, Deborah Layman, Edith Kealey, Daisy Ng-Mak, Krithika Rajagopalan, Kimberly Hoagwood

Published in: Community Mental Health Journal | Issue 4/2019

Abstract

Electronic shared-decision making programs may provide an assistive technology to support physician–patient communication. This mixed methods study examined use of a web-based shared decision-making program (MyCHOIS-CommonGround) by individuals receiving specialty mental health services, and identified qualitative factors influencing adoption during the first 18 months of implementation in two Medicaid mental health clinics. T-tests and χ² analyses were conducted to assess differences in patient use between sites. Approximately 80% of patients in both clinics created a MyCHOIS-CommonGround user profile, but marked differences emerged between clinics in patients completing shared decision-making reports (79% vs. 28%, χ²₍₁₎ = 109.92, p < .01) and average number of reports (7.20 vs. 3.60, t = − 3.64, p < .01). Results suggest high penetration of computer-based programs in specialty mental health services is possible, but clinic implementation factors can influence patient use including leadership commitment, peer staff funding to support the program, and implementation strategy, most notably integration of the program within routine clinical workflow.

Aarons, G., Farahnak, L., Ehrhart, M., & Sklar, M. (2014). Aligning leadership across systems and organizations to develop strategic climate to for evidence-based practice implementation. Annual Review of Public Health, 34(4), 255–274. https://doi.org/10.1038/nbt.3121.ChIP-nexus.CrossRef

Aarons, G. A., Glisson, C., Green, P. D., Hoagwood, K. E., Kelleher, K. J., Landsverk, J. A., & Research Network on Youth (2012). The organizational social context of mental health services and clinician attitudes toward evidence-based practice: A United States national study. Implementation Science, 7, 56. https://doi.org/10.1186/1748-5908-7-56.CrossRefPubMedPubMedCentral

Austin, E., Ramakrishnan, A., & Hopper, K. (2014). Embodying recovery: A qualitative study of peer work in a consumer-run service setting. Community Mental Health Journal, 50(8), 879–885. https://doi.org/10.1007/s10597-014-9693-z.CrossRefPubMedPubMedCentral

Bakker, D., Kazantzis, N., Rickwood, D., & Rickard, N. (2016). Mental health smartphone apps: Review and evidence-based recommendations for future developments. JMIR Mental Health. https://doi.org/10.2196/mental.4984 CrossRefPubMedPubMedCentral

Ben-Zeev, D., Davis, K. E., Kaiser, S., Krzsos, I., & Drake, R. E. (2013). Mobile technologies among people with serious mental illness: Opportunities for future services. Administration and Policy in Mental Health and Mental Health Services Research, 40(4), 340–343.CrossRefPubMed

Berwick, D. M. (2002). A user’s manual for the IOM’s “quality chasm” report. Health Affairs, 21(3), 80–90. https://doi.org/10.1377/hlthaff.21.3.80.CrossRefPubMed

Bonfils, K. A., Dreison, K. C., Luther, L., Fukui, S., Dempsey, A. E., Rapp, C. A., … Salyers, M. P. (2016). Implementing CommonGround in a community mental health center: Lessons in a computerized decision support system. Psychiatric Rehabilitation Journal. https://doi.org/10.1037/prj0000225.CrossRefPubMedPubMedCentral

Campbell, S. R., Holter, M. C., Manthey, T. J., & Rapp, C. A. (2014). The effect of CommonGround software and decision support center. American Journal of Psychiatric Rehabilitation, 17(2), 166–180. https://doi.org/10.1080/15487768.2014.916126.CrossRef

Charles, C., Gafni, A., & Whelan, T. (1997). Shared decision-making in the medical encounter: What does it mean? (Or it takes, at least two to tango). Social Science and Medicine, 44(5), 681–692. https://doi.org/10.1016/S0277-9536(96)00221-3.CrossRefPubMed

Chinman, M., Lucksted, A., Gresen, R., Davis, M., Losonczy, M., Sussner, B., & Martone, L. (2008). Early experiences of employing consumer-providers in the VA. Psychiatric Services (Washington, D.C.), 59(11), 1315–1321. https://doi.org/10.1176/appi.ps.59.11.1315.CrossRef

Clayman, M. L., Bylund, C. L., Chewning, B., & Makoul, G. (2016). The impact of patient participation in health decisions within medical encounters: A systematic review. Medical Decision, 36(4), 427–452. https://doi.org/10.1177/0272989X15613530.CrossRef

Couët, N., Desroches, S., Robitaille, H., Vaillancourt, H., Leblanc, A., Turcotte, S., … Légaré, F. (2015). Assessments of the extent to which health-care providers involve patients in decision making: A systematic review of studies using the OPTION instrument. Health Expectations, 18(4), 542–561. https://doi.org/10.1111/hex.12054.CrossRefPubMed

Creswell, J. W. (2012). Qualitative inquiry and research design: Choosing among five approaches, (3rd ed.). Thousand Oaks: SAGE.

Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4(50), 40–55. https://doi.org/10.1186/1748-5908-4-50.CrossRef

Deegan, P. E. (2010). CommonGround at Alternatives 2010 Conference.

Deegan, P. E. (2010). A Web application to support recovery and shared decision making in psychiatric medication clinics. Psychiatric Rehabilitation Journal, 34(1), 23–28. https://doi.org/10.2975/34.1.2010.23.28.CrossRefPubMed

Deegan, P. E., Carpenter-Song, E., Drake, R. E., Naslund, J. A., Luciano, A., & Hutchison, S. L. (2017). Enhancing clients’ communication regarding goals for using psychiatric medications. Psychiatric Services, 68(8), 771–775. https://doi.org/10.1176/appi.ps.201600418.CrossRefPubMed

Deegan, P. E., Rapp, C., Holter, M., & Riefer, M. (2008). Best practices: A program to support shared decision making in an outpatient psychiatric medication clinic. Psychiatric Services, 59(6), 603–605. https://doi.org/10.1176/appi.ps.59.6.603.CrossRefPubMed

Drake, R. E., Deegan, P. E., Woltmann, E. M., Haslett, W., Drake, T., & Rapp, C. A. (2010). Comprehensive electronic decision support systems. Psychiatric Services (Washington, D.C.), 61(7), 714–717. https://doi.org/10.1176/appi.ps.61.7.714.CrossRef

Druss, B. G., Ji, X., Glick, G., & von Esenwein, S. a. (2014). Randomized trial of an electronic personal health record for patients with serious mental illnesses. The American Journal of Psychiatry, 171(3), 360–368. https://doi.org/10.1176/appi.ajp.2013.13070913.CrossRefPubMed

Duncan, E., Best, C., & Hagen, S. (2010). Shared decision-making interventions for people with mental health conditions. The Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD007297.pub2.CrossRefPubMedPubMedCentral

Eliacin, J., Salyers, M. P., Kukla, M., & Matthias, M. S. (2014). Factors influencing patients’ preferences and perceived involvement in shared decision-making in mental health care. Journal of Mental Health, 24(1), 24–28. https://doi.org/10.3109/09638237.2014.954695.CrossRefPubMed

Gates, L. B., Mandiberg, J. M., & Akabas, S. H. (2010). Building capacity in social service agencies to employ peer providers. Psychiatric Rehabilitation Journal, 34(2), 145–152. https://doi.org/10.2975/34.2.2010.145.152.CrossRefPubMed

Goscha, R., & Rapp, C. (2015). exploring the experiences of client involvement in medication decisions using a shared decision-making model: Results of a qualitative study. Community Mental Health Journal, 51(3), 267–274. https://doi.org/10.1007/s10597-014-9759-y.CrossRefPubMed

Goscha, R. J. (2009). Finding common ground: Exploring the experiences of client involvement in medication decisions using a shared decision-making model. (Doctoral dissertation, University of Kansas). https://doi.org/10.1017/CBO9781107415324.004.

Guth, W., & Macmillan, I. (1986). Strategy implementation versus middle management self-interest. Strategic Management Journal, 7(4), 313–327.CrossRef

Innis, J., Dryden-Palmer, K., Perreira, T., & Berta, W. (2015). How do health care organizations take on best practices? A scoping literature review. International Journal of Evidence-Based Healthcare, 13(4), 254–272. https://doi.org/10.1097/XEB.0000000000000049.CrossRefPubMed

Institute of Medicine & Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st century. BMJ: British Medical Journal. https://doi.org/10.1136/bmj.323.7322.1192.CrossRef

Joosten, E. A. G., DeFuentes-Merillas, L., de Weert, G. H., Sensky, T., van der Staak, C. P. F., & de Jong, C. A. J. (2008). Systematic review of the effects of shared decision-making on patient satisfaction, treatment adherence and health status. Psychotherapy and Psychosomatics, 77(4), 219–226. https://doi.org/10.1159/000126073.CrossRefPubMed

Kipping, S., Stuckey, M. I., Hernandez, A., Nguyen, T., & Riahi, S. (2016). A web-based patient portal for mental health care: Benefits evaluation. Journal of Medical Internet Research, 18(11), e294. https://doi.org/10.2196/jmir.6483.CrossRefPubMedPubMedCentral

Korsbek, L., & Tønder, E. S. (2016). Momentum: A smartphone application to support shared decision making for people using mental health Services. Psychiatric Rehabilitation Journal, 39(2), 167–172. https://doi.org/10.1037/prj0000173.CrossRefPubMed

Légaré, F., & Thompson-Leduc, P. (2014). Twelve myths about shared decision making. Patient Education and Counseling, 96, 281–286. https://doi.org/10.1016/j.pec.2014.06.014.CrossRefPubMed

Ludwick, D. a., & Doucette, J. (2009). Adopting electronic medical records in primary care: Lessons learned from health information systems implementation experience in seven countries. International Journal of Medical Informatics, 78(1), 22–31. https://doi.org/10.1016/j.ijmedinf.2008.06.005.CrossRefPubMed

Luxton, D. D., McCann, R. A., Bush, N. E., Mishkind, M. C., & Reger, G. M. (2011). mHealth for mental health: Integrating smartphone technology in behavioral healthcare. Professional Psychology: Research and Practice, 42(6), 505.CrossRef

MacDonald-Wilson, K. (2013). Amplifying the patient’s voice: Person-centered versus measurement-based approaches in mental health. Retrieved 11 Oct 2016, from http://www.pcori.org/research-results/2013/amplifying-patients-voice-person-centered-versus-measurement-based-approaches.

May, C. (2006). A rational model for assessing and evaluating complex interventions in health care. BMC Health Services Research, 6, 11. https://doi.org/10.1186/1472-6963-6-86.CrossRef

Moran-Ellis, J. (2006). Triangulation and integration: Processes, claims and implications. Qualitative Research, 6(1), 45–59. https://doi.org/10.1177/1468794106058870.CrossRef

Murray, E., Burns, J., See Tai, S., Lai, R., & Nazareth (2005). Interactive health communication applications for people with chronic disease, Cochrane Database of Systematic Reviews. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD004274.pub4. 4).CrossRefPubMed

O’Cathain, A., Murphy, E., & Nicholl, J. (2010). Three techniques for integrating data in mixed methods studies. British Medical Journal, 341, 1147–1150. Retrieved 9 Sept 2017, from http://www.bmj.com/content/341/bmj.c4587.full.

Rowan, K., & Shippee, N. D. (2015). Experiences with insurance plans and providers among persons with mental illness. Psychiatric Services (Washington. D.C.). https://doi.org/10.1176/appi.ps.201400514.CrossRef

Ruland, C. M., & Bakken, S. (2002). Developing, implementing, and evaluating decision support systems for shared decision making in patient care: A conceptual model and case illustration. Journal of Biomedical Informatics, 35(5–6), 313–321. https://doi.org/10.1016/S1532-0464(03)00037-6.CrossRefPubMed

Salyers, M. P., Fukui, S., Bonfils, K. A., Firmin, R. L., Luther, L., Goscha, R., … Holter, M. C. (2017). Consumer outcomes after implementing CommonGround as an approach to shared decision making. Psychiatric Services, 68(3), 299–302. https://doi.org/10.1176/appi.ps.201500468.CrossRefPubMed

Schrank, B., Sibitz, I., Unger, A., & Amering, M. (2010). how patients with schizophrenia use the internet: Qualitative study. Journal of Medical Internet Research, 12(5), e70. https://doi.org/10.2196/jmir.1550.CrossRefPubMedPubMedCentral

Schuster, J. M., Centers, D. S., Care, C., & Schuster, J. M. (2013). Amplifying the voices of individuals who use mental health services: A commitment to shared decision making. Psychiatric Services, 64(10), 64–66. https://doi.org/10.1176/appi.ps.641112.CrossRef

Shay, L. A., Lafata, J. E., Shay, A. L., Lafata, J. E., Shay, L. A., & Lafata, J. E. (2015). Where is the evidence? A systematic review of shared decision making and patient outcomes. Medical Decision Making, 35(1), 114–131. https://doi.org/10.1177/0272989X14551638.CrossRefPubMed

Sheridan, S. L., Harris, R. P., & Woolf, S. H. (2004). Shared decision making about screening and chemoprevention: A suggested approach from the U.S. Preventive Services Task Force. American Journal of Preventive Medicine. https://doi.org/10.1016/j.amepre.2003.09.011.CrossRefPubMed

Simon, D., Wills, C., Harter, M., Simon, D., Wills, C. E., Harter, M., Edwards, A., & Elwyn, G. (2009). Shared decision-making in mental health. In Edwards, A. & Elwyn, G. (Eds.), Shared decision making in health care: Achieving evidence-based patient choice (2nd ed., pp. 269–276). Oxford: Oxford Univ Press.

Spetz, J., Burgess, J. F. Jr, & Phibbs, C. S. (2012). What determines successful implementation of inpatient information technology systems? American Journal of Managed Care, 18(3), 157–162.PubMed

Stein, B. D., Kogan, J. N., Hutchison, S. L., Magee, E. A., & Sorbero, M. J. (2010). Use of outcomes information in child mental health treatment: Results from a pilot study. Psychiatric Services, 61(12), 1211–1216. https://doi.org/10.1176/appi.ps.61.12.1211.CrossRefPubMed

Stein, B. D., Kogan, J. N., Mihalyo, M. J., Schuster, J., Deegan, P. E., Sorbero, M. J., & Drake, R. E. (2013). Use of a computerized medication shared decision-making tool in community mental health settings: Impact on psychotropic medication adherence. Community Mental Health Journal, 49(2), 185–192. https://doi.org/10.1007/s10597-012-9528-8.CrossRefPubMed

Swanson, K. A., Bastani, R., Rubenstein, L. V., Meredith, L. S., & Ford, D. E. (2007). Effect of mental health care and shared decision making on patient satisfaction in a community sample of patients with depression. Medical Care Research and Review, 64(4), 416–430. https://doi.org/10.1177/1077558707299479.CrossRefPubMed

van der Krieke, L., Emerencia, A. C., Aiello, M., & Sytema, S. (2012). Usability evaluation of a web-based support system for people with a schizophrenia diagnosis. Journal of Medical Internet Research, 14(1), e24. https://doi.org/10.2196/jmir.1921.CrossRefPubMedPubMedCentral

van der Krieke, L., Wunderink, L., Emerencia, A. C., de Jonge, P., & Sytema, S. (2014). E-mental health self-management for psychotic disorders: State of the art and future perspectives. Psychiatric Services, 65(1), 33–49. https://doi.org/10.1176/appi.ps.201300050.CrossRefPubMed

Woltmann, E. M., Wilkniss, S. M., Teachout, A., McHugo, G. J., & Drake, R. E. (2011). Trial of an electronic decision support system to facilitate shared decision making in community mental health. Psychiatric Services, 62(1), 54–60. https://doi.org/10.1176/appi.ps.62.1.54.CrossRefPubMed

Title: Implementation and Use of a Client-Facing Web-Based Shared Decision-Making System (MyCHOIS-CommonGround) in Two Specialty Mental Health Clinics
Authors: Molly Finnerty
Elizabeth Austin
Qingxian Chen
Deborah Layman
Edith Kealey
Daisy Ng-Mak
Krithika Rajagopalan
Kimberly Hoagwood
Publication date: 01-05-2019
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 4/2019
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-018-0341-x

At a glance: The STEP trials

Springer Medicine

Implementation and Use of a Client-Facing Web-Based Shared Decision-Making System (MyCHOIS-CommonGround) in Two Specialty Mental Health Clinics

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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