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

Heidemarie Kremer, Gail Ironson, Neil Schneiderman and Martin Hautzinger
Additional contact information
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

Medical Decision Making, 2007, vol. 27, issue 5, 522-532

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

Keywords: Key words: HIV/AIDS; antiretroviral treatment; patient involvement; decision making; decisional conflict; patient—physician relationship. (Med Decis Making 2007; 27:522—532) (search for similar items in EconPapers)
Date: 2007
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Citations: View citations in EconPapers (3)

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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:27:y:2007:i:5:p:522-532

DOI: 10.1177/0272989X07306782

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