TY - JOUR
T1 - Usability and Feasibility of the Antipsychotic Medication Decision Aid in a Community Program for First-Episode Psychosis
AU - Zisman-Ilani, Yaara
AU - Parker, Morgan
AU - Thomas, Elizabeth C.
AU - Suarez, John
AU - Hurford, Irene
AU - Bowen, Andrea
AU - Calkins, Monica
AU - Deegan, Patricia
AU - Nossel, Ilana
AU - Dixon, Lisa B.
PY - 2024/8/1
Y1 - 2024/8/1
N2 - OBJECTIVE: Although antipsychotic medications are considered first-line treatment for psychosis, rates of discontinuation and nonadherence are high, and debate persists about their use. This pilot study aimed to explore the usability, feasibility, and potential impact of a shared decision making (SDM) intervention, the Antipsychotic Medication Decision Aid (APM-DA), for decisions about use of antipsychotic medications. METHODS: A pilot randomized controlled trial was conducted with 17 participants in a first-episode psychosis program. Nine participants received the APM-DA, and eight received usual care. RESULTS: After their appointments, intervention group participants had less decisional conflict and greater satisfaction with decisions than control group participants had. Use of the APM-DA did not increase appointment length. Comparison of the intervention outcomes with the control outcomes was limited because of the small sample. CONCLUSIONS: The results support the feasibility and usability of an SDM process via the use of the APM-DA in routine community psychosis care.
AB - OBJECTIVE: Although antipsychotic medications are considered first-line treatment for psychosis, rates of discontinuation and nonadherence are high, and debate persists about their use. This pilot study aimed to explore the usability, feasibility, and potential impact of a shared decision making (SDM) intervention, the Antipsychotic Medication Decision Aid (APM-DA), for decisions about use of antipsychotic medications. METHODS: A pilot randomized controlled trial was conducted with 17 participants in a first-episode psychosis program. Nine participants received the APM-DA, and eight received usual care. RESULTS: After their appointments, intervention group participants had less decisional conflict and greater satisfaction with decisions than control group participants had. Use of the APM-DA did not increase appointment length. Comparison of the intervention outcomes with the control outcomes was limited because of the small sample. CONCLUSIONS: The results support the feasibility and usability of an SDM process via the use of the APM-DA in routine community psychosis care.
KW - Antipsychotic medications
KW - Decision aid
KW - Psychosis
KW - Randomized controlled trial
KW - Schizophrenia
KW - Shared decision making
UR - http://www.scopus.com/inward/record.url?scp=85200423775&partnerID=8YFLogxK
U2 - 10.1176/appi.ps.20230230
DO - 10.1176/appi.ps.20230230
M3 - Article
C2 - 38477836
AN - SCOPUS:85200423775
SN - 1075-2730
VL - 75
SP - 807
EP - 811
JO - Psychiatric Services
JF - Psychiatric Services
IS - 8
ER -