Usability and Feasibility of the Antipsychotic Medication Decision Aid in a Community Program for First-Episode Psychosis

Yaara Zisman-Ilani, Morgan Parker, Elizabeth C. Thomas, John Suarez, Irene Hurford, Andrea Bowen, Monica Calkins, Patricia Deegan, Ilana Nossel, Lisa B. Dixon

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)807-811
Number of pages5
JournalPsychiatric Services
Volume75
Issue number8
DOIs
StatePublished - 1 Aug 2024
Externally publishedYes

Keywords

  • Antipsychotic medications
  • Decision aid
  • Psychosis
  • Randomized controlled trial
  • Schizophrenia
  • Shared decision making

ASJC Scopus subject areas

  • Psychiatry and Mental health

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