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Effect of shared decision-making on therapeutic alliance in addiction health care

机译：共同决策对成瘾保健中治疗联盟的影响

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Background: In recent decades, shared decision-making (SDM) models have been developed to increase patient involvement in treatment decisions. The purpose of this study was to examine the effect of a shared decision-making intervention (SDMI) for substance-dependent patients on patients’ and clinicians’ perceptions of therapeutic alliance.Methods: Clinicians were randomly assigned to SDMI or usual procedures to reach a treatment agreement. SDMI is a structured, manualized, 5-session procedure to facilitate treatment agreement and consists of five standardized sessions.Results: Patients’ perceptions of the therapeutic alliance were very favorable at start of treatment, and no differences were found between intervention groups. Clinicians’ scores on perceived helpfulness and on the overall therapeutic alliance were higher in the SDMI group than in the controls, after 8 weeks of treatment and at the end of treatment.Conclusion: The present study has shown that a specific intervention to enhance shared decision-making results in favorable changes in clinicians’ perceptions of the therapeutic alliance.
机译：背景：在最近的几十年中，已经开发了共享决策（SDM）模型来增加患者对治疗决策的参与。这项研究的目的是检验针对物质依赖型患者的共享决策干预（SDMI）对患者和临床医生对治疗联盟的看法的影响。方法：将临床医生随机分配至SDMI或常规程序以达到治疗目的。治疗协议。 SDMI是一个结构化的，手动的，分为5个疗程的过程，以促进治疗协议，包括5个标准化疗程。结果：患者对治疗联盟的看法在治疗开始时非常有利，干预组之间没有发现差异。在治疗8周后和治疗结束时，SDMI组的临床医生在感知到的帮助和整体治疗联盟方面的得分均高于对照组。结论：本研究表明，采取特定干预措施可增强共同决策使临床医生对治疗联盟的看法发生有利变化。

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