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313 Shared decision-making with patients in forensic mental health settings: a knowledge synthesis and research priority setting study protocol
  1. Junqiang Zhao1,2,
  2. Andrew Waddell1,3,
  3. Helen Bolshaw-Walker1,
  4. Shannon Duplessy1,
  5. Achal Mishra1,3,
  6. Kim Felipe1,
  7. Janet Jull4,
  8. Christopher Canning1,3,
  9. Heather Bullock1,5,
  10. Arina Bogdan1
  1. 1Waypoint Centre for Mental Health Care, Penetanguishene, ON, Canada
  2. 2Dalla Lana School of Public Health, University of Toronto, ON, Canada
  3. 3Department of Psychiatry, University of Toronto, ON, Canada
  4. 4Department of Health Research Evidence and Impact, McMaster University, ON, Canada
  5. 5School of Rehabilitation Therapy, Queen’s University, Kingston, ON, Canada


Introduction Shared decision making (SDM) has demonstrated significant improvements in outcomes for marginalized populations. While it has been widely implemented in other healthcare areas, its application in forensic mental health settings is still in its early stages. The objective of this project is threefold: 1) examining the research progress of SDM with patients in forensic mental health settings through a scoping review; 2) identifying and analyzing relevant policies through an environmental scan; 3) setting future research priorities through a mixed methods study with patient representatives and stakeholders.

Methods Guided by the Ottawa Decision Support Framework, we will conduct a scoping review and an environmental scan concurrently following the Joanna Briggs Institute and Légaré’s methodologies respectively. Afterwards, we will proceed with an exploratory research priority-setting study using the adapted James Lind Alliance method.

Guided by the patient service user engagement in research framework and the IAP2 spectrum of public participation, we will employ an Integrated Knowledge Translation approach (IKT) for this project. The project principal investigators will work closely with knowledge users throughout the project preparation, execution, and translational phases. An Equity, Diversity, and Inclusion lens will be embedded in our research to ensure fair opportunities for patient partners to participate in our research and benefit from its outcomes. We will conduct a pre- and post- project survey to examine knowledge user experiences with the IKT approach.

Discussion Individuals in forensic mental health system, like all other individuals, have a right to be active participants in their healthcare decisions. Respecting and facilitating their participation in decision making is a crucial part of ethical healthcare provision. This project will be instrumental in informing and shaping future research, practice, and policy aimed at improving patient engagement in forensic mental health settings.

Funding support CIHR Operating Grant (#503654)

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