Scholars have established that team membership has wide-ranging effects on cognition, dynamics, processes and performance. Underlying that scholarship is the assumption that team membership – who is and who is not a team member – is straightforward, unambiguous and agreed upon by all members. Contrary to this assumption, I posit that as a result of changing environmental conditions, mental mode...

BACKGROUND Afghanistan lacks suitable specialized mental healthcare services despite high prevalence of severe mental health disorders which are aggravated by the conflict and numerous daily stressors. Recent studies have shown that Afghans with mental illness are not only deprived of care but are vulnerable in many other ways. Innovative participatory approaches to the design of mental healthc...

OBJECTIVE This study explored the association between shared decision making and consumers' illness management skills and consumer-provider relationships. METHODS Medication management appointments for 79 consumers were audio recorded. Independent coders rated overall shared decision making, minimum level of shared decision making, and consumer-provider agreement for 63 clients whose visit in...

The central goal of this study was to characterize the mental models of acids and acid strength expressed by advanced college chemistry students when engaged in prediction, explanation, and justification tasks that asked them to rank chemical compounds based on their relative acid strength. For that purpose we completed a qualitative research study involving students enrolled in different types...

Although "mental models" are of central importance to system dynamics research and practice, the field has yet to develop an unambiguous and agreed upon definition of them. To begin to address this problem, existing definitions and descriptions of mental models in system dynamics and several literatures related to cognitive science were reviewed and compared. Available definitions were found to...

BACKGROUND The Institute of Medicine has prioritized shared decision making (SDM), yet little is known about the impact of SDM over time on behavioral outcomes for children. This study examined the longitudinal association of SDM with behavioral impairment among children with special health care needs (CSHCN). METHOD CSHCN aged 5-17 years in the 2002-2006 Medical Expenditure Panel Survey were...

RATIONALE Nonadherence to prescribed medications is a significant barrier to the successful treatment of psychiatric disorders in clinical practice. It has been argued that patient participation in shared decision making improves adherence to treatment plans. PURPOSE To assess to what extent treatment adherence of psychiatric patients is influenced by the concordance between their preferred p...

Objective: The goal of this study was to test the degree to which client clinical characteristics and environmental context and social workers’ practice values and experience influenced support for client’s autonomy and willingness to engage in shared decision making (SDM), and whether willingness to engage in SDM was mediated by support for autonomy. Method: A randomized factorial survey of so...