caa a22 4500 606211314 CHVBK 20210128101037.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s10926-014-9550-5 doi (NATIONALLICENCE)springer-10.1007/s10926-014-9550-5 How Does a Decision Aid Help People Decide Whether to Disclose a Mental Health Problem to Employers? Qualitative Interview Study [Elektronische Daten] [F. Lassman, R. Henderson, L. Dockery, S. Clement, J. Murray, O. Bonnington, S. Farrelly, G. Thornicroft] Background Decisions about whether to disclose mental health problems to employers are complex, with potential personal, employment and legal implications. Decision aids are evidence based tools, designed to help individuals make specific choices between treatment options. We previously developed a decision aid—Conceal Or ReveAL (CORAL)—to assist service users with decisions about disclosure to employers. As part of a mixed methods exploratory RCT, which demonstrated that the CORAL decision aid was effective in reducing decisional conflict, we aimed to explore its mechanism of action and to optimise the intervention for a future full scale trial. Methods In depth interviews were conducted with individuals receiving vocational support from a mental health trust and participating in the intervention arm of the pilot trial. Thematic analysis was conducted to identify the main themes relating to participants' perceptions of the CORAL decision aid. Results Thirteen participants were interviewed and five main themes were identified: sense of self and values; sense of control; anticipation of disclosure; experience of disclosure; and mechanism of action of the decision aid. Conclusions Data from our 13 participants suggest that the CORAL decision aid acts on several dimensions of decisional conflict: clarifying the pros and cons of different choices; increasing knowledge; structuring the decision making process; and clarifying needs and values. The current study indicated that it would be most effective when delivered by a professional well versed in employment and mental health matters such as a vocational adviser. The need for employers and policymakers to reduce the negative impact of disclosure is also highlighted. Springer Science+Business Media New York, 2014 Decision aid nationallicence Disclosure nationallicence Mental health nationallicence Employment nationallicence Qualitative nationallicence Lassman F. Health Service and Population Research Department P029, David Goldberg Centre, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, UK aut Henderson R. Health Service and Population Research Department P029, David Goldberg Centre, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, UK aut Dockery L. Health Service and Population Research Department P029, David Goldberg Centre, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, UK aut Clement S. Health Service and Population Research Department P029, David Goldberg Centre, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, UK aut Murray J. Health Service and Population Research Department P029, David Goldberg Centre, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, UK aut Bonnington O. Health Service and Population Research Department P029, David Goldberg Centre, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, UK aut Farrelly S. Health Service and Population Research Department P029, David Goldberg Centre, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, UK aut Thornicroft G. Health Service and Population Research Department P029, David Goldberg Centre, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, UK aut Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/2(2015-06-01), 403-411 1053-0487 25:2<403 2015 25 10926 https://doi.org/10.1007/s10926-014-9550-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10926-014-9550-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lassman F. Health Service and Population Research Department P029, David Goldberg Centre, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, UK aut NATIONALLICENCE 700 1- Henderson R. Health Service and Population Research Department P029, David Goldberg Centre, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, UK aut NATIONALLICENCE 700 1- Dockery L. Health Service and Population Research Department P029, David Goldberg Centre, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, UK aut NATIONALLICENCE 700 1- Clement S. Health Service and Population Research Department P029, David Goldberg Centre, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, UK aut NATIONALLICENCE 700 1- Murray J. Health Service and Population Research Department P029, David Goldberg Centre, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, UK aut NATIONALLICENCE 700 1- Bonnington O. Health Service and Population Research Department P029, David Goldberg Centre, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, UK aut NATIONALLICENCE 700 1- Farrelly S. Health Service and Population Research Department P029, David Goldberg Centre, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, UK aut NATIONALLICENCE 700 1- Thornicroft G. Health Service and Population Research Department P029, David Goldberg Centre, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, UK aut NATIONALLICENCE 773 0- Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/2(2015-06-01), 403-411 1053-0487 25:2<403 2015 25 10926