Claire Henderson|Elaine Brohan|Sarah Clément|Paul Williams|Francesca Lassman|Oliver Schauman|Lisa Dockery|Simone Farrelly|Joanna Murray|Caroline Murphy|Mike Slade|Graham Thornicroft
Decision aid on disclosure of mental health status to an employer: feasibility and outcomes of a randomised controlled trial
King's College London|King's College London|King's College London|King's College London|King's College London|King's College London|King's College London|King's College London|King's College London|King's College London|King's College London|King's College London
background many mental health service users delay avoid disclosing condition employers experience anticipation discrimination however nondisclosure precludes ability request reasonable adjustments intervention studies support decisionmaking disclosure employer aims determine whether decision aid effect sustained beyond immediate impact determine whether largescale trial feasible optimise designs larger trial decision aid method exploratory randomised controlled trial rct london participants randomly assigned use decision aid plus usual care usual care alone followup 3 months primary outcomes stage decisionmaking b decisional conflict c employmentrelated outcomes trial registration number nct01379014 results recruited 80 participants interventions completed 36 40 intervention group total 71 participants followed intentiontotreat analysis showed reduction decisional conflict significantly greater intervention group among controls mean improvement 227 sd 152 v 112 sd 181 p 0005 intervention group controls fulltime employment followup p 003 conclusions observed reduction decisional conflict regarding disclosure number potential benefits next need tested definitive trial