A Pilot Study of CommonGround Based Shared Decision Making

Research Type

Program/Policy Level Research


  • Michelle P. Salyers, PhD
  • Kelsey Bonfils, BS
  • Jennifer Garabrant, BSW
  • Nancy Henry, BA
  • Alex Miller, BS
  • Callie Zaborenko, BS
  • Blake K. Parrish

Outside Collaborators

University of Kansas Collaborators:

  • Rick Goscha, PhD 
  • Charles Rapp, PhD
  • Sadaaki Fukui, PhD
  • Leslie Young, MSW


Shared decision-making (SDM) is a collaborative process between a provider and consumer of health services, both of whom work together to arrive at optimal healthcare decisions. This study brought together computer-based decision aids with supports from both providers and consumers using a decisional support center (DSC) to make the goal of shared decision-making a reality in mental health services. Computer kiosks using CommonGround software incorporated learning modules about recovery, personal medicine, and monitoring of progress. Trained peers facilitated the use of the DSC, and additional tools were available for providers and consumers to integrate learning and treatment.


Aim 1: Refine a training manual, implementation protocol, and fidelity measure for the shared decision making program and use these materials to assess the implementation of the DSC.

Aim 2. Test the effectiveness of an SDM intervention to improve provider and consumer outcomes.

     Hypothesis 1: The DSC intervention will improve SDM in the provider-consumer interactions.

     Hypothesis 2: The DSC intervention will improve the provider’s level of patient-centered communication.

     Hypothesis 3: Improvements in provider-consumer interaction and patient-centered communication will lead to improved consumer outcomes of (a) patient activation, (b) medication adherence, (c) fewer missed appointments, and (d) fewer hospital and emergency services


The expected outcome of our study was to provide the developmental work necessary for evaluating the DSC as a tool to enhance shared decision-making in mental health services.

Midtown Community Mental Health Goes Live with CommonGround!


This research was supported by the National Institute of Mental Health of the National Institutes of Health under Award number R34MH093563 (A Pilot Test of CommonGround Based Shared Decision-Making). This content was solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.