TY  - JOUR
AU  - Ramos-García, Vanesa
AU  - Rivero-Santana, Amado
AU  - Peñate-Castro, Wenceslao
AU  - Álvarez-Pérez, Yolanda
AU  - Duarte-Díaz, Andrea
AU  - Torres-Castaño, Alezandra
AU  - Trujillo-Martín, María del Mar
AU  - González-González, Ana Isabel
AU  - Serrano-Aguilar, Pedro
AU  - Perestelo-Pérez, Lilisbeth
PY  - 2025
DA  - 2025/1/16
TI  - A Brief Web-Based Person-Centered Care Group Training Program for the Management of Generalized Anxiety Disorder: Feasibility Randomized Controlled Trial in Spain
JO  - JMIR Med Educ
SP  - e50060
VL  - 11
KW  - person-centered care
KW  - primary care
KW  - shared decision-making
KW  - anxiety disorder
KW  - training program
KW  - SDM
AB  - Background: Shared decision-making (SDM) is a crucial aspect of patient-centered care. While several SDM training programs for health care professionals have been developed, evaluation of their effectiveness is scarce, especially in mental health disorders such as generalized anxiety disorder. Objective: This study aims to assess the feasibility and impact of a brief training program on the attitudes toward SDM among primary care professionals who attend to patients with generalized anxiety disorder. Methods: A feasibility randomized controlled trial was conducted. Health care professionals recruited in primary care centers were randomized to an intervention group (training program) or a control group (waiting list). The intervention consisted of 2 web-based sessions applied by 2 psychologists (VR and YA), based on the integrated elements of the patient-centered care model and including group dynamics and video viewing. The outcome variable was the Leeds Attitudes Towards Concordance scale, second version (LATCon II), assessed at baseline and after the second session (3 months). After the randomized controlled trial phase, the control group also received the intervention and was assessed again. Results: Among 28 randomized participants, 5 withdrew before the baseline assessment. The intervention significantly increased their scores compared with the control group in the total scale (b=0.57; P=.018) and 2 subscales: communication or empathy (b=0.74; P=.036) and shared control (ie, patient participation in decisions: b=0.68; P=.040). The control group also showed significant pre-post changes after receiving the intervention. Conclusions: For a future effectiveness trial, it is necessary to improve the recruitment and retention strategies. The program produced a significant improvement in participants’ attitude toward the SDM model, but due to this study’s limitations, mainly the small sample size, more research is warranted. 
SN  - 2369-3762
UR  - https://mededu.jmir.org/2025/1/e50060
UR  - https://doi.org/10.2196/50060
DO  - 10.2196/50060
ID  - info:doi/10.2196/50060
ER  -