Abstract：
OBJECTIVE:To validate the Norwegian version of MAPPIN'SDM observer scales with regard to reliability, accuracy and the extent to which the scales include the essentials of the shared decision-making concept. METHODS:Three MAPPIN'SDM scales, focusing on the skills of doctor, patient and dyad, were applied to audiovisual records of 35 decision sequences. Inter-rater reliabilities were determined based on kappa coefficients. Sensitivities and specificities were calculated with regard to an expert reference standard. Convergent validities were calculated with the OPTION5 scale. MAPPIN'SDM was qualitatively compared to OPTION5 using Makoul & Clayman's Integrative Model structure. RESULTS:Inter-rater reliabilities were high on average over 11 items in each of three observer scales (MAPPINdoctor=0.77, MAPPINpatient=0.82, MAPPINdyad=0.77). Patient involvement was detected accurately (MAPPINdyad: mean sensitivity/specificity 93/91%). Comparison with OPTION5 showed weak to moderate correlation (Spearman's ρ/p-value: MAPPINdoctor:=0.44/0.009, MAPPINpatient: 0.38/0.024, MAPPINdyad 0.40/0.016) and little content overlap. CONCLUSION:MAPPIN'SDMnorge is capable of assessing SDM highly reliably and accurately. Divergence from OPTION5 reflects explicit disagreement regarding the concept's assumptions. PRACTICE IMPLICATIONS:MAPPIN'SDMnorge is ready for use in Norway. In-depth debate on the SDM concept's essentials is urgently needed.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Kienlin S,Kristiansen M,Ofstad E,Liethmann K,Geiger F,Joranger P,Tveiten S,Kasper Jdoi
10.1016/j.pec.2016.10.023subject
Has Abstractpub_date
2017-03-01 00:00:00pages
534-541issue
3eissn
0738-3991issn
1873-5134pii
S0738-3991(16)30493-1journal_volume
100pub_type
杂志文章abstract：OBJECTIVE:To quantify and compare the determinants of different types of medication non-adherence in cholesterol lowering and asthma maintenance medications using a theoretical approach. METHODS:Study design was online cross sectional survey. A conceptual framework was developed using Andersen's Behavioral Model and L...
journal_title：Patient education and counseling
pub_type： 杂志文章
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abstract：:General practitioners' (GPs') anti-smoking advice promotes patients' smoking cessation but little is known about how GPs use their short consultations to give advice. We used semi-structured interviews with 27 UK GPs to investigate how GPs believe they should advise smokers to stop and the reasons underpinning these b...
journal_title：Patient education and counseling
pub_type： 杂志文章
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journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.03.015
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journal_title：Patient education and counseling
pub_type： 杂志文章
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journal_title：Patient education and counseling
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journal_title：Patient education and counseling
pub_type： 杂志文章
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journal_title：Patient education and counseling
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journal_title：Patient education and counseling
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journal_title：Patient education and counseling
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journal_title：Patient education and counseling
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journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/S0738-3991(03)00208-8
更新日期：2004-08-01 00:00:00
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journal_title：Patient education and counseling
pub_type： 杂志文章
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journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1986-09-01 00:00:00
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journal_title：Patient education and counseling
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更新日期：1999-09-01 00:00:00
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journal_title：Patient education and counseling
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更新日期：2010-11-01 00:00:00
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journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期：2001-09-01 00:00:00
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journal_title：Patient education and counseling
pub_type： 杂志文章
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journal_title：Patient education and counseling
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doi：10.1016/j.pec.2008.09.027
更新日期：2009-04-01 00:00:00
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journal_title：Patient education and counseling
pub_type： 杂志文章,评审
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更新日期：2011-11-01 00:00:00
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journal_title：Patient education and counseling
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更新日期：2006-06-01 00:00:00
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journal_title：Patient education and counseling
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