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OPTION(5) versus OPTION(12) instruments to appreciate the extent to which healthcare providers involve patients in decision-making.

Abstract：

OBJECTIVE:The 12-item "observing patient involvement" (OPTION(12))-instrument is commonly used to assess the extent to which healthcare providers involve patients in health-related decision-making. The five-item version (OPTION(5)) claims to be a more efficient measure. In this study we compared the Dutch versions of the OPTION-instruments in terms of inter-rater agreement and correlation in outpatient doctor-patient consultations in various settings, to learn if we can safely switch to the shorter OPTION(5)-instrument. METHODS:Two raters coded 60 audiotaped vascular surgery and oncology patient consultations using OPTION(12) and OPTION(5). Unweighted Cohen's kappa was used to compute inter-rater agreement on item-level. The association between the total scores of the two OPTION-instruments was investigated using Pearson's correlation coefficient (r) and a Bland & Altman plot. RESULTS:After fine-tuning the OPTION-manuals, inter-rater agreement for OPTION(12) and OPTION(5) was good to excellent (kappa range 0.69-0.85 and 0.63-0.72, respectively). Mean total scores were 23.7 (OPTION(12); SD=7.8) and 39.3 (OPTION(5); SD=12.7). Correlation between the total scores was high (r=0.71; p=0.01). OPTION(5) scored systematically higher with a wider range than OPTION(12). CONCLUSION:Both OPTION-instruments had a good inter-rater agreement and correlated well. OPTION(5) seems to differentiate better between various levels of patient involvement. PRACTICAL IMPLICATION:The OPTION(5)-instrument is recommended for clinical application.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Stubenrouch FE,Pieterse AH,Falkenberg R,Santema TK,Stiggelbout AM,van der Weijden T,Aarts JA,Ubbink DT

doi

10.1016/j.pec.2015.12.019

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

1062-8

issue

6

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(15)30172-5

journal_volume

99

pub_type

杂志文章

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