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Ready for shared decision making: Pretesting a training module for health professionals on sharing decisions with their patients.

Abstract：

INTRODUCTION:While shared decision-making (SDM) training programmes for health professionals have been developed in several countries, few have been evaluated. In Norway, a comprehensive curriculum, "klar for samvalg" (ready for SDM), for interprofessional health-care teams was created using generic didactic methods and guidance to tailor training to various contexts. The programmes adapted didactic methods from an evidence-based German training programmes (doktormitSDM). The overall aim was to evaluate two particular SDM modules on facilitating SDM implementation into clinical practice. METHOD:A descriptive mixed methods study using questionnaires and a focus group guided by the Medical Research Council Complex Interventions Framework. The training was provided as two different applications (module AB [introduction and SDM-basics] and module ABC [introduction, SDM-basics and interactive training]) with differing learning objectives, extent of interactivity, and duration (1 vs 2 hours). Groups of participants were recruited consecutively based on requests for health professional SDM training in university/college- and hospital-settings. By a focus group and a self-administered questionnaire comprehensibility, relevance and acceptance were assessed and qualitative feedback collected after the training. Data passed descriptive and content analysis, respectively. Knowledge was assessed twice using five multiple-choice items and analysed using paired t-tests. RESULTS:In 11 (six AB and five ABC) training sessions, 357/429 (296 AB and 133 ABC) eligible nurses, physicians and health professional students with varying clinical backgrounds and previous levels of SDM-knowledge participated. SDM-knowledge increased from 25-78% (range pretest) to 85-95% (range post-test) (P ≤ .001). The training was rated easy to understand, acceptable and relevant for practice. Findings to improve the education suggest higher emphasis on interprofessional teaching methods. CONCLUSIONS:The two SDM training modules met the basic requirements for use in a broader SDM implementation strategy and can even improve knowledge.

journal_name

J Eval Clin Pract

journal_title

Journal of evaluation in clinical practice

authors

Kienlin S,Nytrøen K,Stacey D,Kasper J

doi

10.1111/jep.13380

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

610-621

issue

eissn

1356-1294

issn

1365-2753

journal_volume

pub_type

杂志文章

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Ready for shared decision making: Pretesting a training module for health professionals on sharing decisions with their patients.