Abstract:
OBJECTIVE:To investigate the applied and conceptual relationship between two measures of shared decision making using the OPTION instrument developed in Wales and the Informed Decision Making instrument developed in Seattle, USA using audio-taped consultation data from a UK general practice population. METHODS:Twelve general practitioners were recruited from 6 general practices in the southwest of England. One hundred twenty-three GP-patient consultations were audio-recorded. Audiotapes were sent off to, and rated by, respective experts in the use of the OPTION and the Informed Decision Making instruments. RESULTS:Compared to earlier work using the Informed Decision Making tool, consultations in this sample were shorter, had fewer decisions and tended to have a greater number of elements present. Similar to previous research using the OPTION, values using the OPTION instrument were low with two items, giving the patient opportunities to ask questions and checking patient understanding, exhibiting the most variability. Using a 'key' decision in each consultation as the basis for comparison, the Informed Decision Making score was not related to the overall OPTION score (Spearman's rho=0.14, p=0.13). Both instruments also predicted different 'best' and 'worst' doctors. Using a Bland-Altman plot for assessing agreement, the mean difference between the two measures was 1.11 (CI 0.66-1.56) and the limits of agreement were -3.94 to 6.16. There were several elements between the two instruments that appeared conceptually similar and correlations for these were generally higher. These were: discussing alternatives or options (Spearman's rho=0.35, p=0.0001), discussion of the patient's role in decision making (Spearman's rho=0.23, p=0.012), discussion of the pros/cons of the alternatives (Spearman's rho=0.20, p=0.024) and assessment of the patient's understanding (Spearman's rho=0.19, p=0.03). CONCLUSION:Measures of shared decision making are helpful in identifying those shared decision making skills which may be problematic or difficult to integrate into practice and provide a tool by which the development of skills can be assessed over time. Research may implicitly place undue value on those aspects of shared decision making which are most easily measured. PRACTICE IMPLICATIONS:Shared decision making tools are a useful way of capturing the presence or absence of specific shared decision making skills and changes in skills acquisition over time. However there may be limits in the extent to which the concept of shared decision making can be measured and that more easily measured skills will be emphasised to the detriment of other important shared decision making skills.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Weiss MC,Peters TJdoi
10.1016/j.pec.2007.09.001subject
Has Abstractpub_date
2008-01-01 00:00:00pages
79-86issue
1eissn
0738-3991issn
1873-5134pii
S0738-3991(07)00341-2journal_volume
70pub_type
杂志文章,多中心研究abstract::The purpose of this study was to evaluate the effectiveness of a diabetes specialty centre in assisting clients with noninsulin-dependent diabetes mellitus to improve their metabolic control and quality of life. A single-subject repeated measures design was used where data was collected on entry to the program, immedi...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(94)00677-e
更新日期:1995-02-01 00:00:00
abstract:OBJECTIVE:To examine how physicians use information about a patient's background knowledge when both anticipating what a patient knows and producing actual answers in an email counseling setting. METHODS:A fictitious patient used a (high vs. low) level of technical jargon in an email inquiry about diabetes and provide...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2012.01.011
更新日期:2012-08-01 00:00:00
abstract::The patient role as discussed in popular and professional literature is in a transitional period, but actual patient behaviors remain predominantly traditional. This article summarizes advice to the public concerning patient-physician communication from the past 25 years of popular periodicals and recent self-help lit...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/0738-3991(88)90042-0
更新日期:1988-04-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to investigate factors related to family functioning and adaptation in caregivers of individuals with Rett syndrome (RS). METHODS:A cross-sectional quantitative survey explored the relationships between demographics, parental self-efficacy, coping methods, family functioning a...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.06.018
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:To explore patient observations of teamwork-related behaviors such as inter-team communication through a newly designed survey. METHODS:In this cross-sectional study, 101 patients (N=86) and caregivers (N=15) recruited from the emergency department (ED) of an urban, academic medical center (>85,000 visits/ye...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.06.002
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:Physicians need good communication skills to communicate effectively with patients. The objective of this review was to identify effective training strategies for teaching communication skills to qualified physicians. METHODS:PubMED, PsycINFO, CINAHL, and COCHRANE were searched in October 2008 and in March 2...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2010.06.010
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVES:The ecological validity of video-vignettes design investigating patient-provider communication hinges on the engagement of analogue patients (APs) with the vignette. The present study aimed to compare engagement in two commonly utilized groups of APs, patients and disease-naïve individuals. Engagement was as...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.04.012
更新日期:2016-10-01 00:00:00
abstract::Tsunami is a fictionalized, based on the true story of a mother and baby patients who attended my rural clinic for 12 months and disappeared. (All personal identifiers have been removed.) It is a story of a family physician trying to establish trust relationship with a young mother, that her past history and living co...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.06.008
更新日期:2010-02-01 00:00:00
abstract:OBJECTIVE:Poor communication is cited as a main cause of poor patient outcomes and errors in healthcare, and clear communication can be especially critical during transitions such as discharge. In this project, communication was standardized for clarity, and techniques were implemented to continue care from inpatient, ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2015.03.009
更新日期:2015-07-01 00:00:00
abstract::In this study, the relationship between (a) doctor's and patients' communication and (b) doctors' patient-centredness during the oncological consultation and patients' quality of life and satisfaction was examined. Consultations of 96 consecutive cancer patients were recorded and content analysed by means of the Roter...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(99)00108-1
更新日期:2000-09-01 00:00:00
abstract::Much research has explored the interaction between doctor and patient in the consultation and patient centredness has generally emerged as the preferred mode of consultation style. The present study aimed to examine and compare general practitioners' (GPs) and patients' beliefs about the importance of the different as...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(01)00200-2
更新日期:2002-07-01 00:00:00
abstract:OBJECTIVE:Determine treatment adherence in patients with multiple chronic conditions (MCC). METHODS:A random patient sample ≥ 15 years, discharged from hospital with ≥1 chronic conditions (CC) was interviewed after 6-12 months. Analysis included variables in 5 dimensions (WHO): socio-demographics, disease, treatment, ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.12.012
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:Clinical guidelines informed by patient preferences are more likely to be used and widely advocated, yet research shows that few guidelines reflect patient preferences. OBJECTIVE:Explore how developers generate guidelines informed by patient preferences. PATIENT INVOLVEMENT:Seventeen patients were involved...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.10.001
更新日期:2020-10-07 00:00:00
abstract:OBJECTIVE:To review the literature on the communicative behaviours primary care patients want from a "good" physician. METHODS:An electronic search used the key words doctor-patient relation AND patient desires OR patient expectations OR patient preferences (from now on referred to as expectations). The qualitative an...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2012.05.005
更新日期:2013-03-01 00:00:00
abstract::The goal of this paper is to examine emerging issues in consumer-provider communication and patient adherence to cancer prevention, screening, diagnosis, treatment, and coping with survivorship. Many factors that have been shown to affect adherence can be supported or hindered by provider-patient communication, includ...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/s0738-3991(03)00075-2
更新日期:2003-05-01 00:00:00
abstract::Heritable cancer risk assessment is an increasingly common method of deriving valuable information relevant to deciding on appropriate screening regimens and preventive treatments. Assessments of heritable risk typically include familial-genetic evaluation, where analyses relate family pedigree to cancer risk, and DNA...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(99)00082-8
更新日期:2000-05-01 00:00:00
abstract::In this article, we report the long-term outcomes of an intervention for informal caregivers who are the main provider of stroke survivors' emotional and physical support. Based on the stress-coping theory of Lazarus and Folkman two intervention designs were developed: a group support program and individual home visit...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0738-3991(01)00230-0
更新日期:2002-08-01 00:00:00
abstract:OBJECTIVE:Communication in healthcare has influenced and been influenced by the COVID-19 pandemic. In this position paper, we share observations based on the latest available evidence and experiential knowledge that have emerged during the pandemic, with a specific focus on policy and practice. METHODS:This is a posit...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.12.025
更新日期:2021-02-01 00:00:00
abstract::Health professionals play an important role in meeting the information and support needs of individuals following a diagnosis of cancer. The aim of this study was to evaluate the acceptability and impact of a hospital-based cancer support nurse (CSN) service. A total of 98 patients completed a structured telephone int...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(01)00174-4
更新日期:2002-05-01 00:00:00
abstract:UNLABELLED:Few studies have investigated the views of health professionals with respect to their use of chronic disease self-management (CDSM) in the workplace. OBJECTIVE:This qualitative study, conducted in an Australian health care setting, examined health professional's formal self-management (SM) training and thei...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.07.036
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:To meet the need for an interactive product on exercise during pregnancy and postpartum, we developed and evaluated a personally tailored multimedia CD-ROM. METHODS:Pregnant and postpartum women, who were randomly assigned to either the experimental group (PregXercise CD-ROM) or the control group (CD-ROM wit...
journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.pec.2007.10.017
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVE:To review the literature relating to the use of simulated patient methods to enhance communication skills of pharmacists. METHODOLOGY:We searched Embase, Lilacs, Medline, Scielo, and Scopus databases between 1980 and 2008, using "communication skills", "patient counseling" and "pharmacist" as keywords. This ...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2009.07.012
更新日期:2010-02-01 00:00:00
abstract::A palliative social worker describes a day in the hospital during which three patients come off their ventilators and families gather to say goodbye while a blizzard looms over the city. ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.04.003
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVE:Little is known about how older African American women define family violence (FV) and what FV survivors might expect from their healthcare providers. The purpose of this study was to understand how these women define FV, where they seek help for FV, and what barriers they face in these efforts. METHODS:We c...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2007.05.019
更新日期:2007-10-01 00:00:00
abstract:OBJECTIVE:To review the strengths and weaknesses of deliberative and intuitive processes in the context of patient decision support and to discuss implications for decision aid (DA) design. METHODS:Conceptual review of the strengths and weaknesses of intuitive and analytical decision making and applying these findings...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2012.11.016
更新日期:2013-05-01 00:00:00
abstract::Cooperation has emerged as a fundamental characteristic of human society, and many argue that this ability is the basis for the phenomenal development in our capability as a species. When we focus our attention to the interactions that occur in healthcare, we inevitably notice power asymmetry due to unequal knowledge,...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.11.032
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVES:As communication is a central part of every interpersonal meeting within healthcare and research reveals several benefits of effective communication, we need to teach students and practitioners how to communicate with patients and with colleagues. This paper reflects on what and how to teach. METHODS:In the...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2015.08.011
更新日期:2015-10-01 00:00:00
abstract::In order to understand the problems of unwanted infertility in a country--the Gambia--where the desire for children and the fertility is very high, a population-based survey was undertaken. All infertile women in 24 randomly selected enumeration areas were assessed. The study included a review of the problems faced an...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(97)01006-9
更新日期:1997-05-01 00:00:00
abstract::A randomised controlled trial, involving 112 adolescents with asthma, and a 2-year follow-up was conducted to assess the impact of an intervention programme aimed at enhancing adherence to asthma medication. This programme had a duration of 1 year and consisted of an experimental group which received usual care from a...
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
doi:10.1016/s0738-3991(00)00195-6
更新日期:2001-09-01 00:00:00
abstract::This study compared the impact of three educational messages about hypertension used at a worksite blood pressure screening program. The messages sought to change beliefs and health behaviors related to hypertension. Each participant who had either been previously diagnosed as hypertensive or had an elevated blood pre...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0738-3991(89)90007-4
更新日期:1989-08-01 00:00:00