Development of a shared decision making coding system for analysis of patient-healthcare provider encounters.
Objectives: To describe the development and refinement of a scheme, detail of essential elements and participants in shared decision making (DEEP-SDM), for coding shared decision making (SDM) while reporting on the characteristics of decisions in a sample of patients with metastatic breast cancer.Me...
| Publicado en: | Patient Education & Counseling Vol. 88; no. 3; pp. 367 - 373 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Sep2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104486207&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104486207 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07383991 3RX jtl: Patient Education & Counseling issn: 07383991 maglogo: N pubinfo: dt: Sep2012 vid: 88 iid: 3 pid: 1004 pub: Elsevier B.V. artinfo: ui: 104486207 104486207 NLM22784391 2011636667 10.1016/j.pec.2012.06.011 NLM22784391 PMC3417351 104486207 ppf: 367 ppct: 6 formats: tig: atl: Development of a shared decision making coding system for analysis of patient-healthcare provider encounters. aug: au: Clayman ML Makoul G Harper MM Koby DG Williams AR Clayman, Marla L Makoul, Gregory Harper, Maya M Koby, Danielle G Williams, Adam R affil: Division of General Internal Medicine, Northwestern University, Chicago, IL, USA sug: subj: Breast Neoplasms Psychosocial Factors Coding Methods Decision Making Consumer Participation Psychosocial Factors Physician-Patient Relations Aged Communication Decision Support Techniques Medical Practice, Evidence-Based Female Human Middle Age Patient Centered Care Questionnaires Reproducibility of Results Self-Efficacy Videorecording Aged: 65+ years Middle Aged: 45-64 years Female ab: Objectives: To describe the development and refinement of a scheme, detail of essential elements and participants in shared decision making (DEEP-SDM), for coding shared decision making (SDM) while reporting on the characteristics of decisions in a sample of patients with metastatic breast cancer.Methods: The evidence-based patient choice instrument was modified to reflect Makoul and Clayman's integrative model of SDM. Coding was conducted on video recordings of 20 women at the first visit with their medical oncologists after suspicion of disease progression. Noldus Observer XT v.8, a video coding software platform, was used for coding.Results: The sample contained 80 decisions (range: 1-11), divided into 150 decision making segments. Most decisions were physician-led, although patients and physicians initiated similar numbers of decision-making conversations.Conclusion: DEEP-SDM facilitates content analysis of encounters between women with metastatic breast cancer and their medical oncologists. Despite the fractured nature of decision making, it is possible to identify decision points and to code each of the essential elements of shared decision making. Further work should include application of DEEP-SDM to non-cancer encounters.Practice Implications: A better understanding of how decisions unfold in the medical encounter can help inform the relationship of SDM to patient-reported outcomes. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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