Shared decision making process measures and patient problems

Purposeful SDM posits four modes of shared decision making (SDM). The use of each mode depends on the type of problem of care that is being addressed. We sought to identify how current observer-based SDM measures apply to each mode of Purposeful SDM. Four coders, working independently, evaluated 192...

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Veröffentlicht in:Patient education and counseling 2022-07, Vol.105 (7), p.2457-2465
Hauptverfasser: Hartasanchez, Sandra A., Grande, Stuart W., Montori, Victor M., Kunneman, Marleen, Brito, Juan P., McCarthy, Sarah, Hargraves, Ian G.
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container_end_page 2465
container_issue 7
container_start_page 2457
container_title Patient education and counseling
container_volume 105
creator Hartasanchez, Sandra A.
Grande, Stuart W.
Montori, Victor M.
Kunneman, Marleen
Brito, Juan P.
McCarthy, Sarah
Hargraves, Ian G.
description Purposeful SDM posits four modes of shared decision making (SDM). The use of each mode depends on the type of problem of care that is being addressed. We sought to identify how current observer-based SDM measures apply to each mode of Purposeful SDM. Four coders, working independently, evaluated 192 items pertaining to 12 observer-based SDM process measures. They classified the items into 6 themes that vary across Purposeful SDM modes and then into one of the four modes (weighing, negotiating, problem-solving, developing insight). Disagreements were resolved by consensus. The items were classified as pertaining to the following themes: problem (28), roles/participation (84), options (62), preferences (21), decision (15), and evaluation (6). They were then classified as pertaining particularly to the SDM modes of weighing (54), negotiating (5), problem-solving (0), and developing insight (0) modes, with 191 items applying broadly to all modes of Purposeful SDM. Observer-based SDM measures describe behaviors pertinent to all modes but lack items sensitive to behaviors particular to some modes of SDM. New or revised observer-based measures of the SDM process could help estimate the extent to which the appropriate SDM mode is being used to address the patient’s problem. •Purposeful SDM is a problem-based rather than an involvement-based SDM model.•SDM has commonly focused on situations where given options are weighed (mode 1).•Purposeful SDM identifies 3 other modes that address different decisional problems.•The 4 modes are: weigh options, negotiate positions, solve problems, develop insight.•Existing observer measures are not particularly pertinent to some modes of SDM.
doi_str_mv 10.1016/j.pec.2021.11.001
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subjects Decision Making
Decision Making, Shared
Humans
Measurement
Negotiating
Patient centered care
Patient Participation
Problem Solving
Process Assessment, Health Care
Purposeful SDM
SDM
Shared decision making
title Shared decision making process measures and patient problems
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