Dyadic OPTION: Measuring perceptions of shared decision-making in practice |
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Authors: | Emma MelbourneStephen Roberts,Marie-Anne DurandRobert Newcombe,France Lé garé Glyn Elwyn |
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Affiliation: | a Department of Primary Care and Public Health, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4YS b Department of Family Medicine, Université Laval, Canada G1K 7P4 |
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Abstract: | BackgroundCurrent models of the medical consultation emphasize shared decision-making (SDM), whereby the expertise of both the doctor and the patient are recognised and seen to equally contribute to the consultation. The evidence regarding the desirability and effectiveness of the SDM approach is often conflicting. It is proposed that the conflicts are due to the nature of assessment, with current assessments from the perspective of an outside observer.AimsTo empirically assess perceived involvement in the medical consultation using the dyadic OPTION instrument.Method36 simulated medical consultations were organised between general practitioners and standardized- patients, using the observer OPTION and the newly developed dyadic OPTION instruments.ResultsSDM behaviours observed in the consultations were seen to depend on both members of the doctor and patient dyad, rather than each in isolation. Thus a dyadic approach to measurement is supported.ConclusionsThis current study highlights the necessity for a dyadic approach to assessment and introduces a novel research instrument: the dyadic OPTION instrument. |
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Keywords: | Shared decision-making Assessment measurement Dyadic analysis |
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