Measuring (shared) decision-making – a review of psychometric instruments

Simón, Daniela; Loh, Andreas; Härter, Martin

doi:10.1016/j.zgesun.2007.02.029

Cited by 59 publications

(70 citation statements)

References 38 publications

(51 reference statements)

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“…On the Osteoarthritis Decision Quality Index Knowledge Subscale, participants who viewed the web-based version reported statistically significant higher mean scores, indicating improved knowledge. There was no significant difference in mean scores on the Preparation for Decision Making Scale, and these scores were similar to other published studies (mean scores between 66 and 78 across several clinical contexts) [1,47,[64][65][66][67]. Mean Decisional Conflict scores were significantly higher for the web-based version than for the videobooklet; however, the post-decision aid mean for the web-based version (19.5) was below the threshold (25.0) associated with patients who proceed to making decisions [42] and reflected a significant improvement from baseline (31.0).…”

Section: Discussionsupporting

confidence: 87%

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Launching a virtual decision lab: development and field-testing of a web-based patient decision support research platform

Hoffman¹,

Llewellyn‐Thomas

O’Connor

et al. 2014

BMC Med Inform Decis Mak

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Background: Over 100 trials show that patient decision aids effectively improve patients? information comprehension and values-based decision making. However, gaps remain in our understanding of several fundamental and applied questions, particularly related to the design of interactive, personalized decision aids. This paper describes an interdisciplinary development process for, and early field testing of, a web-based patient decision support research platform, or virtual decision lab, to address these questions. Methods: An interdisciplinary stakeholder panel designed the web-based research platform with three components: a) an introduction to shared decision making, b) a web-based patient decision aid, and c) interactive data collection items. Iterative focus groups provided feedback on paper drafts and online prototypes. A field test assessed a) feasibility for using the research platform, in terms of recruitment, usage, and acceptability; and b) feasibility of using the web-based decision aid component, compared to performance of a videobooklet decision aid in clinical care.

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Section: Discussionsupporting

confidence: 87%

“…Preparation for decision making scale [1,46,[64][65][66] Orthopaedics, prostate cancer, breast cancer, autologous blood donation, hormone replacement therapy. detailed explanations of procedures, risks, and benefits.…”

Section: Introduction and Baseline Data Collectionmentioning

confidence: 99%

Launching a virtual decision lab: development and field-testing of a web-based patient decision support research platform

Hoffman¹,

Llewellyn‐Thomas

O’Connor

et al. 2014

BMC Med Inform Decis Mak

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show abstract

“…A structured questionnaire was used. The developmental process took into account methodological considerations and instruments of other empirical studies to obtain sufficient validation of the questionnaire [6,[9][10][11][12][13][14][15][16]. At the University of Munich, n = 42 participants were questioned, after they had been given special interaction-skill training for patients.…”

Section: Patients Materials and Methodsmentioning

confidence: 99%

Patient autonomy and informed consent—individual preferences of senior study participants in Germany

Strube

Steger

2012

Wien Klin Wochenschr

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The majority of therapeutic decision-making takes place between therapists and elderly people. The present study sought to determine the individual preferences of elderly people in the therapist-patient interaction. From October 2010 to January 2011, data from elderly students (n = 297, mean age > 60) were collected at three different university sites in Germany (Halle-Wittenberg, Cologne and Munich). The study used a structured questionnaire. Younger students (n = 182, mean age = 20.5) at the University of Halle-Wittenberg were questioned as well, in order to show age-specific differences. None of the participants was hospitalised. At the University of Munich, elderly students (n = 42) were given interaction-skill training for patients prior to taking part in the study. The effect of the intervention was measured in the study. Elderly participants and especially those with higher morbidity and a poorer state of information about their state of health refused to get involved in the process of medical decision-making. A group of elderly participants who received special interaction-skill training for patients afterwards preferred an equal therapist-patient relationship as well as shared decision-making. Younger participants favored an informative-participative interaction. The guidelines of therapeutic decision-making that are applied in practise do not always meet the individual needs of the elderly. Interaction-skill training for patients has great potential to both: encourage patients to get involved in the process of medical decision-making and to assume more autonomy. Hence, the aim should be to compound autonomy-empowerment and interaction-skill training for elderly people.

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“…Recent reviews conclude that most existing instruments lack sufficient validation [1][2][3][4]. At best, SDM measures have proven sensitive to interventions such as communication trainings or decision aids.…”

Section: Introductionmentioning

confidence: 99%

Completing the third person's perspective on patients’ involvement in medical decision-making: approaching the full picture

Kasper¹,

Hoffmann²,

Heesen³

et al. 2012

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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Measuring (shared) decision-making – a review of psychometric instruments

Cited by 59 publications

References 38 publications

Launching a virtual decision lab: development and field-testing of a web-based patient decision support research platform

Launching a virtual decision lab: development and field-testing of a web-based patient decision support research platform

Patient autonomy and informed consent—individual preferences of senior study participants in Germany

Completing the third person's perspective on patients’ involvement in medical decision-making: approaching the full picture

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