Occupational therapists’ shared decision-making behaviors with patients having persistent pain in a work rehabilitation context: A cross-sectional study

Coutu, Marie‐France; Stacey, Dawn; Durand, Marie-José; Corbière, Marc; Bainbridge, Lesley; Labrecque, Marie-Elise

doi:10.1016/j.pec.2015.03.015

Cited by 9 publications

(6 citation statements)

References 31 publications

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“…The mean overall OPTION 12 score of 42.4% may be considered to be modest but is among the highest scores observed without any specific SDM training or decision support tool (Couët et al ), indicating that many aspects of SDM are being practiced by the genetic counsellors, but some are not. The scores in our study, where genetic counsellors were not specifically trained in SDM, were lower than a recent study of occupational therapists specifically trained in SDM (Coutu et al ) but were higher than most health care providers' results in a review of SDM in encounters with general practitioners, physician assistants, nurses, residents, medical specialists, and dietitians and their patients with cancer, diabetes, depression, and other conditions (Couët et al ).…”

Section: Discussioncontrasting

confidence: 88%

“…were lower than a recent study of occupational therapists specifically trained in SDM (Coutu et al 2015) but were higher than most health care providers' results in a review of SDM in encounters with general practitioners, physician assistants, nurses, residents, medical specialists, and dietitians and their patients with cancer, diabetes, depression, and other conditions (Couët et al 2015).…”

Section: Discussioncontrasting

confidence: 64%

“…at a ‘perfunctory or unclear level') on items 2, 4, and 5, respectively. However, the study of SDM‐trained occupational therapists (Coutu et al ) had similar scores to the genetic counsellors on these three items. Behaviours measured by items 2, 4, and 5 appear to be the most information‐centric, didactic items on the scale.…”

Section: Discussionmentioning

confidence: 89%

“…In contrast, mean scores for genetic counsellors were below a minimal level for item 3 (mean 0.6) ( assessing preferred approach to receiving information ) and item 10 (mean 0.3) ( eliciting preferred level of involvement in decision‐making ). These behaviours were rarely exhibited by other health professionals in the studies summarized by Couët et al (), although they were practiced to a modest degree by the SDM‐ trained occupational therapists (Coutu et al ). In past studies, items 3 and 10 of OPTION 12 have been criticized as inappropriate by physicians who stated that asking these questions appeared rude and seemed counter‐productive (Couët et al ).…”

Section: Discussionmentioning

confidence: 99%

“…However, in our study, there was no association between pre‐counselling STAI or DCS scores and OPTION 12 scores. The study of occupational therapists also measured STAI and DCS (Coutu et al ) and similarly found no correlation between STAI or DCS level with OPTION 12 scores. However, the majority of these patients had low anxiety and low decisional conflict prior to occupational therapy; thus, these results may not be directly comparable to ours.…”

Section: Discussionmentioning

confidence: 99%

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Assessing Shared Decision‐Making Clinical Behaviors Among Genetic Counsellors

Birch

Adam

Coe

et al. 2018

Journal of Genetic Counseling

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Shared decision-making (SDM) is a collaborative approach in which clinicians educate, support, and guide patients as they make informed, value-congruent decisions. SDM improves patients' health-related outcomes through increasing knowledge, reducing decisional conflict, and enhancing experience of care. We measured SDM in genetic counselling appointments with 27 pregnant women who were at increased risk to have a baby with a genetic abnormality. The eight experienced genetic counsellors who participated had no specific SDM training and were unaware that SDM was being assessed. Audio transcripts of appointments were scored using 'Observing Patient Involvement in Decision Making' (OPTION). Patients' anxiety and decisional conflict were also assessed. The genetic counsellors' mean OPTION score was 42.4% (SD 9.0%; possible range 0-100%). Specific SDM behaviours that scored highest included introducing the concept of equipoise and listing all options with their pros and cons. Behaviours that scored lowest included eliciting patients' preferred approach to receiving information and desired degree of involvement in decision-making. Patients' levels of anxiety and decisional conflict were unassociated with genetic counsellors' OPTION scores. Some SDM behaviours were better demonstrated in this prenatal genetic counselling study than others. Formal training of genetic counsellors in SDM may enhance use of this approach in their professional practice.

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Section: Discussioncontrasting

confidence: 88%

Section: Discussioncontrasting

confidence: 64%

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Assessing Shared Decision‐Making Clinical Behaviors Among Genetic Counsellors

Birch

Adam

Coe

et al. 2018

Journal of Genetic Counseling

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Introduction to Intervention Research

2021

Nursing and Health Interventions

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Acceptability and Feasibility of a Shared Decision-Making Model in Work Rehabilitation: A Mixed-Methods Study of Stakeholders’ Perspectives

et al. 2018

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Purpose To establish the acceptability and feasibility of implementing a shared decision-making (SDM) model in work rehabilitation. Methods We used a sequential mixed-methods design with diverse stakeholder groups (representatives of private and public employers, insurers, and unions, as well as workers having participated in a work rehabilitation program). First, a survey using a self-administered questionnaire enabled stakeholders to rate their level of agreement with the model's acceptability and feasibility and propose modifications, if necessary. Second, eight focus groups representing key stakeholders (n = 34) and four one-on-one interviews with workers were conducted, based on the questionnaire results. For each stakeholder group, we computed the percentage of agreement with the model's acceptability and feasibility and performed thematic analyses of the transcripts. Results Less than 50% of each stakeholder group initially agreed with the overall acceptability and feasibility of the model. Stakeholders proposed 37 modifications to the objectives, 17 to the activities, and 39 to improve the model's feasibility. Based on in-depth analysis of the transcripts, indicators were added to one objective, an interview guide was added as proposed by insurers to ensure compliance of the SDM process with insurance contract requirements, and one objective was reformulated. Conclusion Despite initially low agreement with the model's acceptability on the survey, subsequent discussions led to three minor changes and contributed to the model's ultimate acceptability and feasibility. Later steps will involve assessing the extent of implementation of the model in real rehabilitation settings to see if other modifications are necessary before assessing its impact.

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Occupational therapists’ shared decision-making behaviors with patients having persistent pain in a work rehabilitation context: A cross-sectional study

Cited by 9 publications

References 31 publications

Assessing Shared Decision‐Making Clinical Behaviors Among Genetic Counsellors

Assessing Shared Decision‐Making Clinical Behaviors Among Genetic Counsellors

Introduction to Intervention Research

Acceptability and Feasibility of a Shared Decision-Making Model in Work Rehabilitation: A Mixed-Methods Study of Stakeholders’ Perspectives

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