The German version of the Four Habits Coding Scheme – Association between physicians’ communication and shared decision making skills in the medical encounter

2014 ◽  
Vol 94 (2) ◽  
pp. 224-229 ◽  
Author(s):  
Isabelle Scholl ◽  
Jennifer Nicolai ◽  
Stephanie Pahlke ◽  
Levente Kriston ◽  
Edward Krupat ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Shared Decision ◽  
German Version ◽  
Medical Encounter ◽  
Coding Scheme

Shared Decision Making in the Medical Encounter: Are We All Talking about the Same Thing?

2007 ◽  
Vol 27 (5) ◽  
pp. 539-546 ◽  
Author(s):  
Nora Moumjid ◽  
Amiram Gafni ◽  
Alain Brémond ◽  
Marie-Odile Carrère
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Medical Encounter

Trying to Optimise the German Version of the OPTION Scale Regarding the Dyadic Aspect of Shared Decision Making

2013 ◽  
Vol 52 (06) ◽  
pp. 514-521 ◽  
Author(s):  
H. Keller ◽  
M. Müller-Engelmann ◽  
M. Heinzel-Gutenbrunner ◽  
T. Krones ◽  
N. Donner-Banzhoff ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Operating Characteristic ◽  
Physician Behavior ◽  
Cardiovascular Prevention ◽  
Shared Decision ◽  
German Version ◽  
Dyadic Relationship ◽  
Video Recordings ◽  
Active Patients

Summary Objectives: The OPTION scale (“observing patient involvement in decision making”) assesses the extent to which clinicians involve patients in decisions across a range of situations in clinical practice. It so far just covers physician behavior. We intended to modify the scoring of the OPTION scale to incorpo -rate active patient behavior in consultations. Methods: Modification was done on scoring level, attempting a dyadic, relationship-centred approach in that high ratings can be evoked also by the behaviour of active patients. The German version of the OPTION scale was compared with a modified version by analysing video recordings of primary care consultations dealing with cardiovascular prevention. Fifteen general practitioners provided 40 videotaped consultations. Videos were analysed by two rater pairs and two experts in shared decision making (SDM). Results: Reliability measures of the modified version were lower than those of the original scale. Significant associations of the dichotomised scale with the expert SDM rating as well as with physicians’ expertise in SDM were only found for the modified OPTION scale. Receiver Operating Characteristic (ROC) analyses confirmed a valid differentiation between the presence of SDM (yes/no) on total score level, even though the cut-off point was quite low. Standard deviations of the single items in the modified version were higher compared to the original OPTION scale, while the means of total scores were similar. Conclusions: The original OPTION scale is physician-centered and neglects the activity and a possible self-involvement of the patient. Our modified instruction was able to capture the dyadic element partially. The development of a separate dyadic instrument might be more promising.

The Role of Shared Decision-Making in Audiologic Rehabilitation

2014 ◽  
Vol 21 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Helen Pryce ◽  
Amanda Hall
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Behavior Changes ◽  
Shared Decision ◽  
Patient Centered ◽  
Treatment Information ◽  
Centered Care ◽  
Potential Risks ◽  
Audiologic Rehabilitation

Shared decision-making (SDM), a component of patient-centered care, is the process in which the clinician and patient both participate in decision-making about treatment; information is shared between the parties and both agree with the decision. Shared decision-making is appropriate for health care conditions in which there is more than one evidence-based treatment or management option that have different benefits and risks. The patient's involvement ensures that the decisions regarding treatment are sensitive to the patient's values and preferences. Audiologic rehabilitation requires substantial behavior changes on the part of patients and includes benefits to their communication as well as compromises and potential risks. This article identifies the importance of shared decision-making in audiologic rehabilitation and the changes required to implement it effectively.

On the evaluation of shared decision making: The Decision Evaluation Scales

2004 ◽  
Author(s):  
P. F. M. Stalmeier ◽  
M. S. Roosmalen ◽  
L. C. G. Josette Verhoef ◽  
E. H. M. Hoekstra-Weebers ◽  
J. C. Oosterwijk ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Shared Decision

Shared Decision Making to Increase Family Involvement in the Care of Consumers With SMI

2013 ◽  
Author(s):  
Shirley M. Glynn ◽  
Lisa Dixon ◽  
Amy Cohen ◽  
Amy Drapalski ◽  
Deborah Medoff ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Family Involvement ◽  
Shared Decision
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