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Dyadic OPTION: Measuring perceptions of shared decision-making in practice

Cording, Emma, Roberts, Stephen J., Durand, Marie-Anne, Newcombe, Robert, Legare, F. and Elwyn, Glyn 2011. Dyadic OPTION: Measuring perceptions of shared decision-making in practice. Patient Education and Counseling 83 (1) , pp. 55-57. 10.1016/j.pec.2010.04.019

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Background Current 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. Aims To empirically assess perceived involvement in the medical consultation using the dyadicOPTION instrument. Method 36 simulated medical consultations were organised between general practitioners and standardized- patients, using the observer OPTION and the newly developed dyadicOPTION instruments. Results SDM 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. Conclusions This current study highlights the necessity for a dyadic approach to assessment and introduces a novel research instrument: the dyadicOPTION instrument.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Uncontrolled Keywords: Shared decision-making; Assessment measurement; Dyadic analysis
Publisher: Elsevier
ISSN: 0738-3991
Last Modified: 04 Feb 2018 01:03

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