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On a learning curve for shared decision making: interviews with clinicians using the knee osteoarthritis Option Grid

Elwyn, Glyn, Rasmussen, Julie, Kinsey, Katharine, Firth, Jill, Marrin, Katy, Edwards, Adrian G and Wood, Fiona Claire 2018. On a learning curve for shared decision making: interviews with clinicians using the knee osteoarthritis Option Grid. Journal of Evaluation in Clinical Practice 24 (1) , pp. 56-64. 10.1111/jep.12665

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Abstract

Rational: Tools used in clinical encounters to illustrate to patients the risks and benefits of treatment options have been shown to increase shared decision making. However, we do not have good information about how these tools are viewed by clinicians, and how clinicians think patients would react to their use. Objective: Our aim was to examine clinicians’ views about the possible and actual use of tools designed to support patients and clinicians to collaborate and deliberate about treatment options, namely Option Grid TM decision aids. Method: We conducted a thematic analysis of qualitative interviews embedded in the intervention phase of a trial of an Option Grid decision aid for Osteoarthritis of the knee. Interviews were conducted with six participating clinicians before they used the tool, and again after clinicians had used the tool with six patients. Results: In the first interview, clinicians voiced concern that the tool would lead to an increase in encounter duration, to patient resistance regarding involvement in decision making, and potential information overload. At the second interview, after minimal training, the clinicians reported that the tool had changed their usual way of communicating, and it was generally acceptable and helpful integrate it into practice. Discussion and Conclusions: After experiencing the use of Option Grids, clinicians became more willing to use the tools in their clinical encounters with patients. How best to introduce Option Grids to clinicians and adopt their use into practice will need careful consideration of context, workflow and clinical pathways.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Uncontrolled Keywords: Shared decision making, patient decision aids, osteoarthritis of the knee, arthritis, clinician-patient communication, qualitative research
Publisher: Wiley
ISSN: 1356-1294
Date of First Compliant Deposit: 18 October 2016
Date of Acceptance: 10 October 2016
Last Modified: 27 May 2018 22:10
URI: http://orca-mwe.cf.ac.uk/id/eprint/95421

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