Using a 'talk' model of shared decision making to propose an observation-based measure: Observer OPTION5 Item
Using a 'talk' model of shared decision making to propose an observation-based measure: Observer OPTION5 Item
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DOI：
10.1016/j.pec.2013.08.005
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发表时间：
2013-11-01
影响因子：
3.5
通讯作者：
Newcombe, Robert
中科院分区：
文献类型：
--
作者：
Elwyn, Glyn;Tsulukidze, Maka;Newcombe, Robert
目的：提出了一个修订后的观察员选项措施共享decisionmaking.Methods：我们分析了已发表的模型，以确定一个吝啬的概念框架的核心组成部分，共享decisionmaking.通过使用这个框架，我们开发了一个修订后的措施，结合数据的观察性研究的临床实践，在加拿大与我们的经验，使用观察员OPTION12（项目）结果：我们的概念框架组成的合理审议工作，其次是描述选项，信息交换，偏好诱导，偏好整合的步骤共享决策。通过排除观察者OPTION12（项目）中很少观察到或不符合一个强大的结构的项目，我们提出了观察者OPTION5（项目）。结论：虽然广泛使用，观察者OPTION12项目没有给予足够的重视，偏好诱导和整合，并包括项目，不特定于一个核心结构的共享决策。我们试图弥补这些缺点，提出了一个更短的，更集中的measure.Practice影响：观察员OPTION5（项目）需要评估，我们希望它将是有用的，作为一个研究工具，并作为形成措施的临床实践。(C)2013爱思唯尔爱尔兰有限公司版权所有。
Objective: To propose a revised Observer OPTION measure of shared decision making.Methods: We analyzed published models to identify the core components of a parsimonious conceptual framework of shared decision making. By using this framework, we developed a revised measure combining data from an observational study of clinical practice-in Canada with our experience of using Observer OPTION12 (Item)Results: Our conceptual framework for shared decision making composed of justifying deliberative work, followed by the steps of describing options, information exchange, preference elicitation, and preference integration. By excluding items in Observer OPTION12 (Item) that were seldom observed or not aligned to a robust construct, we propose Observer OPTION5 (Item).Conclusion: Although widely used, Observer OPTION12 Item did not give sufficient attention to preference elicitation and integration, and included items that were not specific to a core construct of shared decision making. We attempted to remedy these shortcomings by proposing a shorter, more focused measure.Practice implications: Observer OPTION5 (Item) requires evaluation; we hope that it will be useful as both a research tool and as a formative measure of clinical practice. (C) 2013 Elsevier Ireland Ltd. All rights reserved.