Developing CollaboRATE: A fast and frugal patient-reported measure of shared decision making in clinical encounters
Developing CollaboRATE: A fast and frugal patient-reported measure of shared decision making in clinical encounters
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DOI：
10.1016/j.pec.2013.05.009
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发表时间：
2013-10-01
影响因子：
3.5
通讯作者：
Ozanne, Elissa M.
中科院分区：
文献类型：
--
作者：
Elwyn, Glyn;Barr, Paul James;Ozanne, Elissa M.
目标：衡量共同决策的过程是一项挑战，它构成了研究和实施的障碍。本研究的目的是报告的发展CollaboRATE，简要的病人报告的措施共享decisionmaking. Methods：我们使用了以下阶段：（1）项目制定;（2）认知访谈;（3）项目细化;（4）试点测试的最终项目。参与者都超过18岁，从达特茅斯-希区柯克医疗center.Results的公共区域招募：这项研究的主要发现是，开发一个简短的病人报告的措施，共同决策需要远离术语，如“决策”，“选项”和“偏好”。尽管从技术上讲是正确的，但这些术语却构成了障碍。他们往往是陌生的，他们也隐含地假设，病人愿意采取积极的作用，在决策，而病人往往不知道，决定是必需的，或已经发生，更不用说觉得他们可以或应该参加them.Conclusion：这些方法使我们能够开发一个简短的，病人报告的措施，共享决策，是高度可访问的预期用户。实践影响：CollaboRATE的潜在优势是能够在不到30秒的时间内完成一系列常规设置。(C)2013爱思唯尔爱尔兰有限公司版权所有。
Objective: Measuring the process of shared decision making is a challenge, which constitutes a barrier to research and implementation. The aim of the study was to report the development of CollaboRATE, brief patient-reported measure of shared decision making.Methods: We used the following stages: (1) item formulation; (2) cognitive interviews; (3) item refinement; and (4) pilot testing of final items. Participants were over 18 years old, recruited from the public areas of the Dartmouth-Hitchcock Medical Center.Results: The key finding of this study is that developing a brief patient-reported measure of shared decision making requires a move away from terms such as 'decisions', 'options' and 'preferences'. Although technically correct, these terms act as barriers. They are often unfamiliar, and they also implicitly assume that patients are willing to take active roles in decision making; whereas patients are often unaware that decisions are required, or have taken place, never mind feel that they could or should have participated in them.Conclusion: These methods have allowed us to develop a brief, patient-reported measure of shared decision making that is highly accessible to intended users. Practice implications: The potential strength of the CollaboRATE will be the ability for completion in less than 30 s, and across a range of routine settings. (C) 2013 Elsevier Ireland Ltd. All rights reserved.