Do Shared Decision-Making Measures Reflect Key Elements of Shared Decision Making? A Content Review of Coding Schemes

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Do Shared Decision-Making Measures Reflect Key Elements of Shared Decision Making? A Content Review of Coding Schemes. / Kunneman, Marleen ; Henselmans, Inge; Gärtner, Fania R. et al.

In: Medical decision making, Vol. 39, No. 7, 10.2019, p. 886-893.

Research output: Contribution to journal › Article › Academic › peer-review

BibTeX

@article{68a1115a6d874c81913bd9b0b49385c6,

title = "Do Shared Decision-Making Measures Reflect Key Elements of Shared Decision Making? A Content Review of Coding Schemes",

abstract = "Background. There is a growing need for valid shared decision-making (SDM) measures. We aimed to determine whether the items of extant SDM observer-based coding schemes assess the 4 key elements of SDM. Methods. Items of SDM coding schemes were extracted and categorized. Except for the 4 key elements of SDM (fostering choice awareness, informing about options, discussing patient preferences, and making a decision), (sub)categories were created inductively. Two researchers categorized items independently and in duplicate. Results. Five of 12 coding schemes assessed all 4 SDM elements. Seven schemes did not measure “fostering choice awareness,” and 3 did not measure “discussing patient preferences.” Seventy of 194 items (36%) could not be classified into one of the key SDM elements. Items assessing key SDM elements most often assessed “informing about options” (n = 57/124, 46%). Conclusion. Extant SDM coding schemes often do not assess all key SDM elements and have a strong focus on information provision while other crucial elements of SDM are underrepresented. Caution is therefore needed in reporting and interpreting the resulting SDM scores.",

author = "Marleen Kunneman and Inge Henselmans and G{\"a}rtner, {Fania R.} and Hanna Bomhof-Roordink and Pieterse, {Arwen H.}",

year = "2019",

month = oct,

doi = "10.1177/0272989X19874347",

language = "English",

volume = "39",

pages = "886--893",

journal = "Medical decision making",

issn = "0272-989X",

publisher = "SAGE Publications Inc.",

number = "7",

}

RIS

TY - JOUR

T1 - Do Shared Decision-Making Measures Reflect Key Elements of Shared Decision Making? A Content Review of Coding Schemes

AU - Kunneman, Marleen

AU - Henselmans, Inge

AU - Gärtner, Fania R.

AU - Bomhof-Roordink, Hanna

AU - Pieterse, Arwen H.

PY - 2019/10

Y1 - 2019/10

N2 - Background. There is a growing need for valid shared decision-making (SDM) measures. We aimed to determine whether the items of extant SDM observer-based coding schemes assess the 4 key elements of SDM. Methods. Items of SDM coding schemes were extracted and categorized. Except for the 4 key elements of SDM (fostering choice awareness, informing about options, discussing patient preferences, and making a decision), (sub)categories were created inductively. Two researchers categorized items independently and in duplicate. Results. Five of 12 coding schemes assessed all 4 SDM elements. Seven schemes did not measure “fostering choice awareness,” and 3 did not measure “discussing patient preferences.” Seventy of 194 items (36%) could not be classified into one of the key SDM elements. Items assessing key SDM elements most often assessed “informing about options” (n = 57/124, 46%). Conclusion. Extant SDM coding schemes often do not assess all key SDM elements and have a strong focus on information provision while other crucial elements of SDM are underrepresented. Caution is therefore needed in reporting and interpreting the resulting SDM scores.

AB - Background. There is a growing need for valid shared decision-making (SDM) measures. We aimed to determine whether the items of extant SDM observer-based coding schemes assess the 4 key elements of SDM. Methods. Items of SDM coding schemes were extracted and categorized. Except for the 4 key elements of SDM (fostering choice awareness, informing about options, discussing patient preferences, and making a decision), (sub)categories were created inductively. Two researchers categorized items independently and in duplicate. Results. Five of 12 coding schemes assessed all 4 SDM elements. Seven schemes did not measure “fostering choice awareness,” and 3 did not measure “discussing patient preferences.” Seventy of 194 items (36%) could not be classified into one of the key SDM elements. Items assessing key SDM elements most often assessed “informing about options” (n = 57/124, 46%). Conclusion. Extant SDM coding schemes often do not assess all key SDM elements and have a strong focus on information provision while other crucial elements of SDM are underrepresented. Caution is therefore needed in reporting and interpreting the resulting SDM scores.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85074036427&origin=inward

UR - https://www.ncbi.nlm.nih.gov/pubmed/31556799

U2 - 10.1177/0272989X19874347

DO - 10.1177/0272989X19874347

M3 - Article

C2 - 31556799

VL - 39

SP - 886

EP - 893

JO - Medical decision making

JF - Medical decision making

SN - 0272-989X

IS - 7

ER -

ID: 7296351

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