Shared decision making between registrars and patients--web based decision aids - PubMed (original) (raw)

Affiliations

• PMID: 17676195

Free article

Shared decision making between registrars and patients--web based decision aids

Jill Thistlethwaite et al. Aust Fam Physician. 2007 Aug.

Free article

Abstract

Background: Current evidence suggests that doctors do not always involve patients in decisions; this may be due to lack of training. This study explores the feasibility of using web based decision aids (DAs) to improve the skills of general practice registrars in sharing decisions with patients.

Method: Interviews were conducted with registrars to explore their attitudes to shared decision making. Following an educational intervention, registrars were asked to adopt shared decision making within their consultations using DAs as appropriate. The registrars were interviewed again to explore their experiences and any barriers to the process.

Results: Registrars had positive views about the shared decision making process but required more training. They had mixed opinions about the use of DAs and identified several barriers to their use. They felt that they had learned from the project and process without necessarily wanting to pursue the use of DAs as interactive tools, preferring to use them as educational resources.

PubMed Disclaimer

Similar articles

• Women's views of optimal risk communication and decision making in general practice consultations about the menopause and hormone replacement therapy.
  Walter FM, Emery JD, Rogers M, Britten N. Walter FM, et al. Patient Educ Couns. 2004 May;53(2):121-8. doi: 10.1016/j.pec.2003.11.001. Patient Educ Couns. 2004. PMID: 15140450
• [Medical decision making in hospital--results of an exploratory study on the value of shared decision making from the physicians point of view].
  Ernst J, Holze S, Sonnefeld C, Götze H, Schwarz R. Ernst J, et al. Gesundheitswesen. 2007 Apr;69(4):206-15. doi: 10.1055/s-2007-973091. Gesundheitswesen. 2007. PMID: 17533562 German.
• Involve the patient and pass the MRCGP: investigating shared decision making in a consulting skills examination using a validated instrument.
  Siriwardena AN, Edwards AG, Campion P, Freeman A, Elwyn G. Siriwardena AN, et al. Br J Gen Pract. 2006 Nov;56(532):857-62. Br J Gen Pract. 2006. PMID: 17132353 Free PMC article.
• Making interactive decision support for patients a reality.
  Evans R, Elwyn G, Edwards A. Evans R, et al. Inform Prim Care. 2004;12(2):109-13. Inform Prim Care. 2004. PMID: 15319064 Review.
• Patients' attitudes to general practice registrars: a review of the literature.
  Bonney A, Phillipson L, Reis S, Jones SC, Iverson D. Bonney A, et al. Educ Prim Care. 2009 Sep;20(5):371-8. doi: 10.1080/14739879.2009.11493812. Educ Prim Care. 2009. PMID: 19849904 Review.

Cited by

• Development and pilot testing of an online case-based approach to shared decision making skills training for clinicians.
  Volk RJ, Shokar NK, Leal VB, Bulik RJ, Linder SK, Mullen PD, Wexler RM, Shokar GS. Volk RJ, et al. BMC Med Inform Decis Mak. 2014 Nov 1;14:95. doi: 10.1186/1472-6947-14-95. BMC Med Inform Decis Mak. 2014. PMID: 25361614 Free PMC article.
• "Many miles to go …": a systematic review of the implementation of patient decision support interventions into routine clinical practice.
  Elwyn G, Scholl I, Tietbohl C, Mann M, Edwards AG, Clay C, Légaré F, van der Weijden T, Lewis CL, Wexler RM, Frosch DL. Elwyn G, et al. BMC Med Inform Decis Mak. 2013;13 Suppl 2(Suppl 2):S14. doi: 10.1186/1472-6947-13-S2-S14. Epub 2013 Nov 29. BMC Med Inform Decis Mak. 2013. PMID: 24625083 Free PMC article. Review.
• Study protocol: improving patient choice in treating low back pain (IMPACT-LBP): a randomised controlled trial of a decision support package for use in physical therapy.
  Patel S, Brown S, Friede T, Griffiths F, Lord J, Ngunjiri A, Thistlethwaite J, Tysall C, Woolvine M, Underwood M. Patel S, et al. BMC Musculoskelet Disord. 2011 Feb 25;12:52. doi: 10.1186/1471-2474-12-52. BMC Musculoskelet Disord. 2011. PMID: 21352528 Free PMC article. Clinical Trial.
• Arriba-lib: evaluation of an electronic library of decision aids in primary care physicians.
  Hirsch O, Keller H, Krones T, Donner-Banzhoff N. Hirsch O, et al. BMC Med Inform Decis Mak. 2012 Jun 6;12:48. doi: 10.1186/1472-6947-12-48. BMC Med Inform Decis Mak. 2012. PMID: 22672414 Free PMC article.
• Why do medical residents prefer paternalistic decision making? An interview study.
  Driever EM, Tolhuizen IM, Duvivier RJ, Stiggelbout AM, Brand PLP. Driever EM, et al. BMC Med Educ. 2022 Mar 8;22(1):155. doi: 10.1186/s12909-022-03203-2. BMC Med Educ. 2022. PMID: 35260146 Free PMC article.

Publication types

MeSH terms

LinkOut - more resources

• Full Text Sources

  • Australian Family Physician