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Patient Characteristics and the Extent to Which Clinicians Involve Patients in Decision Making: Secondary Analyses of Pooled Data

Author

Listed:
  • Sascha M. Keij

    (Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Center, The Netherlands)

  • Megan E. Branda

    (Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester MN, USA)

  • Victor M. Montori

    (Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester MN, USA)

  • Juan P. Brito

    (Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester MN, USA)

  • Marleen Kunneman

    (Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Center, The Netherlands
    Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester MN, USA)

  • Arwen H. Pieterse

    (Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Center, The Netherlands)

Abstract

Background The occurrence of shared decision making (SDM) in daily practice remains limited. Various patient characteristics have been suggested to potentially influence the extent to which clinicians involve patients in SDM. Objective To assess associations between patient characteristics and the extent to which clinicians involve patients in SDM. Methods We conducted a secondary analysis of data pooled from 10 studies comparing the care of adult patients with (intervention) or without (control) a within-encounter SDM conversation tool. We included studies with audio(-visual) recordings of clinical encounters in which decisions about starting or reconsidering treatment were discussed. Main Measures In the original studies, the Observing Patient Involvement in Decision Making 12-items (OPTION 12 item ) scale was used to code the extent to which clinicians involved patients in SDM in clinical encounters. We conducted multivariable analyses with patient characteristics (age, gender, race, education, marital status, number of daily medications, general health status, health literacy) as independent variables and OPTION 12 as a dependent variable. Results We included data from 1,614 patients. The between-arm difference in OPTION 12 scores was 7.7 of 100 points ( P  

Suggested Citation

  • Sascha M. Keij & Megan E. Branda & Victor M. Montori & Juan P. Brito & Marleen Kunneman & Arwen H. Pieterse, 2024. "Patient Characteristics and the Extent to Which Clinicians Involve Patients in Decision Making: Secondary Analyses of Pooled Data," Medical Decision Making, , vol. 44(3), pages 346-356, April.
    • Handle: RePEc:sae:medema:v:44:y:2024:i:3:p:346-356
    DOI: 10.1177/0272989X241231721
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