Shared clinical decision making

Al-Haqwi, Ali I; Aldrees, Turki; Alrumayyan, Ahmad; Alfarhan, Ali; Alotaibi, Sultan S.; Al-Khashan, Hesham I.; Badri, Motasim

doi:10.15537/smj.2015.12.13682

Cited by 21 publications

(25 citation statements)

References 16 publications

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“…There appears to be a positive attitude towards SDM among Arabic-speaking professionals and patients, yet further studies are needed to assess the extent to which this model is implemented as a routine daily medical practice. Results of a recent study among 236 Saudi Arabic-speaking patients showed that Saudi patients generally have a positive attitude towards active participation in clinical decision-making 26. No valid tool was used to assess patients’ preferences for SDM process; participants were given three options to select the most preferred decision-making style 26.…”

Section: Introductionmentioning

confidence: 99%

“…Results of a recent study among 236 Saudi Arabic-speaking patients showed that Saudi patients generally have a positive attitude towards active participation in clinical decision-making 26. No valid tool was used to assess patients’ preferences for SDM process; participants were given three options to select the most preferred decision-making style 26. These were (1) ‘consumerist’ style when the final decision is made by the patient and his/her family members without physicians, (2) ‘paternalistic’ approach where the final decision is made by the physician only and (3) SDM style where the decision is jointly made by patient and physician 26.…”

Section: Introductionmentioning

confidence: 99%

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Psychometric properties of the Arabic version of the 9-item Shared Decision-Making Questionnaire: the entire process from translation to validation

et al. 2019

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ObjectiveTo translate the German 9-item Shared Decision-Making Questionnaire (SDM-Q-9) to Arabic and assess its psychometric properties for measuring Arabic-speaking patients' perceptions of the shared decision-making (SDM) process.DesignMulticentre cross-sectional study.SettingSecondary healthcare settings; outpatient clinics of 10 major hospitals were selected in four emirates in the United Arab Emirates (Abu Dhabi, Dubai, Sharjah and Umm Al Quwain).ParticipantsPatients with chronic diseases who attended outpatient clinics of participating hospitals.MeasurementsThe original German SDM-Q-9 was translated to Arabic. International multiphase translation guidelines and the process of cross-cultural adaptation of self-reported measures were used. Various psychometric properties were assessed, including reliability (internal consistency), and construct validity (exploratory factor analysis [EFA] and confirmatory factor analysis [CFA]).ResultsThe final Arabic version of the SDM-Q-9 was tested among 516 secondary care patients. Internal consistency yielded a Cronbach’s alpha of 0.929 for the whole scale. EFA showed a one-factorial solution, Kaiser-Meyer-Olkin measure of sampling adequacy was 0.907 and Bartlett’s test of sphericity was significant (χ2=3413.69, df=36, p<0.0005). For the CFA, two different models were tested; Model 1 included the nine items and Model 2 was monofactorial that included items 2–9 and thus excluded item 1. Both models were adequate as they produced similar indices.ConclusionsThe Arabic version of SDM-Q-9 showed excellent reliability and acceptable validity parameters among secondary care patients. The newly translated Arabic questionnaire is the first psychometrically tested tool that can be used in the 22 member states of the Arab league to assess patients’ perspectives on the SDM process.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Arabic version of the 9-item Shared Decision-Making Questionnaire: the entire process from translation to validation

et al. 2019

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“…Saudi society advocates women avoiding arguments with men to show respect, this point was supported by study done by. 20 Moreover, in healthcare, practices in Saudi hospitals are determined by gender rules, and people usually demand same-gender healthcare providers. 51 …”

Section: Discussionmentioning

confidence: 99%

“…One of the few studies conducted on this topic in Saudi Arabia found that the majority of the respondents (57%) preferred the shared decision-making approach compared to the paternalistic approach (28%) and the informed approach (14%). 20 All these factors increased the importance of assessing the level of SDM in KSA. Without such an evaluation of the decision-making process, patients’ preferences will not be obtained and thus physicians’ will not know what style their patients’ preferred in order to employ it during consultations.…”

Section: Introductionmentioning

confidence: 99%

<p>The OPTION Scale: Measuring Patients’ Perceptions of Shared Decision-Making in the Kingdom of Saudi Arabia</p>

Alrawiai

Aljaffary

Al-Rayes

et al. 2020

JMDH

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Background Involving patients in the decision-making process is now widely accepted as appropriate and ethical during consultations, particularly when several options are available. The aim of this study is to measure the patients’ perceptions of shared decision-making practices during clinical encounters in Saudi Arabia. Methods This study employs a quantitative cross-sectional design. The OPTION scale was translated to Arabic. The questionnaire’s content validity was assessed using an expert panel review. The questionnaire was then administered to 291 participants through online recruitment. Results Participants reported positive perceptions of shared decision-making practices in Saudi Arabia. The lowest perceived shared decision-making scores were from patients who visited the internal medicine department ( f = 2.163, P = 0.009). Participants who received care from female physicians reported significantly higher levels of involvement in the shared decision-making process compared to male physicians ( t = −2.732, P = 0.007). Although the majority of the participants in the study were from Eastern Province, this province documented the lowest mean perceived decision-making score by the patients compared to other provinces within Saudi Arabia ( f = 3.613, P = 0.007). Female participants in the study had a higher shared decision-making score than the male participants ( t = −3.644, P < 0.0001). Conclusion Generally, the study results confirmed that shared decision-making in the Saudi health system includes significant patient involvement. Interventions that enhance the culture of shared decision-making in Saudi Arabia are necessary to ensure better adherence to treatment plans and thus better health outcomes.

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“…A study based on 1,945 participants from the National Health and Aging Trends Study showed that people's active participation in medical decisionmaking decreased as the age of the people increased [23]. Additionally, a study conducted in Saudi Arabia showed that older patients preferred paternalistic model for medical decisionmaking, namely playing a passive role in medical decision-making [24]. Study results carried out in Western societies consistently demonstrated that younger age was associated with active participation in medical decision-making.…”

Section: Age and Active Participation In Medical Decision-makingmentioning

confidence: 99%

The usage of social media encouraged patients' active participation in medical decision-making: cross-sectional survey (Preprint)

Chen¹,

Cheng²,

Wu³

et al. 2018

Preprint

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IntroductionThe rapid advance of information technology since the end of twentieth century has deeply influenced the ways people gather health information to use as references for their medical decision-making. Accordingly, conversation is the core of SDM, and patients are encouraged to play a more active role as compared to the traditional paternalistic physician-patient relationship of the past. Since patients started to take an active role in medical decision-making, SDM has been frequently suggested for physician-patient relationship in teaching and research activities. As compared to the two extremes in medical decision-making-paternalism (i.e. physicians make the decision and patients play a passive role) and individual autonomy (i.e. patients make the decision and physicians play a passive role), SDM is usually regarded as the intermediate position which not only advocates that patients' active participation in medical decision-making be respected, but also that the physicians' responsibility in decisionmaking process be required [4][5][6].Patients' participation in medical decision-making has been increasing over time [7]. Widely available modern information technology has dramatically changed peoples' access to medical information, shifting access from non-interactive and traditional media, such as newspaper, magazine, television, radio and so on, to that of the interactive, web-2.0 internet-based social media such as Facebook, Twitter, WhatsApp, LINE and the like. Studies have overwhelmingly pointed out the association between health information in the media [12][13][14] and the usage of medical treatments and interventions, not only in the intensive and critical care medical encounters [15], but also in those of ambulatory care [16].Given that online health information indeed changes people's medical decision-making [17], incorrect online health information can result in a heavy burden in medical encounters

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Shared clinical decision making

Cited by 21 publications

References 16 publications

Psychometric properties of the Arabic version of the 9-item Shared Decision-Making Questionnaire: the entire process from translation to validation

Psychometric properties of the Arabic version of the 9-item Shared Decision-Making Questionnaire: the entire process from translation to validation

<p>The OPTION Scale: Measuring Patients’ Perceptions of Shared Decision-Making in the Kingdom of Saudi Arabia</p>

The usage of social media encouraged patients' active participation in medical decision-making: cross-sectional survey (Preprint)

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