Validation of a tool to assess health practitioners’ decision support and communication skills

Guimond, Pierrette; Bunn, Helen; O’Connor, Annette M.; Jacobsen, Mary Jane; Tait, Valerie; Drake, Elizabeth; Graham, Ian D.; Stacey, Dawn; Elmslie, Tom

doi:10.1016/s0738-3991(03)00043-0

Cited by 91 publications

(77 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, research indicates that current practice among health professionals is inadequate and that these professionals need supportive environments that provide opportunities for them to further develop their knowledge and skills for supporting patient involvement in decision-making 11,20,32 .…”

Section: Discussionmentioning

confidence: 99%

Exploring Cancer Treatment Decision-Making by Patients: A Descriptive Study

2010

View full text Add to dashboard Cite

ObjectiveUsing an interview-guided survey, our descriptive study aimed to document the extent to which cancer patients perceive they are involved in making treatment decisions and the factors that influence patient involvement. Patients and methodsOur study enrolled patients from a Canadian ambulatory oncology program who were undergoing chemotherapy or radiation therapy, or both, for cancer. The adapted Control Preferences Scale was used to survey perceived and preferred roles in decisionmaking. The study survey also included items from the Decisional Conflict Scale and the Preparation for Decision-Making Scale. ResultsOf 192 participants, 98 (51%) perceived that they were offered treatment choices. Of those 98, 47 (48%) thought that the options were presented equally. Compared with the patients not offered choices, those who were given choices were less passive (4% vs. 29%, p < 0.001) and more satisfied (100% vs. 95%, p < 0.03) in decision-making. Participants whose preferred and perceived roles were different would have preferred more involvement in decision-making. To attain the preferred involvement, patients wanted to receive more information on treatment options, to be given a choice, to have more discussion with the health care team, and to have providers better listen to their needs. ConclusionsOnly half of surveyed patients thought that they were offered choices for their cancer treatment. When offered choices, patients were more active in decisionmaking. Further initiatives are required to determine approaches for supporting patients with cancer so that they can be more involved in decision-making.

show abstract

Section: Discussionmentioning

confidence: 99%

Exploring Cancer Treatment Decision-Making by Patients: A Descriptive Study

2010

View full text Add to dashboard Cite

show abstract

“…Resultados similares se obtuvieron con el DSAT y el DSAT-10 (9, 10). Guimond et al (10) señalan que este resultado se relaciona con la formación tradicional de los profesionales de la salud, en un paradigma de comunicación interpersonal en el que prevalece la entrega de información, por tanto, en escenarios de evaluación los profesionales (especialmente previo a participar del taller de capacitación) tienden a replicar el modelo de práctica con el que están familiarizados y con el que se sienten confortables. Adicionalmente, en este tipo de interacción, desde la perspectiva de los usuarios, los profesio- nales no ofrecen oportunidades para participar en el proceso de toma de decisiones, aun cuando ellos quisieran hacerlo en forma activa (15).…”

Section: Discussionunclassified

“…Fue desarrollado y publicado originalmente por Pierrette Guimond (9,10). Posteriormente, Stacey desarrolla el DSAT-10 y el DSAT chronic disease management (DSAT-cdm), instrumento para evaluar la calidad del apoyo en la toma de decisiones entregado a personas con EC que estén tomando determinaciones acerca de las prioridades para manejar su enfermedad (9), basada en su trabajo con el BC NurseLine del Ministerio de Salud de British Columbia, Canadá.…”

Section: Introductionunclassified

Initial Validation of an Analytical Tool to Support Decision-making on Chronic Illness Management

et al. 2013

View full text Add to dashboard Cite

Introducción: el apoyo a la toma de decisiones en salud facilita el automanejo de personas con enfermedades crónicas (EC). Ob- jetivo: validar la versión en español del DSAT-cdm: herramienta de análisis del apoyo en las decisiones para el manejo de EC, desa- rrollada por Stacey (2006). Materiales y métodos: estudio descriptivo que aplica un proceso sistemático que considera, entre otros: traducción-contratraducción, desarrollo de escenarios de simulación, entrenamiento de evaluadores, entrenamiento pacientes simulados y capacitación para participantes. Muestra: 15 profesionales y 2 jueces, obteniéndose 60 DSAT-cdm versión español aplicado (pre y pos capacitación). Resultados: el instrumento presentó confiabilidad aceptable en la aplicación entre-jueces y detectó la mejora en la calidad del apoyo a la toma de decisiones en los profesionales. Sin embargo, no se obtuvieron resultados que aportaran a la validez de criterio concurrente. Conclusiones: este estudio es la primera evaluación del DSAT-cdm en idioma español, el resultado principal indica que se detecta un cambio en el desempeño de profesionales para apoyar el proceso de toma de decisiones de sus pacientes y, a pesar estos hallazgos favorables, es necesario seguir evaluando el instrumento.

show abstract

“…PCC is defined differently based on where and how it is being used, for example, from a policy perspective, it is a measure of healthcare quality and a means for tailoring treatment to meet patient needs, improve patient-provider communication and set patient goals based on patient preference (Robinson, Callister, Berry & Dearing, 2008). A patient-centered approach can also emphasize the positive perspective of patients' well-being and involvement in care (Guimond, Bunn, O'Connor, Jacobsen, Tait, Drake, et al, 2003). For the purpose of this paper, PCC will be defined as taking into account the patient's desire for information and for shared decision-making and the practitioner responding appropriately (Stewart,200 l ).…”

Section: Patient-centered Carementioning

confidence: 99%

“…Today many women are challenging the dominant medical model (Morris & Symonds, 2004) and are no longer willing to blindly accept a prescription, fill it, and return for a refill (Guimond et al, 2003;Legare, Stacey, Dodin, O'Connor, Richer, et al, 2007). A study conducted in a Canadian province found that women between 41 and 66 years of age conveyed a strong desire to participate in their own health care decisions (Armitage et al, 2007), with 59.4% of women in another study reported sought health care for menopausal concerns (Williams, Kalilani, DiBenedetti, Zhou, Fehnel & Clark, 2007).…”

Section: Quality Of Lifementioning

confidence: 99%

Nurse practitioner use of patient-centered care to improve the quality of life of women experiencing vasomotor symptoms of menopause

Campbell¹

View full text Add to dashboard Cite

show abstract

Validation of a tool to assess health practitioners’ decision support and communication skills

Cited by 91 publications

References 21 publications

Exploring Cancer Treatment Decision-Making by Patients: A Descriptive Study

Exploring Cancer Treatment Decision-Making by Patients: A Descriptive Study

Initial Validation of an Analytical Tool to Support Decision-making on Chronic Illness Management

Nurse practitioner use of patient-centered care to improve the quality of life of women experiencing vasomotor symptoms of menopause

Contact Info

Product

Resources

About