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dc.contributor.authorKasper, Jürgen
dc.contributor.authorLiethmann, Katrin
dc.contributor.authorHeesen, Christoph
dc.contributor.authorReissmann, Daniel R
dc.contributor.authorGeiger, Friedemann
dc.date.accessioned2018-06-27T09:57:47Z
dc.date.available2018-06-27T09:57:47Z
dc.date.issued2017-05-18
dc.description.abstract<p><b>Objective</b>: To carry out preliminary evaluation of a training module for doctors to enhance their ability to involve their patients in medical decision making. The training refers to the shared decision-making (SDM) communication concept.</p> <p><b>Methods</b>: The training module includes a comprehensive manual, a corresponding video tutorial with communication examples and a 15-minute face-to-face feedback session based on an SDM analysis of a consultation recording provided by the trainee. Ten trainees (four neurologists, three dentists, and three general practitioners) participating in the pretest each recorded four clinical consultations (total sample: N=40) and received three training components. After the training, doctors provided feedback on the module’s feasibility in a questionnaire. Communication performance of doctors, patients and doctor–patient dyads was assessed by trained observers and selfassessed by doctors and patients using the MAPPIN’SDM approach. Training effects were determined using Wilcoxon signed-rank tests comparing baseline values with post-intervention performance as assessed in the fourth consultations.</p> <p><b>Results</b>: The face-to-face training sessions were short and feasible with regard to clinical reality. Participants considered the training supportive for acquiring SDM skills and recommended more emphasis on the face-to-face feedback. Communication improved according to observers rating doctors (P=.05) and doctor–patient dyads (P=.07) and to doctors’ own judgements (P=.02). No improvement was observed in patients’ SDM behaviour (P=.11); accordingly, patients’ judgements did not indicate improvement (P=.14).</p> <p><b>Conclusions</b>: The training is designed to meet clinicians’ needs. Improvement of risk communication after training encourages optimization according to doctors’ feedback. Following this study, the efficacy of the training is now being examined in a randomized controlled trial.</p>en_US
dc.descriptionSource at <a href=https://doi.org/10.1111/hex.12565> https://doi.org/10.1111/hex.12565</a>. Accepted manuscript version, licensed <a href=http://creativecommons.org/licenses/by-nc-nd/4.0/> CC BY-NC-ND 4.0.</a>en_US
dc.identifier.citationKasper, J., Liethmann, K., Heesen, C., Reissmann, D.R. & Geiger, F. (2017). Training doctors briefly and in situ to involve their patients in making medical decisions—Preliminary testing of a newly developed module. Health Expectations. 20(6), 1254-1263. https://doi.org/10.1111/hex.12565en_US
dc.identifier.cristinIDFRIDAID 1543093
dc.identifier.doi10.1111/hex.12565
dc.identifier.issn1369-6513
dc.identifier.issn1369-7625
dc.identifier.urihttps://hdl.handle.net/10037/13020
dc.language.isoengen_US
dc.publisherWiley Open Accessen_US
dc.relation.journalHealth Expectations
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800en_US
dc.titleTraining doctors briefly and in situ to involve their patients in making medical decisions—Preliminary testing of a newly developed moduleen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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