Can consumers learn to ask three questions to improve shared decision making? A feasibility study of the ASK (AskShareKnow) Patient-Clinician Communication Model® intervention in a primary health-care setting

被引：62

作者：

Shepherd, Heather L. ^{[1
]}

Barratt, Alexandra ^{[1
]}

Jones, Anna ^{[1
]}

Bateson, Deborah ^{[2
,3
]}

Carey, Karen ^{[4
]}

Trevena, Lyndal J. ^{[1
]}

McGeechan, Kevin ^{[1
]}

Del Mar, Chris B. ^{[5
]}

Butow, Phyllis N. ^{[1
]}

Epstein, Ronald M. ^{[6
]}

Entwistle, Vikki ^{[7
]}

Weisberg, Edith ^{[2
,3
]}

机构：

[1] Univ Sydney, Sydney Sch Publ Hlth, Ctr Med Psychol & Evidence Based Decis Making, Sydney, NSW, Australia

[2] Family Planning NSW, Sydney, NSW, Australia

[3] Univ Sydney, Discipline Obstet Gynaecol & Neonatol, Sydney, NSW, Australia

[4] Hlth Consumers Council, Perth, WA, Australia

[5] Bond Univ, Ctr Res Evidence Based Practice, Robina, Qld, Australia

[6] Univ Rochester, Med Ctr, Ctr Commun & Dispar Res, Rochester, NY 14642 USA

[7] Univ Aberdeen, Hlth Serv Res Unit, Aberdeen, Scotland

来源：

HEALTH EXPECTATIONS | 2016年 / 19卷 / 05期

基金：

英国医学研究理事会;

关键词：

communication; consumer; patient empowerment; patient involvement; shared decision making; INFORMATION;

D O I：

10.1111/hex.12409

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective To test the feasibility and assess the uptake and acceptability of implementing a consumer questions programme, AskShareKnow, to encourage consumers to use the questions '1. What are my options; 2. What are the possible benefits and harms of those options; 3. How likely are each of those benefits and harms to happen to me?' These three questions have previously shown important effects in improving the quality of information provided during consultations and in facilitating patient involvement. Methods This single-arm intervention study invited participants attending a reproductive and sexual health-care clinic to view a 4min video-clip in the waiting room. Participants completed three questionnaires: (T1) prior to viewing the intervention; (T2) immediately after their consultation; and (T3) two weeks later. Results Atotal of 121 (78%) participants viewed the video-clip before their consultation. Eighty-four (69%) participants asked one or more questions, and 35 (29%) participants asked all three questions. For those making a decision, 55 (87%) participants asked one or more questions, while 27 (43%) participants asked all three questions. Eighty-seven (72%) participants recommended the questions. After two weeks, 47 (49%) of the participants recalled the questions. Conclusions Enabling patients to view a short video-clip before an appointment to improve information and involvement in health-care consultations is feasible and led to a high uptake of question asking in consultations. Practice Implications This AskShareKnow programme is a simple and feasible method of training patients to use a brief consumer-targeted intervention that has previously shown important effects in improving the quality of information provided during consultations and in facilitating patient involvement and use of evidence-based questions.

引用

页码：1160 / 1168

页数：9

共 1 条

[1] Feasibility of a Digital Patient-Provider Communication Intervention to Support Shared Decision-Making in Chronic Health Care, InvolveMe: Pilot Study
Seljelid, Berit
Varsi, Cecilie
Nes, Lise Solberg
Oystese, Kristin Astrid
Borosund, Elin
[J]. JMIR FORMATIVE RESEARCH, 2022, 6 (04)

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