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Conversations between Latina mothers and their child's mental health provider: An observational study of shared decision-making regarding pediatric patient mental health needs
- Source :
- Patient education and counseling. 103(1)
- Publication Year :
- 2019
-
Abstract
- Objective To evaluate shared decision-making (SDM) and delineate SDM processes in audio-recorded conversations between language congruent Spanish-/English-speaking clinicians and parents of pediatric mental health patients. Methods Transcripts from audio-recorded consultations were rated using the 5-Item Observing Patient Involvement in Decision Making (Observer OPTION5) instrument. One hundred encounters between seventeen clinicians and 100 parents were rated. Interrater reliability for total score was 0.98 between two trained coders (ICC range: 0.799-0.879). Results Scores ranged between 0 and 70 on a 100-point scale, with an average total Observer OPTION5 score of 33.2 (SD = 17.36). This corresponded to modest success at mutual shared decision-making. Clinicians and parents both showed effort at identifying a problem with treatment options and engaging in team talk. However, preference elicitation and integration were largely lacking. Conclusion The present sample performed on par with other populations studied to date. It expands the evaluation of observed SDM to include Latino patients and new clinician populations. Practice implications Use of the Observer OPTION5 Item instrument highlights that eliciting and integrating parent/patient preferences is a skill that requires attention when delivering culturally competent interventions.
- Subjects :
- medicine.medical_specialty
Decision Making
Psychological intervention
Mothers
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Preference elicitation
030212 general & internal medicine
Child
030503 health policy & services
Treatment options
Reproducibility of Results
General Medicine
Hispanic or Latino
Patient preference
Mental health
Pediatric patient
Inter-rater reliability
Mental Health
Family medicine
Observational study
Female
Patient Participation
0305 other medical science
Psychology
Decision Making, Shared
Subjects
Details
- ISSN :
- 18735134
- Volume :
- 103
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Patient education and counseling
- Accession number :
- edsair.doi.dedup.....1fe40682b519f5988b70bcc8def0a0ec