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Decision aids to prepare patients for shared decision making: Two randomized controlled experiments on the impact of awareness of preference‐sensitivity and personal motives
- Source :
- Health Expectations, Vol 24, Iss 2, Pp 257-268 (2021), Health Expectations : An International Journal of Public Participation in Health Care and Health Policy
- Publication Year :
- 2021
- Publisher :
- Wiley, 2021.
-
Abstract
- Objective To participate in shared decision making (SDM), patients need to understand their options and develop trust in their own decision-making abilities. Two experiments investigated the potential of decision aids (DAs) in preparing patients for SDM by raising awareness of preference-sensitivity (Study 1) and showing possible personal motives for decision making (Study 2) in addition to providing information about the treatment options. Methods Participants (Study 1: N = 117; Study 2: N = 217) were put into two scenarios (Study 1: cruciate ligament rupture; Study 2: contraception), watched a consultation video and were randomized into one of three groups where they received additional information in the form of (a) narrative patient testimonials; (b) non-narrative decision strategies; and (c) an unrelated text (control group). Results Participants who viewed the patient testimonials or decision strategies felt better prepared for a decision (Study 1: P η P 2 = 0.43; Study 2: P η P 2 = 0.57) and evaluated the decision-making process more positively (Study 2: P η P 2 = 0.13) than participants in the control condition. Decision certainty (Study 1: P η P 2 = 0.05) and satisfaction (Study 1: P η P 2 = 0.11; Study 2: P = .003, d = 0.29) were higher across all conditions after watching the consultation video, and certainty and satisfaction were lower in the control condition (Study 2: P η P 2 = 0.05). Discussion Decision aids that explain preference-sensitivity and personal motives can be beneficial for improving people's feelings of being prepared and their perception of the decision-making process. To reach decision certainty and satisfaction, being well informed of one's options is particularly relevant. We discuss the implications of our findings for future research and the design of DAs.
- Subjects :
- Medicine (General)
media_common.quotation_subject
Decision Making
Applied psychology
Control (management)
Decision Support Techniques
03 medical and health sciences
R5-920
0302 clinical medicine
Perception
patient experiences
personal motives
Decision aids
Humans
Narrative
030212 general & internal medicine
Shared decision making
media_common
Motivation
030503 health policy & services
Public Health, Environmental and Occupational Health
Treatment options
preference‐sensitivity
Certainty
Preference
Original Research Paper
Feeling
decision aids
Patient Participation
Public aspects of medicine
RA1-1270
0305 other medical science
Psychology
Decision Making, Shared
Original Research Papers
Subjects
Details
- ISSN :
- 13697625 and 13696513
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- Health Expectations
- Accession number :
- edsair.doi.dedup.....914f75c06dfcd313e160fc6362b531f9