Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Shared decision making: developing the OPTION scale for measuring patient involvement.

G Elwyn1, A Edwards, M Wensing

  • 1Department of Primary Care, University of Wales Swansea Clinical School, Swansea SA2 8PP, UK. g.elwyn@swansea.ac.uk

Quality & Safety in Health Care
|April 8, 2003
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Associations between maternal child maltreatment predict their child's health service use? Results from the I-CALM study.

Child abuse & neglect·2026
Same author

Evaluation of the UK's COVID-19 public health policy "Shielding: Results of a linked data matched cohort study.

Public health·2025
Same author

OSAIRIS: Lessons Learned From the Hospital-Based Implementation and Evaluation of an Open-Source Deep-Learning Model for Radiotherapy Image Segmentation.

Clinical oncology (Royal College of Radiologists (Great Britain))·2024
Same author

The accuracy of prehospital triage decisions in English trauma networks - a case-cohort study.

Scandinavian journal of trauma, resuscitation and emergency medicine·2024
Same author

Is a randomised controlled trial of take home naloxone distributed in emergency settings likely to be feasible and acceptable? Findings from a UK qualitative study exploring perspectives of people who use opioids and emergency services staff.

BMC emergency medicine·2024
Same author

Longitudinal data resource from the Wellbeing of Older People cohort of people aged >50 years in Uganda and South Africa from 2009 to 2019.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2023
Same journal

Organisational culture: variation across hospitals and connection to patient safety climate.

Quality & safety in health care·2010
Same journal

The Rhode Island ICU collaborative: a model for reducing central line-associated bloodstream infection and ventilator-associated pneumonia statewide.

Quality & safety in health care·2010
Same journal

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

Quality & safety in health care·2010
Same journal

The WHO patient safety curriculum guide for medical schools.

Quality & safety in health care·2010
Same journal

Preventing ethics conflicts and improving healthcare quality through system redesign.

Quality & safety in health care·2010
Same journal

Improvement leaders: what do they and should they do? A summary of a review of research.

Quality & safety in health care·2010
See all related articles

A new scale, the OPTION (observing patient involvement) scale, reliably measures how much healthcare providers involve patients in decision-making during consultations. This validated tool is crucial for future research on patient participation in healthcare.

Area of Science:

  • Healthcare Research
  • Clinical Communication
  • Patient Engagement

Background:

  • No existing measures assess healthcare professional involvement of patients in clinical decision-making.
  • Growing interest in the impact of patient participation on healthcare outcomes.

Purpose of the Study:

  • To develop and validate a new instrument, the OPTION scale, for assessing patient involvement in decision-making.
  • To evaluate the psychometric properties, including validity and reliability, of the OPTION scale.

Main Methods:

  • The OPTION scale was developed using literature reviews and qualitative studies with patients and practitioners.
  • 186 audiotaped primary care consultations from 21 UK general practitioners were assessed by two independent raters.
  • Psychometric evaluation included item response rates, Cronbach's alpha, inter-rater reliability (Cohen's kappa, ICC, generalizability theory), and construct validity testing.

Related Experiment Videos

Main Results:

  • The OPTION scale demonstrated good reliability and validity, with inter-rater ICC of 0.62 and Cronbach's alpha of 0.79.
  • Inter-rater agreement (kappa=0.71) and reliability coefficients (0.68 for inter-rater, 0.66 for intra-rater) exceeded acceptable thresholds.
  • Practitioners' mean scores for patient involvement were generally low, with some variation indicating differing communication styles.

Conclusions:

  • The OPTION scale is a validated outcome measure for assessing patient involvement in decision-making.
  • This tool is suitable for future empirical studies investigating patient participation in healthcare.
  • Enhancing patient involvement in decision-making is a critical aspect of quality healthcare.