Related Experiment Videos
[Measuring shared decision making].
Nadja Giersdorf1, Andreas Loh, Martin Härter
1Abteilung für Psychiatrie und Psychotherapie, Universitätsklinikum Freiburg, Freiburg. Nadja_Giersdorf@psyallg.ukl.uni-freiburg.de
Zeitschrift Fur Arztliche Fortbildung Und Qualitatssicherung
|April 27, 2004
Summary
German shared decision making instruments require improvement. Validation revealed issues with comprehensibility and specificity, necessitating further research and development of new tools for better clinical practice.
Area of Science:
- Health Services Research
- Clinical Practice Improvement
- Patient-Centered Care
Context:
- German Ministry of Health funding 10 projects since 2001 to implement shared decision making (SDM).
- Need for consensus on standardized instruments to measure SDM process and outcomes.
- Lack of validated SDM measurement tools in German-speaking countries.
Purpose:
- Translate and validate four international SDM questionnaires into German.
- Assess comprehensibility and semantic structure of translated instruments.
- Identify areas for improvement in existing SDM measurement tools.
Summary:
- Four international SDM questionnaires were translated and validated on 646 patients across 10 diseases.
- Patient interviews and expert analysis revealed issues with questionnaire comprehensibility and clinical decision reference points.
- Statistical results for two questionnaires differed from prior studies, indicating potential for enhancement.
Impact:
- Highlights the need for language- and healthcare-system-specific validation of SDM instruments.
- Identifies specific challenges in current SDM measurement tools.
- Informs future research focused on developing and validating improved SDM assessment instruments.