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Related Experiment Videos

Rochester Participatory Decision-Making Scale (RPAD): reliability and validity.

Cleveland G Shields1, Peter Franks, Kevin Fiscella

  • 1Department of Family Medicine, University of Rochester Medical Center, Rochester Center to Improve Communication in Health Care, Rochester, NY, USA. Cleveland_Shields@URMC.Rochester.edu

Annals of Family Medicine
|September 29, 2005
PubMed
Summary

The Rochester Participatory Decision-Making Scale (RPAD) reliably measures patient-physician collaboration. This objective tool shows promise for assessing shared decision-making in clinical practice.

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Area of Science:

  • Healthcare Communication
  • Medical Decision Making
  • Patient Engagement

Background:

  • Assessing patient-physician collaborative decision-making is crucial for effective healthcare.
  • Existing measures may not fully capture the nuances of shared decision-making.
  • Developing objective, reliable tools is essential for research and quality improvement.

Purpose of the Study:

  • To develop and validate the Rochester Participatory Decision-Making Scale (RPAD).
  • To create a reliable and valid objective measure of patient-physician collaborative decision-making.

Main Methods:

  • The RPAD was developed based on an informed decision-making model.
  • Audio recordings of 193 physician-patient encounters were coded using the RPAD.
  • Data were triangulated with the Measure of Patient-Centered Communication (MPCC) and patient surveys.

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Main Results:

  • The RPAD demonstrated reliable coding (ICC = 0.72).
  • RPAD scores correlated significantly with related constructs and standardized patient perceptions.
  • RPAD explained more variance in standardized patient perceptions than MPCC's Finding Common Ground.

Conclusions:

  • The RPAD is a promising objective measure for participatory decision-making.
  • The scale is reliable, valid, and easy to code.
  • RPAD can enhance the assessment of shared decision-making in clinical settings.