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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Shared decision making between registrars and patients--web based decision aids.

Jill Thistlethwaite1, Clare Heal, Rod Nan Tie

  • 1Faculty of Medicine, University of Sydney, New South Wales, Australia. jthistle@med.usyd.edu.au

Australian Family Physician
|August 7, 2007
PubMed
Summary

General practice registrars found shared decision-making valuable but needed more training. While web-based decision aids (DAs) showed potential, registrars preferred them as educational tools rather than interactive aids.

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Area of Science:

  • Medical Education
  • General Practice
  • Health Informatics

Background:

  • Patient involvement in medical decisions is often suboptimal, potentially due to insufficient training for healthcare providers.
  • General practice registrars' skills in shared decision-making (SDM) require enhancement.

Purpose of the Study:

  • To explore the feasibility of using web-based decision aids (DAs) to improve general practice registrars' SDM skills.
  • To assess registrars' attitudes towards SDM and their experiences with DAs.

Main Methods:

  • Qualitative interviews were conducted with registrars before and after an educational intervention.
  • Registrars were encouraged to implement SDM using DAs in consultations.
  • Post-intervention interviews explored their experiences and perceived barriers.

Main Results:

  • Registrars held positive views on SDM but recognized a need for further training.
  • Opinions on DAs were mixed, with several barriers to their use identified.
  • Registrars valued the learning from the project but preferred DAs as educational resources over interactive tools.

Conclusions:

  • While registrars appreciate SDM, effective implementation requires more comprehensive training.
  • Web-based DAs may serve as valuable educational resources for improving SDM skills, though their interactive use presents challenges.