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EXACKTE(2): exploiting the clinical consultation as a knowledge transfer and exchange environment: a study protocol.
France Légaré1, Moira Stewart, Dominick Frosch
1Research Center of the Centre Hospitalier Universitaire de Québec, Québec, Canada. france.legare@mfa.ulaval.ca
Implementation Science : IS
|March 17, 2009
Summary
This study introduces the EXACKTE(2) model to explore physician-patient influence during clinical decision-making, enhancing knowledge translation and exchange (KTE) through a relationship-centered approach.
Area of Science:
- Healthcare Research
- Clinical Communication
- Knowledge Translation and Exchange (KTE)
Background:
- Current knowledge translation and exchange (KTE) research lacks understanding of physician-patient influence dynamics during clinical decision-making.
- A novel relationship-centered model, EXACKTE(2) (EXploiting the clinicAl Consultation as a Knowledge Transfer and Exchange Environment), is proposed to address this gap.
Purpose of the Study:
- To assess the mutual influence between patients and physicians within clinical consultations.
- To evaluate the effectiveness of the EXACKTE(2) model in understanding shared decision-making (SDM) processes.
Main Methods:
- A cross-sectional study involving 300 patient-physician pairs from primary care networks.
- Audio-recorded consultations, transcribed and analyzed using questionnaires based on the EXACKTE(2) model and SDM principles.
- Post-consultation questionnaires for patients and physicians assessing key decision-making elements, followed by patient follow-up on decisional regret and quality of life.
Main Results:
- The study will compare patient and physician perspectives on key decision-making concepts within the EXACKTE(2) framework.
- Analysis will reveal the extent of mutual influence between patients and physicians during consultations.
Conclusions:
- The EXACKTE(2) model offers a new paradigm for KTE by focusing on the relationship process in decision-making.
- This research has the potential to uncover mechanisms for more effective KTE strategies in clinical settings.
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