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Related Experiment Video

Updated: Jun 21, 2026

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
06:16

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

Developing a dyadic OPTION scale to measure perceptions of shared decision making.

Emma Melbourne1, Kate Sinclair, Marie-Anne Durand

  • 1Department of Primary Care and Public Health, Cardiff University, Cardiff CF14 4XN, United Kingdom.

Patient Education and Counseling
|August 4, 2009
PubMed
Summary
This summary is machine-generated.

A new scale, the dyadic OPTION scale, was developed to measure shared decision-making in clinical encounters from both patient and clinician perspectives. This tool is understandable and acceptable for research use.

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Area of Science:

  • Healthcare research
  • Clinical communication
  • Patient engagement

Background:

  • Assessing shared decision-making in clinical encounters is crucial for understanding patient-clinician interactions.
  • Existing measurement tools may not capture the interdependent nature of these dyadic encounters.
  • A validated instrument is needed to evaluate patient involvement from both perspectives.

Purpose of the Study:

  • To develop a measurement instrument assessing patient involvement in shared decision-making.
  • To capture the perspectives of both patients and clinicians regarding their involvement in clinical decisions.
  • To enable research into the interdependent nature of clinical encounters.

Main Methods:

  • Modification of the observer OPTION instrument into a dyadic version.
  • Drafting items in passive, first-person plural forms for the dyadic OPTION scale.
  • Conducting three rounds of cognitive debriefing interviews with patients and clinicians to refine the scale.

Main Results:

  • The observer OPTION instrument was successfully adapted into a dyadic version for use by patients and clinicians.
  • Cognitive debriefing identified five areas of interpretative difficulty, leading to item modifications.
  • The modified scale demonstrated potential for assessing shared decision-making from both viewpoints.

Conclusions:

  • The dyadic OPTION scale is comprehensible and acceptable to both clinicians and the public.
  • Cognitive debriefing successfully refined the scale, confirming understanding of core constructs like perceived involvement in decision-making.
  • Further validation is recommended before widespread research application of the dyadic OPTION scale.