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Validating a conceptual model for an inter-professional approach to shared decision making: a mixed methods study.

France Légaré¹, Dawn Stacey, Susie Gagnon

¹Research Center of the Centre Hospitalier Universitaire de Québec, Québec, Canada. france.legare@mfa.ulaval.ca

Journal of Evaluation in Clinical Practice

|August 11, 2010

Summary

This summary is machine-generated.

Stakeholders validated a new inter-professional (IP) approach to shared decision making (SDM) model for primary care. The model, centered on the patient, requires further research for clinical practice implementation.

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Area of Science:

Healthcare delivery
Inter-professional collaboration
Shared decision making

Background:

Growing interest in inter-professional (IP) healthcare teams engaging patients in decision-making.
Need for a conceptual model for IP shared decision making (SDM) in primary care.

Purpose of the Study:

Develop a conceptual model for an IP approach to SDM in primary care.
Assess the validity of the developed IP-SDM model with stakeholders in Canada.

Main Methods:

Conducted 15 individual and 7 group interviews with 79 stakeholders.
Gathered stakeholder input on model revisions, implementation barriers/facilitators, and model appraisal.
Utilized thematic analysis of transcripts and descriptive analysis of questionnaires.

Main Results:

Stakeholders suggested centering the patient, including significant others, clarifying outcomes, emphasizing time, integrating levels, and recognizing environmental/emotional influences.
Identified barriers: time constraints, insufficient resources, power imbalances.
Facilitators included education, training, motivation, and mutual understanding of roles.
Model rated as clear, logical, testable, relevant, with good schematic representation.

Conclusions:

The new IP-SDM model for primary care was validated by stakeholders with minor suggested modifications.
Further research is recommended to evaluate the model's effectiveness in implementing SDM in IP clinical practice.