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Decision making and coping in healthcare: the Coping in Deliberation (CODE) framework.
Jana Witt1, Glyn Elwyn, Fiona Wood
1Institute of Primary Care and Public Health, Cardiff University, UK. wittj1@cf.ac.uk
Patient Education and Counseling
|April 3, 2012
Summary
Patients making preference-sensitive healthcare decisions navigate a complex process of appraisal and coping. This study develops a framework to understand these intertwined decision-making and coping mechanisms.
Area of Science:
- Healthcare Decision Making
- Health Psychology
- Behavioral Medicine
Background:
- Preference-sensitive healthcare decisions involve complex patient choices.
- Existing theories of decision-making and coping offer partial insights.
- Integrating these theories is crucial for understanding patient experiences.
Purpose of the Study:
- To develop a theoretical framework for decision-making and coping in healthcare.
- To describe the processes of appraisal and coping during preference-sensitive decisions.
- To provide a patient-centered perspective on healthcare choices.
Main Methods:
- Literature review of decision-making and coping theories.
- Identification of applicable theories for preference-sensitive healthcare decisions.
- Integration of decision-making and coping concepts into a unified framework.
Main Results:
- Healthcare deliberation is a six-step process: threat, choice, options, preference construction, decision, and post-decision consolidation.
- Coping involves threat appraisal, primary and secondary appraisal, and coping efforts.
- A multidimensional, interactive framework integrating decision-making and coping is proposed.
Conclusions:
- The proposed framework integrates decision-making and coping in healthcare deliberation.
- It offers insights into the complexity of patient decision-making in preference-sensitive contexts.
- The framework can serve as a theoretical basis for developing decision support tools.
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