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Surgical Management of Meatal Stenosis with Meatoplasty
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Using Option Grids: steps toward shared decision-making for neonatal circumcision.

Mary Fay1, Stuart W Grande2, Kyla Donnelly2

  • 1Dartmouth Hitchcock Medical Center, Lebanon, USA; Geisel School of Medicine at Dartmouth, Dartmouth College, Hanover, USA.

Patient Education and Counseling
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Summary
This summary is machine-generated.

Option Grids significantly improved shared decision-making between clinicians and parents. This tool enhances parental engagement and clinician communication, showing potential for practice change.

Keywords:
CircumcisionCommunicationEncounter toolsInformed consentPatient decision aidsPatient engagementShared decision-making

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Area of Science:

  • Medical Communication
  • Clinical Decision-Making
  • Patient Engagement

Background:

  • Shared decision-making (SDM) is crucial for patient-centered care.
  • Parental engagement in clinical decisions impacts health outcomes.
  • Current tools may not fully support effective SDM.

Purpose of the Study:

  • To evaluate the impact of Option Grids on SDM.
  • To assess the acceptability and feasibility of Option Grids in clinical practice.
  • To enhance parental engagement through improved communication.

Main Methods:

  • Analysis of video-recorded clinical encounters before and after intervention.
  • Utilized observer-based measure for shared decision-making (OPTION(5) scores).
  • Conducted semi-structured interviews with clinicians post-intervention.

Main Results:

  • Post-intervention OPTION(5) scores significantly increased (mean 33.9 vs. 16.1).
  • Option Grids facilitated shared decision-making and conferred agency to parents and clinicians.
  • Clinicians reported positive effects on communication processes.

Conclusions:

  • Option Grids enhance clinicians' ability to achieve shared decision-making.
  • Encounter tools like Option Grids show potential to transform clinical practice.
  • Further research is needed to confirm feasibility in routine settings.