Related Experiment Video
Updated: Mar 6, 2026

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
Published on: July 26, 2024
[A model for shared decision-making with frail older patients: consensus reached using Delphi technique]
M H J van de Pol1, C R M G Fluit, J Lagro
1*Dit onderzoek werd eerder gepubliceerd in Patient Education and Counselling (2016;99:1069-77) met als titel 'Expert and patient consensus on a dynamic model for shared decision-making in frail older patients'. Afgedrukt met toestemming.
Objective:
To develop a model for shared decision-making with frail older patients.
Design:
Online Delphi forum.
Method:
We used a three-round Delphi technique to reach consensus on the structure of a model for shared decision-making with older patients. The expert panel consisted of 16 patients (round 1), and 59 professionals (rounds 1-3). In round 1, the panel of experts was asked about important steps in the process of shared decision-making and the draft model was introduced. Rounds 2 and 3 were used to adapt the model and test it for 'importance' and 'feasibility'.
Results:
Consensus for the dynamic shared decision-making model as a whole was achieved for both importance (91% panel agreement) and feasibility (76% panel agreement).
Conclusion:
Shared decision-making with older patients is a dynamic process. It requires a continuous supportive dialogue between health care professional and patient.
Related Concept Videos
Ethical Dilemmas II
Drug Dosing: Geriatric Patients
Peripheral Artery Disease III: Interprofessional Care
Decision Making: P-value Method
First, a specific claim about the population parameter is proposed. The claim is based on the research question and is stated in a simple form. Further, an opposing statement to the claim is also stated. These statements can act as null and alternative hypotheses: a null hypothesis would be a neutral statement while the alternative hypothesis can...
Decision Making: Traditional Method
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
Pharmacodynamics in Geriatric Patients: Effects of Age

