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Efficacy of the doktormitSDM training module in supporting shared decision making - Results from a multicenter
Friedemann Geiger1, Katrin Liethmann2, Daniela Reitz3
1Department of Pediatrics, University Medical Center Schleswig-Holstein, Kiel, Germany; MSH Medical School Hamburg, Germany; Institute of Medical Psychology and Sociology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Objective:
Training to improve physicians' shared decision making (SDM) competencies with proven effectiveness and efficiency is rare. This study evaluated the brief in situ training module 'doktormitSDM'.
Methods:
In a multicenter RCT, each physician recorded four consultations, each of which included a diagnostic or treatment decision (N=152 consultations from seven medical specialties). The doktormitSDM training module included two video-based individual coaching sessions (15min) at the physicians' workplaces, supplemented by a manual and a video tutorial. Primary endpoint was the compound measure SDMmass (based on the MAPPIN'SDM system) which incorporates patient and observer perceptions of involvement and doctor-patient concordance on perceived involvement.
Results:
SDMmass increased significantly in the intervention group compared to the controls (effect size 0.58; p=0.05; t-test). This effect tended to persist at follow-up (effect size 0.63; p=0.06). Patients' perceived involvement increased accordingly (effect sizes 0.9/.58; p=0.01/.07).
Conclusion:
The doktormitSDM training module is effective and efficient at improving SDM competencies. This is the first SDM training to be evaluated with a compound measure simultaneously considering doctor, patient and observer ratings.
Practice Implications:
Owing to its very brief form and its reference to the doctors' own consultation videos, the doktormitSDM training module meets clinicians' needs and time constraints.
