Developing CollaboRATE: A fast and frugal patient-reported measure of shared decision making in clinical encounters

Elwyn, Glyn, Barr, Paul James, Grande, Stuart W., Thompson, Rachel, Walsh, Thom and Ozanne, Elissa M. (2013) Developing CollaboRATE: A fast and frugal patient-reported measure of shared decision making in clinical encounters. Patient Education and Counseling, 93 1: 102-107. doi:10.1016/j.pec.2013.05.009


Author Elwyn, Glyn
Barr, Paul James
Grande, Stuart W.
Thompson, Rachel
Walsh, Thom
Ozanne, Elissa M.
Title Developing CollaboRATE: A fast and frugal patient-reported measure of shared decision making in clinical encounters
Journal name Patient Education and Counseling   Check publisher's open access policy
ISSN 0738-3991
1873-5134
Publication date 2013-10-01
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.pec.2013.05.009
Volume 93
Issue 1
Start page 102
End page 107
Total pages 6
Place of publication Shannon, Co. Clare Ireland
Publisher Elsevier Ireland Ltd
Collection year 2014
Language eng
Formatted abstract
Objective: Measuring the process of shared decision making is a challenge, which constitutes a barrier to research and implementation. The aim of the study was to report the development of CollaboRATE, brief patient-reported measure of shared decision making.

Methods:
We used the following stages: (1) item formulation; (2) cognitive interviews; (3) item refinement; and (4) pilot testing of final items. Participants were over 18 years old, recruited from the public areas of the Dartmouth-Hitchcock Medical Center.

Results:
The key finding of this study is that developing a brief patient-reported measure of shared decision making requires a move away from terms such as 'decisions', 'options' and 'preferences'. Although technically correct, these terms act as barriers. They are often unfamiliar, and they also implicitly assume that patients are willing to take active roles in decision making; whereas patients are often unaware that decisions are required, or have taken place, never mind feel that they could or should have participated in them.

Conclusion:
These methods have allowed us to develop a brief, patient-reported measure of shared decision making that is highly accessible to intended users. Practice implications: The potential strength of the CollaboRATE will be the ability for completion in less than 30. s, and across a range of routine settings
Keyword Shared decision making
Measurement
Cognitive interviewing
Health Care Decisions
Option Scale
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Psychology Publications
 
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Created: Fri, 15 Nov 2013, 20:12:05 EST by Miss Rachel Thompson on behalf of School of Psychology