Do Shared Decision-Making Measures Reflect Key Elements of Shared Decision Making? A Content Review of Coding Schemes. (October 2019)

• Record Type: Journal Article
• Authors: Kunneman, Marleen; Henselmans, Inge; Gärtner, Fania R.; Bomhof-Roordink, Hanna; Pieterse, Arwen H.
• Is Part Of: Medical decision making. Volume 39:Number 7(2019)
• Page Start: 886
• Page End: 893
• Publication Date: 2019-10
• Subjects: content analysis -- measurement -- patient involvement -- shared decision making; Medical policy -- Periodicals; Clinical medicine -- Decision making -- Periodicals; Medicine -- Periodicals; Médecine clinique -- Prise de décision -- Périodiques; 362.1
• DOI: 10.1177/0272989X19874347
• Languages: English
• ISSNs: 0272-989X

Abstract

Background . There is a growing need for valid shared decision-making (SDM) measures. We aimed to determine whether the items of extant SDM observer-based coding schemes assess the 4 key elements of SDM.Methods . Items of SDM coding schemes were extracted and categorized. Except for the 4 key elements of SDM (fostering choice awareness, informing about options, discussing patient preferences, and making a decision), (sub)categories were created inductively. Two researchers categorized items independently and in duplicate.Results . Five of 12 coding schemes assessed all 4 SDM elements. Seven schemes did not measure "fostering choice awareness, " and 3 did not measure "discussing patient preferences." Seventy of 194 items (36%) could not be classified into one of the key SDM elements. Items assessing key SDM elements most often assessed "informing about options" ( n = 57/124, 46%).Conclusion . Extant SDM coding schemes often do not assess all key SDM elements and have a strong focus on information provision while other crucial elements of SDM are underrepresented. Caution is therefore needed in reporting and interpreting the resulting SDM scores.