Goal-Based Shared Decision-Making: Developing an Integrated Model. (October 2020)

• Record Type: Journal Article
• Authors: Elwyn, Glyn; Vermunt, Neeltje Petronella Catharina Anna
• Is Part Of: Journal of patient experience. Volume 7:Number 5(2020)
• Page Start: 688
• Page End: 696
• Publication Date: 2020-10
• Subjects: goal setting -- goal prioritization -- shared decision-making -- communication model -- comorbidity; Patient satisfaction -- Periodicals; Patient satisfaction -- United States -- Periodicals; Patient participation -- Periodicals; Patient participation -- United States -- Periodicals; Patient satisfaction; Patient participation; United States; 362.1068
• DOI: 10.1177/2374373519878604
• Languages: English
• ISSNs: 2374-3735

Abstract

Objective: Definitions of shared decision-making (SDM) have largely neglected to consider goal setting as an explicit component. Applying SDM to people with multiple long-term conditions requires attention to goal setting. We propose an integrated model, which shows how goal setting, at 3 levels, can be integrated into the 3-talk SDM model. Method: The model was developed by integrating 2 published models. Results: An integrated, goal-based SDM model is proposed and applied to a patient with multiple, complex, long-term clinical conditions to illustrate the use of a visualization tool called a Goal Board. A Goal Board prioritizes collaborative goals and aligns goals with interventional options. Conclusion: The model provides an approach to achieve person-centered decision-making by not only eliciting and prioritizing goals but also by aligning prioritized goals and interventions. Practice Implications: Further research is required to evaluate the utility of the proposed model.