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Ready for SDM- evaluation of an interprofessional training module in shared decision making - A cluster randomized trial.

Authors :
Kienlin, Simone
Stacey, Dawn
Nytrøen, Kari
Grafe, Alexander
Kasper, Jürgen
Source :
Patient Education & Counseling. Jul2022, Vol. 105 Issue 7, p2307-2314. 8p.
Publication Year :
2022

Abstract

<bold>Objective: </bold>Ready for SDM was developed in Norway as a comprehensive modularized curriculum for health care providers (HCP). The current study evaluated the efficacy of one of the modules, a 2-hour interprofessional SDM training designed to enhance SDM competencies.<bold>Methods: </bold>A cluster randomized controlled trial was conducted with eight District Psychiatric Centres randomized to wait-list control (CG) or intervention group (IG). Participants and trainers were not blinded to their allocation. The IG received a 2-hour didactic and interactive training, using video examples. The primary outcome was the agreement between the participants' and an expert assessment of patient involvement in a video recorded consultation. The SDM-knowledge score was a secondary outcome.<bold>Results: </bold>Compared to the CG (n = 65), the IG (n = 69) judged involvement behavior in a communication example more accurately (mean difference of weighted T, adjusted for age and gender:=-0.098, p = 0.028) and demonstrated better knowledge (mean difference=-0.58; p = 0.014). A sensitivity analysis entering a random effect for cluster turned out not significant.<bold>Conclusion: </bold>The interprofessional group training can improve HCPs' SDM-competencies.<bold>Practice Implications: </bold>Addressing interprofessional teams using SDM communication training could supplement existing SDM training approaches. More research is needed to evaluate the training module's effects as a component of large-scale implementation of SDM. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
07383991
Volume :
105
Issue :
7
Database :
Academic Search Index
Journal :
Patient Education & Counseling
Publication Type :
Academic Journal
Accession number :
157387641
Full Text :
https://doi.org/10.1016/j.pec.2022.03.013