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EXACKTE(2): Exploiting the clinical consultation as a knowledge transfer and exchange environment: a study protocol

BACKGROUND: While the evidence suggests that the way physicians provide information to patients is crucial in helping patients decide upon a course of action, the field of knowledge translation and exchange (KTE) is silent about how the physician and the patient influence each other during clinical...

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Autores principales: Légaré, France, Stewart, Moira, Frosch, Dominick, Grimshaw, Jeremy, Labrecque, Michel, Magnan, Martine, Ouimet, Mathieu, Rousseau, Michel, Stacey, Dawn, van der Weijden, Trudy, Elwyn, Glyn
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2663542/
https://www.ncbi.nlm.nih.gov/pubmed/19284659
http://dx.doi.org/10.1186/1748-5908-4-14
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author Légaré, France
Stewart, Moira
Frosch, Dominick
Grimshaw, Jeremy
Labrecque, Michel
Magnan, Martine
Ouimet, Mathieu
Rousseau, Michel
Stacey, Dawn
van der Weijden, Trudy
Elwyn, Glyn
author_facet Légaré, France
Stewart, Moira
Frosch, Dominick
Grimshaw, Jeremy
Labrecque, Michel
Magnan, Martine
Ouimet, Mathieu
Rousseau, Michel
Stacey, Dawn
van der Weijden, Trudy
Elwyn, Glyn
author_sort Légaré, France
collection PubMed
description BACKGROUND: While the evidence suggests that the way physicians provide information to patients is crucial in helping patients decide upon a course of action, the field of knowledge translation and exchange (KTE) is silent about how the physician and the patient influence each other during clinical interactions and decision-making. Consequently, based on a novel relationship-centered model, EXACKTE(2 )(EXploiting the clinicAl Consultation as a Knowledge Transfer and Exchange Environment), this study proposes to assess how patients and physicians influence each other in consultations. METHODS: We will employ a cross-sectional study design involving 300 pairs of patients and family physicians from two primary care practice-based research networks. The consultation between patient and physician will be audio-taped and transcribed. Following the consultation, patients and physicians will complete a set of questionnaires based on the EXACKTE(2 )model. All questionnaires will be similar for patients and physicians. These questionnaires will assess the key concepts of our proposed model based on the essential elements of shared decision-making (SDM): definition and explanation of problem; presentation of options; discussion of pros and cons; clarification of patient values and preferences; discussion of patient ability and self-efficacy; presentation of doctor knowledge and recommendation; and checking and clarifying understanding. Patients will be contacted by phone two weeks later and asked to complete questionnaires on decisional regret and quality of life. The analysis will be conducted to compare the key concepts in the EXACKTE(2 )model between patients and physicians. It will also allow the assessment of how patients and physicians influence each other in consultations. DISCUSSION: Our proposed model, EXACKTE(2), is aimed at advancing the science of KTE based on a relationship process when decision-making has to take place. It fosters a new KTE paradigm by putting forward a relationship-centered perspective and has the potential to reveal unknown mechanisms that underline effective KTE in clinical contexts. This will result in better understanding of the mechanisms that may promote a new generation of knowledge transfer strategies.
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spelling pubmed-26635422009-04-01 EXACKTE(2): Exploiting the clinical consultation as a knowledge transfer and exchange environment: a study protocol Légaré, France Stewart, Moira Frosch, Dominick Grimshaw, Jeremy Labrecque, Michel Magnan, Martine Ouimet, Mathieu Rousseau, Michel Stacey, Dawn van der Weijden, Trudy Elwyn, Glyn Implement Sci Study Protocol BACKGROUND: While the evidence suggests that the way physicians provide information to patients is crucial in helping patients decide upon a course of action, the field of knowledge translation and exchange (KTE) is silent about how the physician and the patient influence each other during clinical interactions and decision-making. Consequently, based on a novel relationship-centered model, EXACKTE(2 )(EXploiting the clinicAl Consultation as a Knowledge Transfer and Exchange Environment), this study proposes to assess how patients and physicians influence each other in consultations. METHODS: We will employ a cross-sectional study design involving 300 pairs of patients and family physicians from two primary care practice-based research networks. The consultation between patient and physician will be audio-taped and transcribed. Following the consultation, patients and physicians will complete a set of questionnaires based on the EXACKTE(2 )model. All questionnaires will be similar for patients and physicians. These questionnaires will assess the key concepts of our proposed model based on the essential elements of shared decision-making (SDM): definition and explanation of problem; presentation of options; discussion of pros and cons; clarification of patient values and preferences; discussion of patient ability and self-efficacy; presentation of doctor knowledge and recommendation; and checking and clarifying understanding. Patients will be contacted by phone two weeks later and asked to complete questionnaires on decisional regret and quality of life. The analysis will be conducted to compare the key concepts in the EXACKTE(2 )model between patients and physicians. It will also allow the assessment of how patients and physicians influence each other in consultations. DISCUSSION: Our proposed model, EXACKTE(2), is aimed at advancing the science of KTE based on a relationship process when decision-making has to take place. It fosters a new KTE paradigm by putting forward a relationship-centered perspective and has the potential to reveal unknown mechanisms that underline effective KTE in clinical contexts. This will result in better understanding of the mechanisms that may promote a new generation of knowledge transfer strategies. BioMed Central 2009-03-13 /pmc/articles/PMC2663542/ /pubmed/19284659 http://dx.doi.org/10.1186/1748-5908-4-14 Text en Copyright © 2009 Légaré et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
Légaré, France
Stewart, Moira
Frosch, Dominick
Grimshaw, Jeremy
Labrecque, Michel
Magnan, Martine
Ouimet, Mathieu
Rousseau, Michel
Stacey, Dawn
van der Weijden, Trudy
Elwyn, Glyn
EXACKTE(2): Exploiting the clinical consultation as a knowledge transfer and exchange environment: a study protocol
title EXACKTE(2): Exploiting the clinical consultation as a knowledge transfer and exchange environment: a study protocol
title_full EXACKTE(2): Exploiting the clinical consultation as a knowledge transfer and exchange environment: a study protocol
title_fullStr EXACKTE(2): Exploiting the clinical consultation as a knowledge transfer and exchange environment: a study protocol
title_full_unstemmed EXACKTE(2): Exploiting the clinical consultation as a knowledge transfer and exchange environment: a study protocol
title_short EXACKTE(2): Exploiting the clinical consultation as a knowledge transfer and exchange environment: a study protocol
title_sort exackte(2): exploiting the clinical consultation as a knowledge transfer and exchange environment: a study protocol
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2663542/
https://www.ncbi.nlm.nih.gov/pubmed/19284659
http://dx.doi.org/10.1186/1748-5908-4-14
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