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Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations

OBJECTIVE: Increased parental involvement in the decision-making process when considering elective surgeries for their children, termed shared decision-making (SDM), may lead to positive outcomes. The objective of this study was to describe perceived and observed levels of SDM during pediatric otola...

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Autores principales: Evong, Yolanda, Chorney, Jill, Ungar, Gilanders, Hong, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6580583/
https://www.ncbi.nlm.nih.gov/pubmed/31208462
http://dx.doi.org/10.1186/s40463-019-0351-x
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author Evong, Yolanda
Chorney, Jill
Ungar, Gilanders
Hong, Paul
author_facet Evong, Yolanda
Chorney, Jill
Ungar, Gilanders
Hong, Paul
author_sort Evong, Yolanda
collection PubMed
description OBJECTIVE: Increased parental involvement in the decision-making process when considering elective surgeries for their children, termed shared decision-making (SDM), may lead to positive outcomes. The objective of this study was to describe perceived and observed levels of SDM during pediatric otolaryngology consultations. METHODS: One hundred and seventeen parents and their children undergoing elective surgical consultations were prospectively enrolled. The visits were videotaped and coded using the Observing Patient Involvement (OPTION) scale. Following the encounter, all participants completed a questionnaire that measured perceived levels of SDM (SDM-Q-9). Surgeons also completed a similar questionnaire (SDM-Q-Doc). Spearman’s correlation coefficient was determined to measure the associations between observed and perceived levels of SDM. RESULTS: The overall OPTION scores were low (median score of 14 out of 48) and not significantly correlated with perceived levels of SDM (SDM-Q-9, p = 0.415; SDM-Q-Doc, p = 0.236), surgery type (p = 0.197), or patient demographic factors. The OPTION scores were positively correlated with consultation length (p < 0.001). There was great variability in the level to which each OPTION items were observed during the consultation (not present in any visits to present in 96.6% of the visits). CONCLUSIONS: Observed levels of SDM were consistently low, but higher levels were observed when the surgeon spent more time during the consultation. Observed levels of SDM did not match perceived levels of SDM, which were consistently rated higher by both caregivers and surgeons.
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spelling pubmed-65805832019-06-24 Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations Evong, Yolanda Chorney, Jill Ungar, Gilanders Hong, Paul J Otolaryngol Head Neck Surg Original Research Article OBJECTIVE: Increased parental involvement in the decision-making process when considering elective surgeries for their children, termed shared decision-making (SDM), may lead to positive outcomes. The objective of this study was to describe perceived and observed levels of SDM during pediatric otolaryngology consultations. METHODS: One hundred and seventeen parents and their children undergoing elective surgical consultations were prospectively enrolled. The visits were videotaped and coded using the Observing Patient Involvement (OPTION) scale. Following the encounter, all participants completed a questionnaire that measured perceived levels of SDM (SDM-Q-9). Surgeons also completed a similar questionnaire (SDM-Q-Doc). Spearman’s correlation coefficient was determined to measure the associations between observed and perceived levels of SDM. RESULTS: The overall OPTION scores were low (median score of 14 out of 48) and not significantly correlated with perceived levels of SDM (SDM-Q-9, p = 0.415; SDM-Q-Doc, p = 0.236), surgery type (p = 0.197), or patient demographic factors. The OPTION scores were positively correlated with consultation length (p < 0.001). There was great variability in the level to which each OPTION items were observed during the consultation (not present in any visits to present in 96.6% of the visits). CONCLUSIONS: Observed levels of SDM were consistently low, but higher levels were observed when the surgeon spent more time during the consultation. Observed levels of SDM did not match perceived levels of SDM, which were consistently rated higher by both caregivers and surgeons. BioMed Central 2019-06-17 /pmc/articles/PMC6580583/ /pubmed/31208462 http://dx.doi.org/10.1186/s40463-019-0351-x Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Original Research Article
Evong, Yolanda
Chorney, Jill
Ungar, Gilanders
Hong, Paul
Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations
title Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations
title_full Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations
title_fullStr Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations
title_full_unstemmed Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations
title_short Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations
title_sort perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6580583/
https://www.ncbi.nlm.nih.gov/pubmed/31208462
http://dx.doi.org/10.1186/s40463-019-0351-x
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