Peering into the black box: a meta-analysis of how clinicians use decision aids during clinical encounters.

ABSTRACT:

Objective

To quantify the extent to which clinicians use clinically-efficacious decision aids as intended during implementation in practice and how fidelity to usage instructions correlates with shared decision making (SDM) outcomes.

Methods

Participant-level meta-analysis including six practice-based randomized controlled trials of SDM in various clinical settings encompassing a range of decisions.

Results

Of 339 encounters in the SDM intervention arm of the trials, 229 were video recorded and available for analysis. The mean proportion of fidelity items observed in each encounter was 58.4% (SD = 23.2). The proportion of fidelity items observed was significantly associated with patient knowledge (p = 0.01) and clinician involvement of the patient in decision making (

SUBMITTER: Wyatt KD 

PROVIDER: S-EPMC3936841 | biostudies-literature | 2014 Feb

REPOSITORIES: biostudies-literature