Yeates J W, Mullan S, Stone M, Main D C J
Department of Clinical Veterinary Science, University of Bristol, Bristol, UK.
J Small Anim Pract. 2011 Sep;52(9):459-63. doi: 10.1111/j.1748-5827.2011.01094.x.
The objective of this paper is to report the formulation and preliminary testing of a participatory tool in order to encourage discussions and decisions about dogs' quality-of-life.
A tool was designed in which owners rated aspects of their dog's quality-of-life. Two randomised controlled trials were conducted: one with a veterinary surgeon who was involved in the tool design, the second with other veterinary surgeons. In each, owners either were given the tool before a veterinary consultation or underwent normal consultations. After each consultation, owners were asked to report what they had discussed and what decisions they had made.
The study involved a total of 170 consultations, of which 91 were randomly allocated to the tool group and 79 into the control group. In both trials, using the tool was associated with a significant increase in the frequency of discussions. In the first trial, using the tool was also associated with an increase in the number of decisions made, but this was not found in the second trial with practitioners who were not involved in the trial design.
These data suggest that the use of a participatory tool has the potential to enhance the effectiveness of consultations, especially if the practitioner is familiar with the tool design.
本文旨在报告一种参与式工具的制定及初步测试情况，以促进关于犬类生活质量的讨论与决策。
设计了一种工具，让犬主对其犬的生活质量方面进行评分。进行了两项随机对照试验：一项试验的参与者是参与工具设计的兽医，另一项试验的参与者是其他兽医。在每项试验中，犬主要么在兽医咨询前获得该工具，要么接受常规咨询。每次咨询后，要求犬主报告他们讨论的内容以及做出的决策。
该研究共涉及170次咨询，其中91次被随机分配到工具组，79次被分配到对照组。在两项试验中，使用该工具均与讨论频率的显著增加相关。在第一项试验中，使用该工具还与做出的决策数量增加相关，但在第二项试验中，对于未参与试验设计的从业者而言，未发现这种情况。
这些数据表明，使用参与式工具有可能提高咨询的效果，特别是如果从业者熟悉工具设计的话。
