The Dartmouth Center for Health Care Delivery Science, Dartmouth College, USA; Cochrane Institute for Primary Care and Public Health, Cardiff University, UK.
Patient Educ Couns. 2013 Nov;93(2):265-71. doi: 10.1016/j.pec.2013.08.005. Epub 2013 Aug 27.
To propose a revised Observer OPTION measure of shared decision making.
We analyzed published models to identify the core components of a parsimonious conceptual framework of shared decision making. By using this framework, we developed a revised measure combining data from an observational study of clinical practice in Canada with our experience of using Observer OPTION(12 Item).
Our conceptual framework for shared decision making composed of justifying deliberative work, followed by the steps of describing options, information exchange, preference elicitation, and preference integration. By excluding items in Observer OPTION(12 Item) that were seldom observed or not aligned to a robust construct, we propose Observer OPTION(5 Item).
Although widely used, Observer OPTION(12 Item) did not give sufficient attention to preference elicitation and integration, and included items that were not specific to a core construct of shared decision making. We attempted to remedy these shortcomings by proposing a shorter, more focused measure.
Observer OPTION(5 Item) requires evaluation; we hope that it will be useful as both a research tool and as a formative measure of clinical practice.
提出修订后的观察者 OPTION 共享决策测量工具。
我们分析了已发表的模型，以确定简洁的共享决策概念框架的核心组成部分。通过使用这个框架，我们结合了来自加拿大临床实践观察研究的数据和我们使用 Observer OPTION(12 项)的经验，开发了一个修订后的测量工具。
我们的共享决策概念框架由证明审议工作的合理性组成，然后是描述选项、信息交换、偏好 elicitation 和偏好整合的步骤。通过排除 Observer OPTION(12 项)中很少观察到或与稳健结构不一致的项目，我们提出了 Observer OPTION(5 项)。
尽管 Observer OPTION(12 项)被广泛使用，但它没有充分关注偏好 elicitation 和整合，并包含了与共享决策核心结构不相关的项目。我们试图通过提出一个更短、更集中的测量工具来弥补这些不足。
Observer OPTION(5 项)需要评估；我们希望它将作为研究工具和临床实践的形成性测量工具有用。
