Department of Pediatrics, The SHARE TO CARE project, University Hospital Schleswig-Holstein, Kiel, Germany; Institute of Medical Psychology and Medical Sociology, University Medical Center Schleswig-Holstein, Kiel, Germany; Department of Psychology, MSH Medical School Hamburg, Hamburg, Germany.
Department of Pediatrics, The SHARE TO CARE project, University Hospital Schleswig-Holstein, Kiel, Germany.
Patient Educ Couns. 2021 Jul;104(7):1568-1574. doi: 10.1016/j.pec.2020.11.033. Epub 2020 Nov 27.
Shared Decision Making (SDM) is considered the gold standard of medical decision making as it provides a method to systematically integrate the patient's preferences, evidence-based medicine and the experience of health care professionals. Therefore, evidence-based training methods for a broad implementation into healthcare are needed. A new online training was designed, based on the concept of flawed/flawless video examples and additional educational concepts.
In a single-blind randomized-controlled trial, medical students were randomly assigned to intervention group receiving the online training (n = 82) or waiting control group (n = 105). SDM-related knowledge and the ability to judge distinct levels of SDM were compared between both groups. Additionally, feedback regarding the intervention was collected.
SDM-related knowledge and judging ability increased significantly in the intervention group compared to controls (SDM knowledge: mean difference: 12 %; 95 % CI: 7.3-18.5; p < 0.001; SDM judging ability (inter-rater concordance displayed by weighted t): mean difference: 0.07; 95 %CI: 0.03-0.11; p = 0.001). Feedback was positive.
The online training with its distinctive methodology prove effective. As it shares the theoretical and didactical background with an already existing face-to-face training, both approaches may also be used complementarily.
SDM can be trained effectively and efficiently with this easily scalable online training.
共享决策制定（SDM）被认为是医疗决策的黄金标准，因为它提供了一种系统地整合患者偏好、循证医学和医疗保健专业人员经验的方法。因此，需要有基于证据的培训方法来广泛应用于医疗保健。本研究基于有缺陷/无缺陷视频范例的概念和其他教育概念，设计了一种新的在线培训。
在一项单盲随机对照试验中，将医学生随机分配到干预组（接受在线培训，n = 82）或等待对照组（n = 105）。比较两组之间与 SDM 相关的知识和判断 SDM 不同水平的能力。此外，还收集了关于干预的反馈。
与对照组相比，干预组的 SDM 相关知识和判断能力显著提高（SDM 知识：平均差异：12%；95%CI：7.3-18.5；p < 0.001；SDM 判断能力（加权 t 显示的观察者间一致性）：平均差异：0.07；95%CI：0.03-0.11；p = 0.001）。反馈是积极的。
该在线培训具有独特的方法，效果良好。由于它与已经存在的面对面培训具有相同的理论和教学背景，因此这两种方法也可以互补使用。
通过这种易于扩展的在线培训，可以有效地、高效地进行 SDM 培训。
