The Dartmouth Institute for Health Policy and Clinical Practice, Williamson Translational Research Building, 1 Medical Center Drive, Lebanon, NH 03756, USA.
The Dartmouth Institute for Health Policy and Clinical Practice, Williamson Translational Research Building, 1 Medical Center Drive, Lebanon, NH 03756, USA.
Patient Educ Couns. 2021 Sep;104(9):2327-2337. doi: 10.1016/j.pec.2021.02.040. Epub 2021 Feb 25.
To develop 'incorpoRATE', a brief and broadly applicable measure of physicians' willingness to incorporate shared decision making (SDM) into practice.
incorpoRATE was developed across three phases: 1) A review of relevant literature to inform candidate domain and item development, 2) Cognitive interviews with US physicians to iteratively refine the measure, and 3) Pilot testing of the measure across a larger sample of US physicians to explore item and measure performance.
The final measure consists of seven items that assess physician perspectives on various components of SDM use that may present as barriers in practice. During pilot testing, the majority of physicians expressed positive opinions about the overall concept of SDM, yet were less comfortable acting on informed patient choices when there was known incongruence with their own recommendations.
incorpoRATE is a novel physician-reported measure that assesses physicians' willingness to incorporate SDM in practice.
incorpoRATE has the potential to help us further understand the limited adoption of SDM and areas of focus for improving the use of SDM in the future. We recommend that incorpoRATE be subject to further psychometric, real-world testing, in order to explore its performance across different samples of physicians and organizations.
开发“incorpoRATE”，这是一种简短且广泛适用于衡量医生将共同决策（SDM）纳入实践意愿的工具。
incorpoRATE 的开发分为三个阶段：1）对相关文献进行回顾，为候选领域和项目开发提供信息；2）对美国医生进行认知访谈，以迭代改进该工具；3）在更大的美国医生样本中对该工具进行试点测试，以探索项目和工具的性能。
最终的工具由七个项目组成，评估医生对 SDM 使用的各个方面的看法，这些看法可能是实践中的障碍。在试点测试期间，大多数医生对 SDM 的总体概念表示了积极的看法，但当他们的建议与患者的知情选择不一致时，他们对采取行动就不太自在。
incorpoRATE 是一种新颖的医生报告工具，用于评估医生在实践中整合 SDM 的意愿。
incorpoRATE 有可能帮助我们进一步了解 SDM 的采用有限的情况，以及未来改善 SDM 使用的重点领域。我们建议对 incorpoRATE 进行进一步的心理测量学、真实世界的测试，以探索其在不同医生和组织样本中的表现。
