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Option grids: shared decision making made easier

Elwyn, Glyn, Lloyd, Amy, Joseph-Williams, Natalie J., Cording, Emma, Thomson, Richard, Durand, Marie-Anne and Edwards, Adrian G. 2013. Option grids: shared decision making made easier. Patient Education and Counseling 90 (2) , pp. 207-212. 10.1016/j.pec.2012.06.036

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Abstract

Objective To describe the exploratory use of short decision support tools for patients, called Option Grids. Option Grids are summary tables, using one side of paper to enable rapid comparisons of options, using questions that patients frequently ask (FAQs) and designed for face-to-face clinical encounters. To date, most evidence about ‘patient decision aids’ has been based on tools with high content levels, designed for patients to use independently, either before or after visits. Methods We studied the use of Option Grids in a quality improvement project, collecting field notes and conducting interviews with clinical teams. Results In the ‘Making Good Decisions in Collaboration’ (MAGIC) program, clinicians found that using Option Grids made it easier to explain the existence of options and reported a ‘handover’ effect, where patient involvement in decision making was enhanced. Conclusion Option Grids made options more visible and clinicians found it easier to undertake shared decision making when these tools were available. Used in a collaborative way, they enhance patients’ confidence and voice, increasing their involvement in collaborative dialogs. Practice implications Further work to confirm these preliminary findings is required, to measure processes and to assess whether these tools have similar impact in other clinical settings.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Uncontrolled Keywords: Shared decision making, Communication skills, Patient involvement, Decision making, Patient centered care
Publisher: Elsevier
ISSN: 0738-3991
Last Modified: 13 Jan 2018 20:24
URI: http://orca.cf.ac.uk/id/eprint/41271

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