Decision aids to prepare patients for shared decision making: Two randomized controlled experiments on the impact of awareness of preference‐sensitivity and personal motives
Abstract Objective To participate in shared decision making (SDM), patients need to understand their options and develop trust in their own decision‐making abilities. Two experiments investigated the potential of decision aids (DAs) in preparing patients for SDM by raising awareness of preference‐se...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-04-01
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| Series: | Health Expectations |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/hex.13159 |
| _version_ | 1818726962444632064 |
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| author | Simone Korger Marie Eggeling Ulrike Cress Joachim Kimmerle Martina Bientzle |
| author_facet | Simone Korger Marie Eggeling Ulrike Cress Joachim Kimmerle Martina Bientzle |
| author_sort | Simone Korger |
| collection | DOAJ |
| description | Abstract Objective To participate in shared decision making (SDM), patients need to understand their options and develop trust in their own decision‐making abilities. Two experiments investigated the potential of decision aids (DAs) in preparing patients for SDM by raising awareness of preference‐sensitivity (Study 1) and showing possible personal motives for decision making (Study 2) in addition to providing information about the treatment options. Methods Participants (Study 1: N = 117; Study 2: N = 217) were put into two scenarios (Study 1: cruciate ligament rupture; Study 2: contraception), watched a consultation video and were randomized into one of three groups where they received additional information in the form of (a) narrative patient testimonials; (b) non‐narrative decision strategies; and (c) an unrelated text (control group). Results Participants who viewed the patient testimonials or decision strategies felt better prepared for a decision (Study 1: P < .001, ηP2 = 0.43; Study 2: P < .001, ηP2 = 0.57) and evaluated the decision‐making process more positively (Study 2: P < .001, ηP2 = 0.13) than participants in the control condition. Decision certainty (Study 1: P < .001, ηP2 = 0.05) and satisfaction (Study 1: P < .001, ηP2 = 0.11; Study 2: P = .003, d = 0.29) were higher across all conditions after watching the consultation video, and certainty and satisfaction were lower in the control condition (Study 2: P < .001, ηP2 = 0.05). Discussion Decision aids that explain preference‐sensitivity and personal motives can be beneficial for improving people's feelings of being prepared and their perception of the decision‐making process. To reach decision certainty and satisfaction, being well informed of one's options is particularly relevant. We discuss the implications of our findings for future research and the design of DAs. |
| first_indexed | 2024-12-17T22:06:32Z |
| format | Article |
| id | doaj.art-231024b900d34daaa7eb5fa94a30268a |
| institution | Directory Open Access Journal |
| issn | 1369-6513 1369-7625 |
| language | English |
| last_indexed | 2024-12-17T22:06:32Z |
| publishDate | 2021-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Expectations |
| spelling | doaj.art-231024b900d34daaa7eb5fa94a30268a2022-12-21T21:30:51ZengWileyHealth Expectations1369-65131369-76252021-04-0124225726810.1111/hex.13159Decision aids to prepare patients for shared decision making: Two randomized controlled experiments on the impact of awareness of preference‐sensitivity and personal motivesSimone Korger0Marie Eggeling1Ulrike Cress2Joachim Kimmerle3Martina Bientzle4Knowledge Construction Lab Leibniz‐Institut fuer Wissensmedien Tuebingen GermanyKnowledge Construction Lab Leibniz‐Institut fuer Wissensmedien Tuebingen GermanyKnowledge Construction Lab Leibniz‐Institut fuer Wissensmedien Tuebingen GermanyKnowledge Construction Lab Leibniz‐Institut fuer Wissensmedien Tuebingen GermanyKnowledge Construction Lab Leibniz‐Institut fuer Wissensmedien Tuebingen GermanyAbstract Objective To participate in shared decision making (SDM), patients need to understand their options and develop trust in their own decision‐making abilities. Two experiments investigated the potential of decision aids (DAs) in preparing patients for SDM by raising awareness of preference‐sensitivity (Study 1) and showing possible personal motives for decision making (Study 2) in addition to providing information about the treatment options. Methods Participants (Study 1: N = 117; Study 2: N = 217) were put into two scenarios (Study 1: cruciate ligament rupture; Study 2: contraception), watched a consultation video and were randomized into one of three groups where they received additional information in the form of (a) narrative patient testimonials; (b) non‐narrative decision strategies; and (c) an unrelated text (control group). Results Participants who viewed the patient testimonials or decision strategies felt better prepared for a decision (Study 1: P < .001, ηP2 = 0.43; Study 2: P < .001, ηP2 = 0.57) and evaluated the decision‐making process more positively (Study 2: P < .001, ηP2 = 0.13) than participants in the control condition. Decision certainty (Study 1: P < .001, ηP2 = 0.05) and satisfaction (Study 1: P < .001, ηP2 = 0.11; Study 2: P = .003, d = 0.29) were higher across all conditions after watching the consultation video, and certainty and satisfaction were lower in the control condition (Study 2: P < .001, ηP2 = 0.05). Discussion Decision aids that explain preference‐sensitivity and personal motives can be beneficial for improving people's feelings of being prepared and their perception of the decision‐making process. To reach decision certainty and satisfaction, being well informed of one's options is particularly relevant. We discuss the implications of our findings for future research and the design of DAs.https://doi.org/10.1111/hex.13159decision aidspatient experiencespersonal motivespreference‐sensitivityShared decision making |
| spellingShingle | Simone Korger Marie Eggeling Ulrike Cress Joachim Kimmerle Martina Bientzle Decision aids to prepare patients for shared decision making: Two randomized controlled experiments on the impact of awareness of preference‐sensitivity and personal motives Health Expectations decision aids patient experiences personal motives preference‐sensitivity Shared decision making |
| title | Decision aids to prepare patients for shared decision making: Two randomized controlled experiments on the impact of awareness of preference‐sensitivity and personal motives |
| title_full | Decision aids to prepare patients for shared decision making: Two randomized controlled experiments on the impact of awareness of preference‐sensitivity and personal motives |
| title_fullStr | Decision aids to prepare patients for shared decision making: Two randomized controlled experiments on the impact of awareness of preference‐sensitivity and personal motives |
| title_full_unstemmed | Decision aids to prepare patients for shared decision making: Two randomized controlled experiments on the impact of awareness of preference‐sensitivity and personal motives |
| title_short | Decision aids to prepare patients for shared decision making: Two randomized controlled experiments on the impact of awareness of preference‐sensitivity and personal motives |
| title_sort | decision aids to prepare patients for shared decision making two randomized controlled experiments on the impact of awareness of preference sensitivity and personal motives |
| topic | decision aids patient experiences personal motives preference‐sensitivity Shared decision making |
| url | https://doi.org/10.1111/hex.13159 |
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