Comparison of audio vs. audio + video for the rating of shared decision making in oncology using the observer OPTION5 instrument: an exploratory analysis

Abstract Background How non-verbal data may influence observer-administered ratings of shared decision making is unknown. Our objective for this exploratory analysis was to determine the effect of mode of data collection (audio+video vs. audio only) on the scoring of the OPTION5 instrument, an obser...

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Main Authors: Michael R. Gionfriddo, Megan E. Branda, Cara Fernandez, Aaron Leppin, Kathleen J. Yost, Brittany Kimball, Gabriela Spencer-Bonilla, Laura Larrea, Katherine E. Nowakowski, Victor M. Montori, Jon Tilburt
Format: Article
Language:English
Published: BMC 2018-07-01
Series:BMC Health Services Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12913-018-3329-x
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author Michael R. Gionfriddo
Megan E. Branda
Cara Fernandez
Aaron Leppin
Kathleen J. Yost
Brittany Kimball
Gabriela Spencer-Bonilla
Laura Larrea
Katherine E. Nowakowski
Victor M. Montori
Jon Tilburt
author_facet Michael R. Gionfriddo
Megan E. Branda
Cara Fernandez
Aaron Leppin
Kathleen J. Yost
Brittany Kimball
Gabriela Spencer-Bonilla
Laura Larrea
Katherine E. Nowakowski
Victor M. Montori
Jon Tilburt
author_sort Michael R. Gionfriddo
collection DOAJ
description Abstract Background How non-verbal data may influence observer-administered ratings of shared decision making is unknown. Our objective for this exploratory analysis was to determine the effect of mode of data collection (audio+video vs. audio only) on the scoring of the OPTION5 instrument, an observer rated measure of shared decision making. Methods We analyzed recordings of 15 encounters between cancer patients and clinicians in which a clinical decision was made. Audio+video or audio only recordings of the encounters were randomly assigned to four trained raters, who reviewed them independently. We compared the adjusted mean scores of audio+video and audio only. Results Forty-one unique decisions were identified within the 15 encounters. The mean OPTION5 score for audio+video was 17.5 (95% CI 13.5, 21.6) and for audio only was 21.8 (95% CI 17.2, 26.4) with a mean difference of 4.28 (95% CI = 0.36, 8.21; p = 0.032). Conclusion A rigorous and well established measure of shared decision making performs differently when the data source is audio only. Data source may influence rating of observer administered measures of shared decision making. This potential bias needs to be confirmed as video recording to examine communication behaviors becomes more common.
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spelling doaj.art-467fb1d870c147d09bb2c3be23e3a92a2022-12-21T17:16:50ZengBMCBMC Health Services Research1472-69632018-07-011811610.1186/s12913-018-3329-xComparison of audio vs. audio + video for the rating of shared decision making in oncology using the observer OPTION5 instrument: an exploratory analysisMichael R. Gionfriddo0Megan E. Branda1Cara Fernandez2Aaron Leppin3Kathleen J. Yost4Brittany Kimball5Gabriela Spencer-Bonilla6Laura Larrea7Katherine E. Nowakowski8Victor M. Montori9Jon Tilburt10Knowledge and Evaluation Research Unit, Mayo ClinicKnowledge and Evaluation Research Unit, Mayo ClinicKnowledge and Evaluation Research Unit, Mayo ClinicKnowledge and Evaluation Research Unit, Mayo ClinicRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo ClinicMayo Clinic School of Medicine, Mayo ClinicKnowledge and Evaluation Research Unit, Mayo ClinicKnowledge and Evaluation Research Unit, Mayo ClinicStritch School of Medicine, Loyola University, 2160 South First AvenueKnowledge and Evaluation Research Unit, Mayo ClinicRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo ClinicAbstract Background How non-verbal data may influence observer-administered ratings of shared decision making is unknown. Our objective for this exploratory analysis was to determine the effect of mode of data collection (audio+video vs. audio only) on the scoring of the OPTION5 instrument, an observer rated measure of shared decision making. Methods We analyzed recordings of 15 encounters between cancer patients and clinicians in which a clinical decision was made. Audio+video or audio only recordings of the encounters were randomly assigned to four trained raters, who reviewed them independently. We compared the adjusted mean scores of audio+video and audio only. Results Forty-one unique decisions were identified within the 15 encounters. The mean OPTION5 score for audio+video was 17.5 (95% CI 13.5, 21.6) and for audio only was 21.8 (95% CI 17.2, 26.4) with a mean difference of 4.28 (95% CI = 0.36, 8.21; p = 0.032). Conclusion A rigorous and well established measure of shared decision making performs differently when the data source is audio only. Data source may influence rating of observer administered measures of shared decision making. This potential bias needs to be confirmed as video recording to examine communication behaviors becomes more common.http://link.springer.com/article/10.1186/s12913-018-3329-xShared decision makingOPTIONRecordingAssessmentCommunicationCancer
spellingShingle Michael R. Gionfriddo
Megan E. Branda
Cara Fernandez
Aaron Leppin
Kathleen J. Yost
Brittany Kimball
Gabriela Spencer-Bonilla
Laura Larrea
Katherine E. Nowakowski
Victor M. Montori
Jon Tilburt
Comparison of audio vs. audio + video for the rating of shared decision making in oncology using the observer OPTION5 instrument: an exploratory analysis
BMC Health Services Research
Shared decision making
OPTION
Recording
Assessment
Communication
Cancer
title Comparison of audio vs. audio + video for the rating of shared decision making in oncology using the observer OPTION5 instrument: an exploratory analysis
title_full Comparison of audio vs. audio + video for the rating of shared decision making in oncology using the observer OPTION5 instrument: an exploratory analysis
title_fullStr Comparison of audio vs. audio + video for the rating of shared decision making in oncology using the observer OPTION5 instrument: an exploratory analysis
title_full_unstemmed Comparison of audio vs. audio + video for the rating of shared decision making in oncology using the observer OPTION5 instrument: an exploratory analysis
title_short Comparison of audio vs. audio + video for the rating of shared decision making in oncology using the observer OPTION5 instrument: an exploratory analysis
title_sort comparison of audio vs audio video for the rating of shared decision making in oncology using the observer option5 instrument an exploratory analysis
topic Shared decision making
OPTION
Recording
Assessment
Communication
Cancer
url http://link.springer.com/article/10.1186/s12913-018-3329-x
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