Factors influencing decision-making role preferences: a qualitative study of Malaysian patients with type 2 diabetes during insulin initiation
Patient decision-making role preference (DMRP) is a patient's preferred degree of control when making medical decisions. This descriptive qualitative study aimed to explore Malaysian patients' views on their DMRP. Between January 2011 and March 2012, 22 individual face-to-face in-depth int...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley Publishing Asia
2015
|
| Online Access: | http://psasir.upm.edu.my/id/eprint/37642/1/Factors%20influencing%20decision-making%20role%20preferences%20a%20qualitative%20study%20of%20Malaysian%20patients%20with%20type%202%20diabetes%20during%20insulin%20initiation.pdf |
| _version_ | 1796973188313251840 |
|---|---|
| author | Lee, Yew Kong Low, Wah Yun Lee, Ping Yein Ng, Chirk Jenn |
| author_facet | Lee, Yew Kong Low, Wah Yun Lee, Ping Yein Ng, Chirk Jenn |
| author_sort | Lee, Yew Kong |
| collection | UPM |
| description | Patient decision-making role preference (DMRP) is a patient's preferred degree of control when making medical decisions. This descriptive qualitative study aimed to explore Malaysian patients' views on their DMRP. Between January 2011 and March 2012, 22 individual face-to-face in-depth interviews were conducted with patients with type 2 diabetes who were deciding about insulin initiation. The interviews were audio-recorded and analysed using a thematic approach. The age range of participants was 28–67 years old with 11 men. Ten patients preferred to make the decision themselves, six patients indicated that the clinician should make the decision and only one patient expressed a preference for a collaborative role. The following factors influenced DMRP: trust in clinicians, responsibility for diabetes care, level of knowledge and awareness, involvement of family and personal characteristics. In conclusion, the concept of shared decision-making is still alien, and a more participative communication style might help to facilitate patients' expression of DMRP. |
| first_indexed | 2024-03-06T08:38:57Z |
| format | Article |
| id | upm.eprints-37642 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-03-06T08:38:57Z |
| publishDate | 2015 |
| publisher | Wiley Publishing Asia |
| record_format | dspace |
| spelling | upm.eprints-376422015-12-16T08:47:00Z http://psasir.upm.edu.my/id/eprint/37642/ Factors influencing decision-making role preferences: a qualitative study of Malaysian patients with type 2 diabetes during insulin initiation Lee, Yew Kong Low, Wah Yun Lee, Ping Yein Ng, Chirk Jenn Patient decision-making role preference (DMRP) is a patient's preferred degree of control when making medical decisions. This descriptive qualitative study aimed to explore Malaysian patients' views on their DMRP. Between January 2011 and March 2012, 22 individual face-to-face in-depth interviews were conducted with patients with type 2 diabetes who were deciding about insulin initiation. The interviews were audio-recorded and analysed using a thematic approach. The age range of participants was 28–67 years old with 11 men. Ten patients preferred to make the decision themselves, six patients indicated that the clinician should make the decision and only one patient expressed a preference for a collaborative role. The following factors influenced DMRP: trust in clinicians, responsibility for diabetes care, level of knowledge and awareness, involvement of family and personal characteristics. In conclusion, the concept of shared decision-making is still alien, and a more participative communication style might help to facilitate patients' expression of DMRP. Wiley Publishing Asia 2015-05 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/37642/1/Factors%20influencing%20decision-making%20role%20preferences%20a%20qualitative%20study%20of%20Malaysian%20patients%20with%20type%202%20diabetes%20during%20insulin%20initiation.pdf Lee, Yew Kong and Low, Wah Yun and Lee, Ping Yein and Ng, Chirk Jenn (2015) Factors influencing decision-making role preferences: a qualitative study of Malaysian patients with type 2 diabetes during insulin initiation. International Journal of Nursing Practice, 21 (S2). pp. 125-131. ISSN 1322-7114; ESSN: 1440-172X http://onlinelibrary.wiley.com/doi/10.1111/ijn.12355/abstract 10.1111/ijn.12355 |
| spellingShingle | Lee, Yew Kong Low, Wah Yun Lee, Ping Yein Ng, Chirk Jenn Factors influencing decision-making role preferences: a qualitative study of Malaysian patients with type 2 diabetes during insulin initiation |
| title | Factors influencing decision-making role preferences: a qualitative study of Malaysian patients with type 2 diabetes during insulin initiation |
| title_full | Factors influencing decision-making role preferences: a qualitative study of Malaysian patients with type 2 diabetes during insulin initiation |
| title_fullStr | Factors influencing decision-making role preferences: a qualitative study of Malaysian patients with type 2 diabetes during insulin initiation |
| title_full_unstemmed | Factors influencing decision-making role preferences: a qualitative study of Malaysian patients with type 2 diabetes during insulin initiation |
| title_short | Factors influencing decision-making role preferences: a qualitative study of Malaysian patients with type 2 diabetes during insulin initiation |
| title_sort | factors influencing decision making role preferences a qualitative study of malaysian patients with type 2 diabetes during insulin initiation |
| url | http://psasir.upm.edu.my/id/eprint/37642/1/Factors%20influencing%20decision-making%20role%20preferences%20a%20qualitative%20study%20of%20Malaysian%20patients%20with%20type%202%20diabetes%20during%20insulin%20initiation.pdf |
| work_keys_str_mv | AT leeyewkong factorsinfluencingdecisionmakingrolepreferencesaqualitativestudyofmalaysianpatientswithtype2diabetesduringinsulininitiation AT lowwahyun factorsinfluencingdecisionmakingrolepreferencesaqualitativestudyofmalaysianpatientswithtype2diabetesduringinsulininitiation AT leepingyein factorsinfluencingdecisionmakingrolepreferencesaqualitativestudyofmalaysianpatientswithtype2diabetesduringinsulininitiation AT ngchirkjenn factorsinfluencingdecisionmakingrolepreferencesaqualitativestudyofmalaysianpatientswithtype2diabetesduringinsulininitiation |