Evaluation of a shared decision-making communication skills training for physicians treating patients with asthma: a mixed methods study using simulated patients
Abstract Background Shared decision-making (SDM) is a key principle in asthma management, but continues to be poorly implemented in routine care. This study aimed to evaluate the impact of a SDM communication skills training for physicians treating patients with asthma on the SDM behaviors of physic...
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doaj-3c356045f5b14788a4f08f8b7e9631322020-11-25T03:41:19ZengBMCBMC Health Services Research1472-69632019-08-0119111010.1186/s12913-019-4445-yEvaluation of a shared decision-making communication skills training for physicians treating patients with asthma: a mixed methods study using simulated patientsEvamaria Müller0Alice Diesing1Anke Rosahl2Isabelle Scholl3Martin Härter4Angela Buchholz5Department of Medical Psychology, University Medical Center Hamburg-EppendorfDepartment of Medical Psychology, University Medical Center Hamburg-EppendorfDepartment of Medical Psychology, University Medical Center Hamburg-EppendorfDepartment of Medical Psychology, University Medical Center Hamburg-EppendorfDepartment of Medical Psychology, University Medical Center Hamburg-EppendorfDepartment of Medical Psychology, University Medical Center Hamburg-EppendorfAbstract Background Shared decision-making (SDM) is a key principle in asthma management, but continues to be poorly implemented in routine care. This study aimed to evaluate the impact of a SDM communication skills training for physicians treating patients with asthma on the SDM behaviors of physicians, and to analyze physician views on the training. Methods A mixed methods study with a partially mixed sequential equal status design was conducted to evaluate a 12 h SDM communication skills training for physicians treating patients with asthma. It included a short introductory talk, videotaped consultations with simulated asthma patients, video analysis in small group sessions, individual feedback, short presentations, group discussions, and practical exercises. The quantitative evaluation phase consisted of a before (t0) after (t1) comparison of SDM performance using the observer-rated OPTION5, the physician questionnaire SDM-Q-Doc, and the patient questionnaire SDM-Q-9, using dependent t-tests. The qualitative evaluation phase (t2) consisted of a content analysis of audiotaped and transcribed interviews. Results Initially, 29 physicians participated in the study, 27 physicians provided quantitative data, and 22 physicians provided qualitative data for analysis. Quantitative results showed significantly improved performance in SDM following the training (t1) when compared with performance in SDM before the training (t0) (OPTION5: t (26) = − 5.16; p < 0.001) (SDM-Q-Doc: t (26) = − 4.39; p < 0.001) (SDM-Q-9: t (26) = − 5.86; p < 0.001). The qualitative evaluation showed that most physicians experienced a change in attitude and behavior after the training, and positively appraised the training program. Physicians considered simulated patient consultations, including feedback and video analysis, beneficial and suggested the future use of real patient consultations. Conclusion The SDM communication skills training for physicians treating patients with asthma has potential to improve SDM performance, but would benefit from using real patient consultations.http://link.springer.com/article/10.1186/s12913-019-4445-yPatient-centered carePhysician-patient relationsEducationPatient participationAdherence |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Evamaria Müller Alice Diesing Anke Rosahl Isabelle Scholl Martin Härter Angela Buchholz |
spellingShingle |
Evamaria Müller Alice Diesing Anke Rosahl Isabelle Scholl Martin Härter Angela Buchholz Evaluation of a shared decision-making communication skills training for physicians treating patients with asthma: a mixed methods study using simulated patients BMC Health Services Research Patient-centered care Physician-patient relations Education Patient participation Adherence |
author_facet |
Evamaria Müller Alice Diesing Anke Rosahl Isabelle Scholl Martin Härter Angela Buchholz |
author_sort |
Evamaria Müller |
title |
Evaluation of a shared decision-making communication skills training for physicians treating patients with asthma: a mixed methods study using simulated patients |
title_short |
Evaluation of a shared decision-making communication skills training for physicians treating patients with asthma: a mixed methods study using simulated patients |
title_full |
Evaluation of a shared decision-making communication skills training for physicians treating patients with asthma: a mixed methods study using simulated patients |
title_fullStr |
Evaluation of a shared decision-making communication skills training for physicians treating patients with asthma: a mixed methods study using simulated patients |
title_full_unstemmed |
Evaluation of a shared decision-making communication skills training for physicians treating patients with asthma: a mixed methods study using simulated patients |
title_sort |
evaluation of a shared decision-making communication skills training for physicians treating patients with asthma: a mixed methods study using simulated patients |
publisher |
BMC |
series |
BMC Health Services Research |
issn |
1472-6963 |
publishDate |
2019-08-01 |
description |
Abstract Background Shared decision-making (SDM) is a key principle in asthma management, but continues to be poorly implemented in routine care. This study aimed to evaluate the impact of a SDM communication skills training for physicians treating patients with asthma on the SDM behaviors of physicians, and to analyze physician views on the training. Methods A mixed methods study with a partially mixed sequential equal status design was conducted to evaluate a 12 h SDM communication skills training for physicians treating patients with asthma. It included a short introductory talk, videotaped consultations with simulated asthma patients, video analysis in small group sessions, individual feedback, short presentations, group discussions, and practical exercises. The quantitative evaluation phase consisted of a before (t0) after (t1) comparison of SDM performance using the observer-rated OPTION5, the physician questionnaire SDM-Q-Doc, and the patient questionnaire SDM-Q-9, using dependent t-tests. The qualitative evaluation phase (t2) consisted of a content analysis of audiotaped and transcribed interviews. Results Initially, 29 physicians participated in the study, 27 physicians provided quantitative data, and 22 physicians provided qualitative data for analysis. Quantitative results showed significantly improved performance in SDM following the training (t1) when compared with performance in SDM before the training (t0) (OPTION5: t (26) = − 5.16; p < 0.001) (SDM-Q-Doc: t (26) = − 4.39; p < 0.001) (SDM-Q-9: t (26) = − 5.86; p < 0.001). The qualitative evaluation showed that most physicians experienced a change in attitude and behavior after the training, and positively appraised the training program. Physicians considered simulated patient consultations, including feedback and video analysis, beneficial and suggested the future use of real patient consultations. Conclusion The SDM communication skills training for physicians treating patients with asthma has potential to improve SDM performance, but would benefit from using real patient consultations. |
topic |
Patient-centered care Physician-patient relations Education Patient participation Adherence |
url |
http://link.springer.com/article/10.1186/s12913-019-4445-y |
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