Development of an adjective-selection measure evaluating clinicians' attitudes towards using patient decision aids: The ADOPT measure.
Clinician attitudes
Measurement
Patient decision aids
Shared decision-making
Journal
Patient education and counseling
ISSN: 1873-5134
Titre abrégé: Patient Educ Couns
Pays: Ireland
ID NLM: 8406280
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
received:
02
08
2021
revised:
02
04
2022
accepted:
04
04
2022
pubmed:
3
5
2022
medline:
29
6
2022
entrez:
2
5
2022
Statut:
ppublish
Résumé
The implementation of shared decision-making and patient decision aids (PDAs) is impeded by clinicians' attitudes. To develop a measure of clinician attitude towards PDAs. To develop the ADOPT measure, we used four stages, culminating in measure responses by medically qualified clinicians, 25 from each of the following specialties: emergency medicine, family medicine, oncology, obstetrics and gynaecology, orthopaedics, and psychiatry. To assess validity, we also posed three questions to assess the participants' attitudinal and behavioural endorsement of PDAs. Allocating a point per adjective, we calculated the sum as well as positive and negative scores. We used univariate logistic regression to determine associations between the scores and attitudinal or behavioural endorsements. 152 clinicians completed the measure. 'Time-saving' (39%) and 'easy' (34%) were the most frequently selected adjectives. 'Time-consuming' and 'unfamiliar' were the most frequently selected negative adjectives (both 19%). The sum scores were significantly associated with behavioural endorsement of PDAs. Clinicians were able to respond to adjective-selection methods and the ADOPT measure could help assess clinician attitudes to PDAs. Validation will require further research. The ADOPT measure could help identify the extent and source of attitudinal resistance.
Sections du résumé
BACKGROUND
The implementation of shared decision-making and patient decision aids (PDAs) is impeded by clinicians' attitudes.
OBJECTIVE
To develop a measure of clinician attitude towards PDAs.
METHODS
To develop the ADOPT measure, we used four stages, culminating in measure responses by medically qualified clinicians, 25 from each of the following specialties: emergency medicine, family medicine, oncology, obstetrics and gynaecology, orthopaedics, and psychiatry. To assess validity, we also posed three questions to assess the participants' attitudinal and behavioural endorsement of PDAs. Allocating a point per adjective, we calculated the sum as well as positive and negative scores. We used univariate logistic regression to determine associations between the scores and attitudinal or behavioural endorsements.
RESULTS
152 clinicians completed the measure. 'Time-saving' (39%) and 'easy' (34%) were the most frequently selected adjectives. 'Time-consuming' and 'unfamiliar' were the most frequently selected negative adjectives (both 19%). The sum scores were significantly associated with behavioural endorsement of PDAs.
DISCUSSION
Clinicians were able to respond to adjective-selection methods and the ADOPT measure could help assess clinician attitudes to PDAs. Validation will require further research.
PRACTICE IMPLICATIONS
The ADOPT measure could help identify the extent and source of attitudinal resistance.
Identifiants
pubmed: 35501228
pii: S0738-3991(22)00146-X
doi: 10.1016/j.pec.2022.04.002
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2785-2792Informations de copyright
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