Shared Decision Making in Physical Therapy: a Cross-sectional Observational Study

NCT03266796 | Completed DMC

• 1 other identifier: Projekt ID: 2017-00848
• Study Type: observational
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Shared decision making (SDM) is increasingly recommended in health care and reduces the unbalanced power between physical therapists and patients. There is an increased focus on communication between physical therapists and their patients during the goal setting process in current research. This study will focus on SDM in physical therapy goal setting. The SDM Process includes a problem definition and different goal options. Good communication between physical therapists and patients during the goal setting process with an explicit agreeing on both sides regarding treatment goals and options improves patient satisfaction, treatment adherence and health outcomes. Patients generally prefer to be actively involved in the shared decision making process. However, the preferred level of involvement of patients regarding decisions differs. Therefore, physical therapist should consider about patients' preferred level of involvement in shared decision making. Previous research observed SDM behaviours of physical therapists only in private practice settings. Research in other settings like the rehabilitation setting are recommended. It is unknown whether there are differences between settings in the SDM behaviours of physical therapists during first consultation.

Conditions

Shared Decision Making

Outcome Measures

Primary Outcomes (1)

• OPTION scale

  The OPTION scale measures physical therapists behaviour in shared decision making. It is a measurement that evaluates the involvement of patients in shared decision making and was shown to be reliable (Elwyn et al., 2003). The OPTION scale includes items looking at communication between physical therapist and patient, especially an identified problem, patient's beliefs and concerns, different goal and treatment option and their pros and cons, patient's preferred level of involvement, possibilities for patient's to ask questions and a review of the physical therapist at the end.

  day 1 (e.g. "through study completion, an average of 1 year")

Secondary Outcomes (1)

• Control Preference Scale (CPS)

  day 1 (e.g. "through study completion, an average of 1 year")

Other Outcomes (2)

• General Self-Efficacy Scale (GSE)

  day 1 (e.g. "through study completion, an average of 1 year")

• Characteristics of patients and physical therapists

  day 1 (e.g. "through study completion, an average of 1 year")

Study Arms (1)

Patients & Physical therapists

First consultations of peoples with musculoskeletal disorders and their physical therapists will be audiotaped. Audiotapes will be used to analyse the communication between the patients and their physicaltherapists to explore how much physical therapists involve their patients in the goal setting process, to see if there is a shared decision making existing.

Behavioral: goal setting process

Interventions

goal setting process BEHAVIORAL

goal setting process during the first consultation

Patients & Physical therapists

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Thirty patients will be recruited. The planned sample may seem heterogenic because patients with all musculoskeletal conditions are included. However, the goal setting process is expected to be independent of diagnosis and the sample is therefore considered sufficiently homogeneous.

You may qualify if:

• musculoskeletal disorders First treatment German speaking

You may not qualify if:

• n/a

Sponsors & Collaborators

• Klinik Valens: lead

Study Sites (1)

Kliniken Valens

Valens, 7317, Switzerland

Location

Related Publications (17)

• Beers E, Lee Nilsen M, Johnson JT. The Role of Patients: Shared Decision-Making. Otolaryngol Clin North Am. 2017 Aug;50(4):689-708. doi: 10.1016/j.otc.2017.03.006. Epub 2017 May 30.

  PMID: 28571664 RESULT

• Durand MA, Yen R, Barr PJ, Cochran N, Aarts J, Legare F, Reed M, James O'Malley A, Scalia P, Painchaud Guerard G, Elwyn G. Assessing medical student knowledge and attitudes about shared decision making across the curriculum: protocol for an international online survey and stakeholder analysis. BMJ Open. 2017 Jun 23;7(6):e015945. doi: 10.1136/bmjopen-2017-015945.

  PMID: 28645974 RESULT

• Dierckx K, Deveugele M, Roosen P, Devisch I. Implementation of shared decision making in physical therapy: observed level of involvement and patient preference. Phys Ther. 2013 Oct;93(10):1321-30. doi: 10.2522/ptj.20120286. Epub 2013 May 2.

  PMID: 23641024 RESULT

• Elwyn G, Edwards A, Wensing M, Hood K, Atwell C, Grol R. Shared decision making: developing the OPTION scale for measuring patient involvement. Qual Saf Health Care. 2003 Apr;12(2):93-9. doi: 10.1136/qhc.12.2.93.

  PMID: 12679504 RESULT

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  PMID: 17509808 RESULT

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  PMID: 9708588 RESULT

• Kaplan SH, Greenfield S, Ware JE Jr. Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Med Care. 1989 Mar;27(3 Suppl):S110-27. doi: 10.1097/00005650-198903001-00010.

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• Duncan E, Best C, Hagen S. Shared decision making interventions for people with mental health conditions. Cochrane Database Syst Rev. 2010 Jan 20;2010(1):CD007297. doi: 10.1002/14651858.CD007297.pub2.

  PMID: 20091628 RESULT

• Chewning B, Bylund CL, Shah B, Arora NK, Gueguen JA, Makoul G. Patient preferences for shared decisions: a systematic review. Patient Educ Couns. 2012 Jan;86(1):9-18. doi: 10.1016/j.pec.2011.02.004. Epub 2011 Apr 6.

  PMID: 21474265 RESULT

• Burton D, Blundell N, Jones M, Fraser A, Elwyn G. Shared decision-making in cardiology: do patients want it and do doctors provide it? Patient Educ Couns. 2010 Aug;80(2):173-9. doi: 10.1016/j.pec.2009.10.013. Epub 2009 Nov 30.

  PMID: 19945818 RESULT

• Weiss MC, Peters TJ. Measuring shared decision making in the consultation: a comparison of the OPTION and Informed Decision Making instruments. Patient Educ Couns. 2008 Jan;70(1):79-86. doi: 10.1016/j.pec.2007.09.001. Epub 2007 Oct 17.

  PMID: 17942270 RESULT

• Degner LF, Sloan JA, Venkatesh P. The Control Preferences Scale. Can J Nurs Res. 1997 Fall;29(3):21-43.

  PMID: 9505581 RESULT

• Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013 Jan 3;3(1):e001570. doi: 10.1136/bmjopen-2012-001570.

  PMID: 23293244 RESULT

• Elwyn G, Edwards A, Mowle S, Wensing M, Wilkinson C, Kinnersley P, Grol R. Measuring the involvement of patients in shared decision-making: a systematic review of instruments. Patient Educ Couns. 2001 Apr;43(1):5-22. doi: 10.1016/s0738-3991(00)00149-x.

  PMID: 11311834 RESULT

• Luszczynska A, Scholz U, Schwarzer R. The general self-efficacy scale: multicultural validation studies. J Psychol. 2005 Sep;139(5):439-57. doi: 10.3200/JRLP.139.5.439-457.

  PMID: 16285214 RESULT

Study Officials

• Andrea C. Hausheer, cand. MScPT

  Klinik Valens

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: BSc

Study Record Dates

• First Submitted: August 5, 2017
• First Posted: August 30, 2017
• Study Start: September 1, 2017
• Primary Completion: January 31, 2018
• Study Completion: March 5, 2018
• Last Updated: March 6, 2018

Record last verified: 2018-03

Locations

CH (1)