Shared Decision Making in a General Hospital

NCT03537352 | Completed

• 1 other identifier: PsychiatricHA
• Study Type: observational
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

A pilot cross-sectional study will investigate the differential effect of the type of disorder (surgical versus non-surgical) on the scores of the 9-item shared decision making questionnaire.

Conditions

Surgical Procedure, Unspecified; General Medical Condition

Outcome Measures

Primary Outcomes (1)

• Difference in scores of the 9-Item Shared Decision Making Questionnaire between surgical and non-surgical disorders

  Difference in scores of the 9-Item Shared Decision Making Questionnaire between surgical and non-surgical disorders

  one year

Secondary Outcomes (4)

• Effect of patients' age, education, gender, maternal education, nationality on 9-item SDM Questionnaire scores

  one year

• Effect of treating physicians' age, specialty, years of experience on 9-item SDM Questionnaire scores

  one year

• Effect of patients' Montreal Cognitive Assessment scores on 9-item SDM Questionnaire scores

  one year

• Correlation of the 9-item SDM Questionnaire scores with the Client Satisfaction Questionnaire scores

  one year

Study Arms (2)

Surgical Disorders

A. Surgical Disorders: 1. Current Hospitalization at the Surgical Inpatient Department or at the Inpatient Department of Otorhinolaryngology or at the Inpatient Department of Cardiology OR 2. Current Follow-up at the Surgical Outpatient Department or at the Outpatient Department of Otorhinolaryngology or at the Outpatient Department of Cardiology due to a disorder for which any appropriate surgical treatment (surgery) is a treatment option.

Procedure: Any appropriate surgical treatment

Non-Surgical General Medical Disorders

1. Current Hospitalization at the Internal Medicine Inpatient Department or at the Inpatient Department of Cardiology OR 2. Current Follow-up at the Internal Medicine Outpatient Department or at the Outpatient Department of Cardiology due to a disorder for which surgery is not a treatment option and any appropriate drug or non-drug treatment excluding surgery is a treatment option.

Drug: Any appropriate drug or non-drug treatment excluding surgery

Interventions

Any appropriate surgical treatment PROCEDURE

Any appropriate surgical treatment for the management of patient's current disorder

Surgical Disorders

Any appropriate drug or non-drug treatment excluding surgery DRUG

Any appropriate drug or non-drug treatment excluding surgery for the management of patient's current disorder

Non-Surgical General Medical Disorders

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients hospitalized in 4 acute wards (2 for surgical and 2 for non-surgical disorders) or the relevant outpatient departments

You may qualify if:

• Hospitalization in the Thriassion General Hospital of Elefsina
• Ability to give informed consent

You may not qualify if:

• Inability to complete the neuropsychological assessment
• Mental retardation

Sponsors & Collaborators

• Psychiatric Hospital of Attica: lead
• Thriasio General Hospital of Elefsina: collaborator

Study Sites (1)

Thriassion General Hospital

Elefsina, 19600, Greece

Location

Related Publications (10)

• Taking shared decision making more seriously. Lancet. 2011 Mar 5;377(9768):784. doi: 10.1016/S0140-6736(11)60290-0. No abstract available.

  PMID: 21377556 BACKGROUND

• 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 BACKGROUND

• De Las Cuevas C, Penate W, Perestelo-Perez L, Serrano-Aguilar P. Shared decision making in psychiatric practice and the primary care setting is unique, as measured using a 9-item Shared Decision Making Questionnaire (SDM-Q-9). Neuropsychiatr Dis Treat. 2013;9:1045-52. doi: 10.2147/NDT.S49021. Epub 2013 Jul 30.

  PMID: 23950646 BACKGROUND

• Flynn KE, Smith MA, Vanness D. A typology of preferences for participation in healthcare decision making. Soc Sci Med. 2006 Sep;63(5):1158-69. doi: 10.1016/j.socscimed.2006.03.030. Epub 2006 May 11.

  PMID: 16697096 BACKGROUND

• Kriston L, Scholl I, Holzel L, Simon D, Loh A, Harter M. The 9-item Shared Decision Making Questionnaire (SDM-Q-9). Development and psychometric properties in a primary care sample. Patient Educ Couns. 2010 Jul;80(1):94-9. doi: 10.1016/j.pec.2009.09.034. Epub 2009 Oct 30.

  PMID: 19879711 BACKGROUND

• Mah HC, Muthupalaniappen L, Chong WW. Perceived involvement and preferences in shared decision-making among patients with hypertension. Fam Pract. 2016 Jun;33(3):296-301. doi: 10.1093/fampra/cmw012. Epub 2016 Mar 18.

  PMID: 26993483 BACKGROUND

• Pollard S, Bansback N, Bryan S. Physician attitudes toward shared decision making: A systematic review. Patient Educ Couns. 2015 Sep;98(9):1046-57. doi: 10.1016/j.pec.2015.05.004. Epub 2015 May 23.

  PMID: 26138158 BACKGROUND

• Schneider A, Korner T, Mehring M, Wensing M, Elwyn G, Szecsenyi J. Impact of age, health locus of control and psychological co-morbidity on patients' preferences for shared decision making in general practice. Patient Educ Couns. 2006 May;61(2):292-8. doi: 10.1016/j.pec.2005.04.008.

  PMID: 15896943 BACKGROUND

• Smith GL, Volk RJ. Nonclinical Factors Affecting Shared Decision Making. JAMA. 2017 Jul 25;318(4):391. doi: 10.1001/jama.2017.7841. No abstract available.

  PMID: 28742899 BACKGROUND

• Stacey D, Legare F, Col NF, Bennett CL, Barry MJ, Eden KB, Holmes-Rovner M, Llewellyn-Thomas H, Lyddiatt A, Thomson R, Trevena L, Wu JH. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev. 2014 Jan 28;(1):CD001431. doi: 10.1002/14651858.CD001431.pub4.

  PMID: 24470076 BACKGROUND

Study Officials

• Dimitrios Kontis, MD, PHD

  Psychiatric Hospital of Attica

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Department Head, 4th Psychiatric Department

Study Record Dates

• First Submitted: May 15, 2018
• First Posted: May 25, 2018
• Study Start: May 14, 2018
• Primary Completion: November 21, 2018
• Study Completion: November 21, 2018
• Last Updated: November 27, 2018

Record last verified: 2018-11

Data Sharing

• IPD Sharing: Will not share

Locations

GR (1)