OPTION(5) versus OPTION(12) instruments to appreciate the extent to which healthcare providers involve patients in decision-making

Patient Education and Counseling
Fabienne E StubenrouchDirk T Ubbink

Abstract

The 12-item "observing patient involvement" (OPTION(12))-instrument is commonly used to assess the extent to which healthcare providers involve patients in health-related decision-making. The five-item version (OPTION(5)) claims to be a more efficient measure. In this study we compared the Dutch versions of the OPTION-instruments in terms of inter-rater agreement and correlation in outpatient doctor-patient consultations in various settings, to learn if we can safely switch to the shorter OPTION(5)-instrument. Two raters coded 60 audiotaped vascular surgery and oncology patient consultations using OPTION(12) and OPTION(5). Unweighted Cohen's kappa was used to compute inter-rater agreement on item-level. The association between the total scores of the two OPTION-instruments was investigated using Pearson's correlation coefficient (r) and a Bland & Altman plot. After fine-tuning the OPTION-manuals, inter-rater agreement for OPTION(12) and OPTION(5) was good to excellent (kappa range 0.69-0.85 and 0.63-0.72, respectively). Mean total scores were 23.7 (OPTION(12); SD=7.8) and 39.3 (OPTION(5); SD=12.7). Correlation between the total scores was high (r=0.71; p=0.01). OPTION(5) scored systematically higher with a wider range than OPTI...Continue Reading

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Citations

Apr 18, 2016·Patient Education and Counseling·Martina A VortelPatricia H Birch
Feb 2, 2018·BMC Health Services Research·Mara KölkerIsabelle Scholl
Sep 27, 2019·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Marleen KunnemanArwen H Pieterse
Sep 9, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Emma Le RouxMatthew J Ridd
Sep 1, 2018·Family Practice·Maartje C MeijersSandra van Dulmen
Jul 14, 2017·BMC Anesthesiology·F E StubenrouchD T Ubbink
Oct 26, 2018·The British Journal of Surgery·S M L de MikD T Ubbink
Jul 13, 2018·Pilot and Feasibility Studies·Frouke A P NijhuisMarjan J Faber
Mar 21, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Stephanie M HarmanUNKNOWN Patient Engagement Project
Feb 25, 2017·Plastic and Reconstructive Surgery·Sophie E R HorbachChantal M A M van der Horst
Dec 15, 2020·European Journal of Cancer Care·Wilma SavelbergTrudy van der Weijden
Feb 25, 2021·Clinical Orthopaedics and Related Research·Bastiaan T van HoornDavid Ring

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