Using Option Grids: steps toward shared decision-making for neonatal circumcision

Patient Education and Counseling
Mary FayGlyn Elwyn

Abstract

To assess the impact, acceptability and feasibility of a short encounter tool designed to enhance the process of shared decision-making and parental engagement. We analyzed video-recordings of clinical encounters, half undertaken before and half after a brief intervention that trained four clinicians how to use Option Grids, using an observer-based measure of shared decision-making. We also analyzed semi-structured interviews conducted with the clinicians four weeks after their exposure to the intervention. Observer OPTION(5) scores were higher at post-intervention, with a mean of 33.9 (SD=23.5) compared to a mean of 16.1 (SD=7.1) for pre-intervention, a significant difference of 17.8 (95% CI: 2.4, 33.2). Prior to using the intervention, clinicians used a consent document to frame circumcision as a default practice. Encounters with the Option Grid conferred agency to both parents and clinicians, and facilitated shared decision-making. Clinician reported recognizing the tool's positive effect on their communication process. Tools such as Option Grids have the potential to make it easier for clinicians to achieve shared decision-making. Encounter tools have the potential to change practice. More research is needed to test their f...Continue Reading

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Sep 2, 2014·Patient Education and Counseling·Glyn ElwynRonald Epstein
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Citations

Apr 18, 2016·Patient Education and Counseling·Martina A VortelPatricia H Birch
Jan 24, 2017·Patient Education and Counseling·Megan CoylewrightStuart W Grande
Oct 8, 2017·Qualitative Health Research·Stuart W GrandeMegan Coylewright
Jan 20, 2019·Implementation Science : IS·Laura BolandDawn Stacey
Oct 28, 2017·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Peter ScaliaGlyn Elwyn
Sep 28, 2017·Hospital Pediatrics·Dina M TomByron A Foster
Jan 17, 2019·Archives of Gynecology and Obstetrics·Pola HahlwegIsabelle Scholl
May 12, 2021·Implementation Science : IS·Danielle SchubbeMarie-Anne Durand

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