Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations
Abstract Objective Increased parental involvement in the decision-making process when considering elective surgeries for their children, termed shared decision-making (SDM), may lead to positive outcomes. The objective of this study was to describe perceived and observed levels of SDM during pediatr...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2019-06-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s40463-019-0351-x |
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| author | Yolanda Evong Jill Chorney Gilanders Ungar Paul Hong |
| author_facet | Yolanda Evong Jill Chorney Gilanders Ungar Paul Hong |
| author_sort | Yolanda Evong |
| collection | DOAJ |
| description | Abstract Objective Increased parental involvement in the decision-making process when considering elective surgeries for their children, termed shared decision-making (SDM), may lead to positive outcomes. The objective of this study was to describe perceived and observed levels of SDM during pediatric otolaryngology consultations. Methods One hundred and seventeen parents and their children undergoing elective surgical consultations were prospectively enrolled. The visits were videotaped and coded using the Observing Patient Involvement (OPTION) scale. Following the encounter, all participants completed a questionnaire that measured perceived levels of SDM (SDM-Q-9). Surgeons also completed a similar questionnaire (SDM-Q-Doc). Spearman’s correlation coefficient was determined to measure the associations between observed and perceived levels of SDM. Results The overall OPTION scores were low (median score of 14 out of 48) and not significantly correlated with perceived levels of SDM (SDM-Q-9, p = 0.415; SDM-Q-Doc, p = 0.236), surgery type (p = 0.197), or patient demographic factors. The OPTION scores were positively correlated with consultation length (p < 0.001). There was great variability in the level to which each OPTION items were observed during the consultation (not present in any visits to present in 96.6% of the visits). Conclusions Observed levels of SDM were consistently low, but higher levels were observed when the surgeon spent more time during the consultation. Observed levels of SDM did not match perceived levels of SDM, which were consistently rated higher by both caregivers and surgeons. |
| format | Article |
| id | doaj-art-ca151e9a50f44da8b9aea3489c0f967b |
| institution | Kabale University |
| issn | 1916-0216 |
| language | English |
| publishDate | 2019-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-ca151e9a50f44da8b9aea3489c0f967b2025-02-03T10:54:12ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162019-06-014811710.1186/s40463-019-0351-xPerceptions and observations of shared decision making during pediatric otolaryngology surgical consultationsYolanda Evong0Jill Chorney1Gilanders Ungar2Paul Hong3Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Dalhousie UniversityIWK Health Centre, 5850/5920 University AvenueIWK Health Centre, 5850/5920 University AvenueDivision of Otolaryngology-Head and Neck Surgery, Department of Surgery, Dalhousie UniversityAbstract Objective Increased parental involvement in the decision-making process when considering elective surgeries for their children, termed shared decision-making (SDM), may lead to positive outcomes. The objective of this study was to describe perceived and observed levels of SDM during pediatric otolaryngology consultations. Methods One hundred and seventeen parents and their children undergoing elective surgical consultations were prospectively enrolled. The visits were videotaped and coded using the Observing Patient Involvement (OPTION) scale. Following the encounter, all participants completed a questionnaire that measured perceived levels of SDM (SDM-Q-9). Surgeons also completed a similar questionnaire (SDM-Q-Doc). Spearman’s correlation coefficient was determined to measure the associations between observed and perceived levels of SDM. Results The overall OPTION scores were low (median score of 14 out of 48) and not significantly correlated with perceived levels of SDM (SDM-Q-9, p = 0.415; SDM-Q-Doc, p = 0.236), surgery type (p = 0.197), or patient demographic factors. The OPTION scores were positively correlated with consultation length (p < 0.001). There was great variability in the level to which each OPTION items were observed during the consultation (not present in any visits to present in 96.6% of the visits). Conclusions Observed levels of SDM were consistently low, but higher levels were observed when the surgeon spent more time during the consultation. Observed levels of SDM did not match perceived levels of SDM, which were consistently rated higher by both caregivers and surgeons.http://link.springer.com/article/10.1186/s40463-019-0351-xShared decision makingPediatric otolaryngologyAdeontonsillectomyTympanostomy tube |
| spellingShingle | Yolanda Evong Jill Chorney Gilanders Ungar Paul Hong Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations Journal of Otolaryngology - Head and Neck Surgery Shared decision making Pediatric otolaryngology Adeontonsillectomy Tympanostomy tube |
| title | Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations |
| title_full | Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations |
| title_fullStr | Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations |
| title_full_unstemmed | Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations |
| title_short | Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations |
| title_sort | perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations |
| topic | Shared decision making Pediatric otolaryngology Adeontonsillectomy Tympanostomy tube |
| url | http://link.springer.com/article/10.1186/s40463-019-0351-x |
| work_keys_str_mv | AT yolandaevong perceptionsandobservationsofshareddecisionmakingduringpediatricotolaryngologysurgicalconsultations AT jillchorney perceptionsandobservationsofshareddecisionmakingduringpediatricotolaryngologysurgicalconsultations AT gilandersungar perceptionsandobservationsofshareddecisionmakingduringpediatricotolaryngologysurgicalconsultations AT paulhong perceptionsandobservationsofshareddecisionmakingduringpediatricotolaryngologysurgicalconsultations |