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Comparison of audio vs. audio + video for the rating of shared decision making in oncology using the observer OPTION 5 instrument: an exploratory analysis

How non-verbal data may influence observer-administered ratings of shared decision making is unknown. Our objective for this exploratory analysis was to determine the effect of mode of data collection (audio+video vs. audio only) on the scoring of the OPTION instrument, an observer rated measure of...

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Published in:BMC health services research 2018-07, Vol.18 (1), p.522
Main Authors: Gionfriddo, Michael R, Branda, Megan E, Fernandez, Cara, Leppin, Aaron, Yost, Kathleen J, Kimball, Brittany, Spencer-Bonilla, Gabriela, Larrea, Laura, Nowakowski, Katherine E, Montori, Victor M, Tilburt, Jon
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container_start_page 522
container_title BMC health services research
container_volume 18
creator Gionfriddo, Michael R
Branda, Megan E
Fernandez, Cara
Leppin, Aaron
Yost, Kathleen J
Kimball, Brittany
Spencer-Bonilla, Gabriela
Larrea, Laura
Nowakowski, Katherine E
Montori, Victor M
Tilburt, Jon
description How non-verbal data may influence observer-administered ratings of shared decision making is unknown. Our objective for this exploratory analysis was to determine the effect of mode of data collection (audio+video vs. audio only) on the scoring of the OPTION instrument, an observer rated measure of shared decision making. We analyzed recordings of 15 encounters between cancer patients and clinicians in which a clinical decision was made. Audio+video or audio only recordings of the encounters were randomly assigned to four trained raters, who reviewed them independently. We compared the adjusted mean scores of audio+video and audio only. Forty-one unique decisions were identified within the 15 encounters. The mean OPTION score for audio+video was 17.5 (95% CI 13.5, 21.6) and for audio only was 21.8 (95% CI 17.2, 26.4) with a mean difference of 4.28 (95% CI = 0.36, 8.21; p = 0.032). A rigorous and well established measure of shared decision making performs differently when the data source is audio only. Data source may influence rating of observer administered measures of shared decision making. This potential bias needs to be confirmed as video recording to examine communication behaviors becomes more common.
doi_str_mv 10.1186/s12913-018-3329-x
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source ABI/INFORM Global; Publicly Available Content (ProQuest); PubMed Central
subjects Communication
Decision Making
Female
Humans
Male
Middle Aged
Neoplasms - therapy
Patient Participation - methods
Physician-Patient Relations
Tape Recording
title Comparison of audio vs. audio + video for the rating of shared decision making in oncology using the observer OPTION 5 instrument: an exploratory analysis
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