Shared Decision Making in a General Hospital

NCT ID: NCT03537352

Last Updated: 2018-11-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

120 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-05-14

Study Completion Date

2018-11-21

Brief Summary

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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.

Detailed Description

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During a pilot cross-sectional study, the 9- Item Shared Decision Making Questionnaire (9SDMQ) will be administered in two groups of participants, one (N=60) suffering from surgical diseases and one (N=60) from non-surgical medical diseases. Patients hospitalized in four acute wards (2 surgical and 2 non-surgical wards) or visiting the relevant outpatient departments of the Triassion General Hospital of Elefsina, Greece will be recruited. The primary outcome will be the difference on the 9SDMQ scores (transformed in a 1-100% scale) in patients suffering from surgical versus non-surgical disorders. Secondary outcome measures will include the effect of patients' demographic and clinical variables, of physicians' demographic variables and of the score on the Montreal Cognitive Assessment on the 9SDMQ scores. Additionally the relationship of patients' satisfaction on the 9SDMQ scores will also be investigated.

Conditions

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Surgical Procedure, Unspecified General Medical Condition

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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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.

Any appropriate surgical treatment

Intervention Type PROCEDURE

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

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.

Any appropriate drug or non-drug treatment excluding surgery

Intervention Type DRUG

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

Interventions

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Any appropriate surgical treatment

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

Intervention Type PROCEDURE

Any appropriate drug or non-drug treatment excluding surgery

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

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

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

Exclusion Criteria

* Inability to complete the neuropsychological assessment
* Mental retardation
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Thriasio General Hospital of Elefsina

OTHER

Sponsor Role collaborator

Psychiatric Hospital of Attica

OTHER

Sponsor Role lead

Responsible Party

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Dimitrios Kontis

Department Head, 4th Psychiatric Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dimitrios Kontis, MD, PHD

Role: STUDY_DIRECTOR

Psychiatric Hospital of Attica

Locations

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Thriassion General Hospital

Elefsina, , Greece

Site Status

Countries

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Greece

References

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

Reference Type BACKGROUND
PMID: 21377556 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 21474265 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 23950646 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 16697096 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 19879711 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 26993483 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 26138158 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 15896943 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 28742899 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 24470076 (View on PubMed)

Other Identifiers

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PsychiatricHA

Identifier Type: -

Identifier Source: org_study_id

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