ArticleHealth expectations : an international journal of public participation in health care and health policy2014
Assessing patients' involvement in decision making during the nutritional consultation with a dietitian.
Article in Health expectations : an international journal of public participation in health care and health policy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Assessments of the extent to which health-care providers involve patients in decision making: a systematic review of studies using the OPTION instrument.Health expectations : an international journal of public participation in health care and health policy · 2015Pooled it
- Perspectives and Experiences of Adult Patients With Obesity in Dietetic Primary Health Care: A Qualitative Study in the Netherlands.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Article
- Patient Characteristics and the Extent to Which Clinicians Involve Patients in Decision Making: Secondary Analyses of Pooled Data.Medical decision making : an international journal of the Society for Medical Decision Making · 2024Article
- Article
- Immune-mediated inflammatory diseases and nutrition: results from an online survey on patients' practices and perceptions.BMC nutrition · 2021Article
- A comparison of patients' and dietitians' perceptions of patient-centred care: A cross-sectional survey.Health expectations : an international journal of public participation in health care and health policy · 2019Article
- Shared decision making and antibiotic benefit-harm conversations: an observational study of consultations between general practitioners and patients with acute respiratory infections.BMC family practice · 2018Observational
- Exploration of shared decision-making processes among dieticians and patients during a consultation for the nutritional treatment of dyslipidaemia.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Clinicians' involvement of patients in decision making. A video based comparison of their behavior in public vs. private practice.PloS one · 2013Article
- Opportunities for Patient Participation in Perioperative Malnutrition Care: A Qualitative Study.SAGE open nursingArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 4 countries.
Funding
Abstract
backgroundShared decision making (SDM) represents an interesting approach to optimize the impact of dietary treatment, but there is no evidence that SDM is commonly integrated into diet-related health care.
objectiveTo assess the extent to which dietitians involve patients in decisions about dietary treatment.
methodsWe audiotaped dietitians conducting nutritional consultations with their patients, and we transcribed the tapes verbatim. Three trained raters independently evaluated the content of the nutritional consultations using a coding frame based on the 12 items of the French-language version of the OPTION scale, a validated and reliable third-observer instrument designed to assess patients' involvement by examining specific health professionals' behaviours. Coding was facilitated by the qualitative research software NVivo 8. We assessed internal consistency with Cronbach's alpha and inter-rater reliability with the intraclass correlation coefficient (ICC).
resultsOf the 40 dietitians eligible to participate in the study, 19 took part. We recruited one patient per participating dietitian. The overall mean OPTION score was 29 ± 8% [range, 0% (no patient involvement in the decision] to 100% [high patient involvement)]. The mean duration of consultations was 50 ± 26 min. The OPTION score was positively correlated with the duration of the consultation (r = 0.65, P < 0.01). Internal consistency and inter-rater reliability were both good (Cronbach's alpha = 0.72; ICC = 0.65).
conclusionThis study is the first to use a framework based on the OPTION scale to report on dietitians' involvement of patients in decisions about patients' dietary treatment. The results suggest that involvement is suboptimal. Interventions to increase patients' involvement in diet-related decision making are indicated.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.