Evidence map›Paper›PMID 30765371›Full record

ArticleCanadian family physician Medecin de famille canadien2019

How often do both core competencies of shared decision making occur in family medicine teaching clinics?

Gisèle Diendéré, Selma Chipenda Dansokho, Rhéa Rocque, Anne-Sophie Julien, France Légaré, Luc Côté, Sonia Mahmoudi, Philippe Jacob, Natalia Arias Casais, Laurie Pilote and 3 more

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In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Age to stop? Appropriate screening in older patients.Canadian family physician Medecin de famille canadien · 2019
    Article
  2. Canadian family physician Medecin de famille canadien · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Gisèle DiendéréClinical research coordinator at the Jewish General Hospital in Montreal, Que.
Selma Chipenda DansokhoResearch associate in the Research Unit of the Office of Education and Professional Development at Laval University in Quebec city, Que.
Rhéa RocqueDoctoral student in psychology at Laval University.
Anne-Sophie JulienBiostatistician in the Clinical Research Platform of the Research Centre of the CHU de Québec in Quebec city.
France LégaréPractising family physician and Full Professor in the Department of Family and Emergency Medicine at Laval University, Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation, Scientific Co-director of the Canadian Cochrane Network Site at Laval University, and a researcher at the Centre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL).
Luc CôtéProfessor in the Department of Family and Emergency Medicine and a researcher in the Office of Education and Professional Development in the Faculty of Medicine at Laval University.
Sonia MahmoudiMedical student in the Faculty of Medicine at Laval University.
Philippe JacobResident in the Faculty of Medicine at Laval University.
Natalia Arias CasaisConsultant with the Pan American Health Organization and the World Health Organization in Washington, DC.
Laurie PiloteOncologist in the Division of Radiation Oncology in the Department of Medicine at the CHU de Québec-Laval University.
Roland GradFamily physician in the Herzl Family Practice Centre in Montreal, and Associate Professor in the Department of Family Medicine and Director of the Clinician Scholar Program in the Department of Family Medicine at McGill University in Montreal.
Anik M C GiguèreAssociate Professor in the Department of Family and Emergency Medicine and a researcher in the Office of Education and Professional Development at Laval University, the Centre d'excellence sur le vieillissement de Québec at the Research Centre of the CHU de Québec, and the CERSSPL-UL.
Holly O WittemanAssociate Professor in the Department of Family and Emergency Medicine and a researcher in the Office of Education and Professional Development at Laval University, Population Health and Optimal Health Practices at the Research Centre of the CHU de Québec, the Ottawa Hospital Research Institute in Ontario, and the CERSSPL-UL. holly.witteman@fmed.ulaval.ca.

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectiveTo assess how often risk communication and values clarification occur in routine family medicine practice and to explore factors associated with their occurrence.

designQualitative and quantitative cross-sectional study.

settingFive university-affiliated family medicine teaching clinics across Quebec.

participantsSeventy-one health professionals (55% physicians, 35% residents, 10% nurses or dietitians) and 238 patients (76% women; age range 16 to 82 years old).

main outcome measuresThe presence or absence of risk communication and values clarification during visits in which decisions were made was determined. Factors associated with the primary outcome (both competencies together) were identified. The OPTION5 (observing patient involvement in decision making) instrument was used to validate the dichotomous outcome.

resultsThe presence of risk communication and values clarification during visits was associated with OPTION5 scores (area under the curve of 0.80, 95% CI 0.75 to 0.86,

conclusionHealth professionals in family medicine are making an effort to engage patients in shared decision making in routine daily practice, especially when there is time to do so. The greatest potential for improvement might lie in values clarification; that is, discussing what matters to patients and families.

Indexed as

Attitude of Health PersonnelDecision Making, SharedPhysician-Patient RelationsAdultAgedCross-Sectional StudiesFamily PracticeFemaleHumansMaleMiddle AgedOutcome and Process Assessment, Health CarePatient ParticipationPatient SatisfactionQuebecYoung Adult

Identifiers

PMID30765371
PMCPMC6515489

What OpenQuestion holds

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Registered trials

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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.