Evidence map›Paper›PMID 35383572›Full record

ArticleJMIR research protocols2022

Effectiveness of Individual Feedback and Coaching on Shared Decision-making Consultations in Oncology Care: Protocol for a Randomized Clinical Trial.

Haske van Veenendaal, Loes J Peters, Dirk T Ubbink, Fabienne E Stubenrouch, Anne M Stiggelbout, Paul Lp Brand, Gerard Vreugdenhil, Carina Gjm Hilders

Abstract read
In one paragraph

Article in JMIR research protocols, 2022. 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. Article
  2. A Joanna Briggs Institute Framework Approach to Shared Decision Making in End-of-Life.Health expectations : an international journal of public participation in health care and health policy · 2024
    Review
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

8 authors.

Haske van VeenendaalErasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, Netherlands.ORCID https://orcid.org/0000-0001-7423-5564
Loes J PetersSurgery, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands.ORCID https://orcid.org/0000-0003-0332-6842
Dirk T UbbinkSurgery, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands.ORCID https://orcid.org/0000-0001-9398-8879
Fabienne E StubenrouchSurgery, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands.ORCID https://orcid.org/0000-0002-8411-9556
Anne M StiggelboutMedical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Centre, Leiden, Netherlands.ORCID https://orcid.org/0000-0002-6293-4509
Paul Lp BrandDepartment of Innovation and Research, Isala Hospital, Zwolle, Netherlands.ORCID https://orcid.org/0000-0002-1743-4193
Gerard VreugdenhilDepartment of Oncology, Máxima Medical Center, Eindhoven, Netherlands.ORCID https://orcid.org/0000-0002-8816-1540
Carina Gjm HildersErasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, Netherlands.ORCID https://orcid.org/0000-0001-6381-2848

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShared decision-making (SDM) is particularly important in oncology as many treatments involve serious side effects, and treatment decisions involve a trade-off between benefits and risks. However, the implementation of SDM in oncology care is challenging, and clinicians state that it is difficult to apply SDM in their actual workplace. Training clinicians is known to be an effective means of improving SDM but is considered time consuming.

objectiveThis study aims to address the effectiveness of an individual SDM training program using the concept of deliberate practice.

methodsThis multicenter, single-blinded randomized clinical trial will be performed at 12 Dutch hospitals. Clinicians involved in decisions with oncology patients will be invited to participate in the study and allocated to the control or intervention group. All clinicians will record 3 decision-making processes with 3 different oncology patients. Clinicians in the intervention group will receive the following SDM intervention: completing e-learning, reflecting on feedback reports, performing a self-assessment and defining 1 to 3 personal learning questions, and participating in face-to-face coaching. Clinicians in the control group will not receive the SDM intervention until the end of the study. The primary outcome will be the extent to which clinicians involve their patients in the decision-making process, as scored using the Observing Patient Involvement-5 instrument. As secondary outcomes, patients will rate their perceived involvement in decision-making, and the duration of the consultations will be registered. All participating clinicians and their patients will receive information about the study and complete an informed consent form beforehand.

resultsThis trial was retrospectively registered on August 03, 2021. Approval for the study was obtained from the ethical review board (medical research ethics committee Delft and Leiden, the Netherlands [N20.170]). Recruitment and data collection procedures are ongoing and are expected to be completed by July 2022; we plan to complete data analyses by December 2022. As of February 2022, a total of 12 hospitals have been recruited to participate in the study, and 30 clinicians have started the SDM training program.

conclusionsThis theory-based and blended approach will increase our knowledge of effective and feasible training methods for clinicians in the field of SDM. The intervention will be tailored to the context of individual clinicians and will target the knowledge, attitude, and skills of clinicians. The patients will also be involved in the design and implementation of the study.

trial registrationNetherlands Trial Registry NL9647; https://www.trialregister.nl/trial/9647. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/35543.

Indexed as

coachingdecision-makingeducationfeedback learningmedical consultationmedical oncologypalliative careprofessionalshared

Identifiers

PMID35383572
PMCPMC9021945

What OpenQuestion holds

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LicenceCC BY
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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.