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10.1186_s40463-019-0351-x.pdf 566,65KB
WeightNameValue
1000 Titel
  • Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations
1000 Autor/in
  1. Evong, Yolanda |
  2. Chorney, Jill |
  3. Ungar, Gilanders |
  4. Hong, Paul |
1000 Verlag
  • SAGE Publications
1000 Erscheinungsjahr 2019
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2019-01-01
1000 Erschienen in
1000 Quellenangabe
  • 48(1)
1000 Copyrightjahr
  • 2019
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1186/s40463-019-0351-x |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6580583/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • <jats:sec><jats:title>Objective</jats:title><jats:p> Increased parental involvement in the decision-making process when considering elective surgeries for their children, termed shared decision-making (SDM), may lead to positive outcomes. The objective of this study was to describe perceived and observed levels of SDM during pediatric otolaryngology consultations. </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> One hundred and seventeen parents and their children undergoing elective surgical consultations were prospectively enrolled. The visits were videotaped and coded using the Observing Patient Involvement (OPTION) scale. Following the encounter, all participants completed a questionnaire that measured perceived levels of SDM (SDM-Q-9). Surgeons also completed a similar questionnaire (SDM-Q-Doc). Spearman's correlation coefficient was determined to measure the associations between observed and perceived levels of SDM. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> The overall OPTION scores were low (median score of 14 out of 48) and not significantly correlated with perceived levels of SDM (SDM-Q-9, p = 0.415; SDM-Q-Doc, p = 0.236), surgery type ( p = 0.197), or patient demographic factors. The OPTION scores were positively correlated with consultation length ( p &lt; 0.001). There was great variability in the level to which each OPTION items were observed during the consultation (not present in any visits to present in 96.6% of the visits). </jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p> Observed levels of SDM were consistently low, but higher levels were observed when the surgeon spent more time during the consultation. Observed levels of SDM did not match perceived levels of SDM, which were consistently rated higher by both caregivers and surgeons. </jats:p></jats:sec>
1000 Sacherschließung
lokal Surveys and Questionnaires [MeSH]
lokal Adolescent [MeSH]
lokal Female [MeSH]
lokal Aged [MeSH]
lokal Adult [MeSH]
lokal Patient Participation [MeSH]
lokal Humans [MeSH]
lokal Decision Making, Shared [MeSH]
lokal Elective Surgical Procedures [MeSH]
lokal Middle Aged [MeSH]
lokal Male [MeSH]
lokal Pediatric otolaryngology
lokal Tonsillectomy [MeSH]
lokal Young Adult [MeSH]
lokal Original Research Article
lokal Middle Ear Ventilation [MeSH]
lokal Parents [MeSH]
lokal Otorhinolaryngologic Surgical Procedures [MeSH]
lokal Tympanostomy tube
lokal Child [MeSH]
lokal Adeontonsillectomy
lokal Shared decision making
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/RXZvbmcsIFlvbGFuZGE=|https://frl.publisso.de/adhoc/uri/Q2hvcm5leSwgSmlsbA==|https://frl.publisso.de/adhoc/uri/VW5nYXIsIEdpbGFuZGVycw==|https://frl.publisso.de/adhoc/uri/SG9uZywgUGF1bA==
1000 Hinweis
  • DeepGreen-ID: f54995ab42b04a019ad5226567a6bd10 ; metadata provieded by: DeepGreen (https://www.oa-deepgreen.de/api/v1/), LIVIVO search scope life sciences (http://z3950.zbmed.de:6210/livivo), Crossref Unified Resource API (https://api.crossref.org/swagger-ui/index.html), to.science.api (https://frl.publisso.de/), ZDB JSON-API (beta) (https://zeitschriftendatenbank.de/api/), lobid - Dateninfrastruktur für Bibliotheken (https://lobid.org/resources/search)
1000 Label
1000 Förderer
  1. Faculty of Medicine, Dalhousie University |
1000 Fördernummer
  1. -
1000 Förderprogramm
  1. -
1000 Dateien
1000 Förderung
  1. 1000 joinedFunding-child
    1000 Förderer Faculty of Medicine, Dalhousie University |
    1000 Förderprogramm -
    1000 Fördernummer -
1000 Objektart article
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1000 Erstellt am 2024-05-21T18:19:15.963+0200
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1000 Zuletzt bearbeitet Wed May 22 12:04:52 CEST 2024
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1000 Vgl. frl:6478891
1000 Oai Id
  1. oai:frl.publisso.de:frl:6478891 |
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