PortalPublikationenA three-talk model for shared decision making

A three-talk model for shared decision making

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A three-talk model for shared decision making : multistage consultation process. / Elwyn, Glyn; Durand, Marie Anne; Song, Julia; Aarts, Johanna; Barr, Paul J; Berger, Zackary; Cochran, Nan; Frosch, Dominick; Galasiński, Dariusz; Gulbrandsen, Pål; Han, Paul K J; Härter, Martin; Kinnersley, Paul; Lloyd, Amy; Mishra, Manish; Perestelo-Perez, Lilisbeth; Scholl, Isabelle; Tomori, Kounosuke; Trevena, Lyndal; Witteman, Holly O; Van der Weijden, Trudy.

in: BMJ-BRIT MED J, Jahrgang 359, 06.11.2017, S. j4891.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Elwyn, G, Durand, MA, Song, J, Aarts, J, Barr, PJ, Berger, Z, Cochran, N, Frosch, D, Galasiński, D, Gulbrandsen, P, Han, PKJ, Härter, M, Kinnersley, P, Lloyd, A, Mishra, M, Perestelo-Perez, L, Scholl, I, Tomori, K, Trevena, L, Witteman, HO & Van der Weijden, T 2017, 'A three-talk model for shared decision making: multistage consultation process', BMJ-BRIT MED J, Jg. 359, S. j4891.

APA

Elwyn, G., Durand, M. A., Song, J., Aarts, J., Barr, P. J., Berger, Z., Cochran, N., Frosch, D., Galasiński, D., Gulbrandsen, P., Han, P. K. J., Härter, M., Kinnersley, P., Lloyd, A., Mishra, M., Perestelo-Perez, L., Scholl, I., Tomori, K., Trevena, L., ... Van der Weijden, T. (2017). A three-talk model for shared decision making: multistage consultation process. BMJ-BRIT MED J, 359, j4891.

Vancouver

Elwyn G, Durand MA, Song J, Aarts J, Barr PJ, Berger Z et al. A three-talk model for shared decision making: multistage consultation process. BMJ-BRIT MED J. 2017 Nov 6;359:j4891.

Bibtex

@article{9b037c551c594770b585cb89442a13c7,
title = "A three-talk model for shared decision making: multistage consultation process",
abstract = " Objectives To revise an existing three-talk model for learning how to achieve shared decision making, and to consult with relevant stakeholders to update and obtain wider engagement.Design Multistage consultation process.Setting Key informant group, communities of interest, and survey of clinical specialties.Participants 19 key informants, 153 member responses from multiple communities of interest, and 316 responses to an online survey from medically qualified clinicians from six specialties.Results After extended consultation over three iterations, we revised the three-talk model by making changes to one talk category, adding the need to elicit patient goals, providing a clear set of tasks for each talk category, and adding suggested scripts to illustrate each step. A new three-talk model of shared decision making is proposed, based on {"}team talk,{"} {"}option talk,{"} and {"}decision talk,{"} to depict a process of collaboration and deliberation. Team talk places emphasis on the need to provide support to patients when they are made aware of choices, and to elicit their goals as a means of guiding decision making processes. Option talk refers to the task of comparing alternatives, using risk communication principles. Decision talk refers to the task of arriving at decisions that reflect the informed preferences of patients, guided by the experience and expertise of health professionals.Conclusions The revised three-talk model of shared decision making depicts conversational steps, initiated by providing support when introducing options, followed by strategies to compare and discuss trade-offs, before deliberation based on informed preferences.",
keywords = "Clinical Decision-Making, Communication, Decision Making, Humans, Models, Theoretical, Physician-Patient Relations, Referral and Consultation, Journal Article",
author = "Glyn Elwyn and Durand, {Marie Anne} and Julia Song and Johanna Aarts and Barr, {Paul J} and Zackary Berger and Nan Cochran and Dominick Frosch and Dariusz Galasi{\'n}ski and P{\aa}l Gulbrandsen and Han, {Paul K J} and Martin H{\"a}rter and Paul Kinnersley and Amy Lloyd and Manish Mishra and Lilisbeth Perestelo-Perez and Isabelle Scholl and Kounosuke Tomori and Lyndal Trevena and Witteman, {Holly O} and {Van der Weijden}, Trudy",
note = "Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.",
year = "2017",
month = nov,
day = "6",
language = "English",
volume = "359",
pages = "j4891",
journal = "BMJ-BRIT MED J",
issn = "0959-535X",
publisher = "British Medical Association",

}

RIS

TY - JOUR

T1 - A three-talk model for shared decision making

T2 - multistage consultation process

AU - Elwyn, Glyn

AU - Durand, Marie Anne

AU - Song, Julia

AU - Aarts, Johanna

AU - Barr, Paul J

AU - Berger, Zackary

AU - Cochran, Nan

AU - Frosch, Dominick

AU - Galasiński, Dariusz

AU - Gulbrandsen, Pål

AU - Han, Paul K J

AU - Härter, Martin

AU - Kinnersley, Paul

AU - Lloyd, Amy

AU - Mishra, Manish

AU - Perestelo-Perez, Lilisbeth

AU - Scholl, Isabelle

AU - Tomori, Kounosuke

AU - Trevena, Lyndal

AU - Witteman, Holly O

AU - Van der Weijden, Trudy

N1 - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

PY - 2017/11/6

Y1 - 2017/11/6

N2 - Objectives To revise an existing three-talk model for learning how to achieve shared decision making, and to consult with relevant stakeholders to update and obtain wider engagement.Design Multistage consultation process.Setting Key informant group, communities of interest, and survey of clinical specialties.Participants 19 key informants, 153 member responses from multiple communities of interest, and 316 responses to an online survey from medically qualified clinicians from six specialties.Results After extended consultation over three iterations, we revised the three-talk model by making changes to one talk category, adding the need to elicit patient goals, providing a clear set of tasks for each talk category, and adding suggested scripts to illustrate each step. A new three-talk model of shared decision making is proposed, based on "team talk," "option talk," and "decision talk," to depict a process of collaboration and deliberation. Team talk places emphasis on the need to provide support to patients when they are made aware of choices, and to elicit their goals as a means of guiding decision making processes. Option talk refers to the task of comparing alternatives, using risk communication principles. Decision talk refers to the task of arriving at decisions that reflect the informed preferences of patients, guided by the experience and expertise of health professionals.Conclusions The revised three-talk model of shared decision making depicts conversational steps, initiated by providing support when introducing options, followed by strategies to compare and discuss trade-offs, before deliberation based on informed preferences.

AB - Objectives To revise an existing three-talk model for learning how to achieve shared decision making, and to consult with relevant stakeholders to update and obtain wider engagement.Design Multistage consultation process.Setting Key informant group, communities of interest, and survey of clinical specialties.Participants 19 key informants, 153 member responses from multiple communities of interest, and 316 responses to an online survey from medically qualified clinicians from six specialties.Results After extended consultation over three iterations, we revised the three-talk model by making changes to one talk category, adding the need to elicit patient goals, providing a clear set of tasks for each talk category, and adding suggested scripts to illustrate each step. A new three-talk model of shared decision making is proposed, based on "team talk," "option talk," and "decision talk," to depict a process of collaboration and deliberation. Team talk places emphasis on the need to provide support to patients when they are made aware of choices, and to elicit their goals as a means of guiding decision making processes. Option talk refers to the task of comparing alternatives, using risk communication principles. Decision talk refers to the task of arriving at decisions that reflect the informed preferences of patients, guided by the experience and expertise of health professionals.Conclusions The revised three-talk model of shared decision making depicts conversational steps, initiated by providing support when introducing options, followed by strategies to compare and discuss trade-offs, before deliberation based on informed preferences.

KW - Clinical Decision-Making

KW - Communication

KW - Decision Making

KW - Humans

KW - Models, Theoretical

KW - Physician-Patient Relations

KW - Referral and Consultation

KW - Journal Article

M3 - SCORING: Journal article

C2 - 29109079

VL - 359

SP - j4891

JO - BMJ-BRIT MED J

JF - BMJ-BRIT MED J

SN - 0959-535X

ER -