Preferences and attitudes of young Chinese clinicians about using a shared decision making tools for communicating cardiovascular risk

Objective: This study assesses the attitudes and preferences of Chinese clinicians toward their involvement in shared decision making (SDM). Methods: From May 2014 to May 2015, 200 Chinese clinicians from two hospitals were enrolled to complete a survey on their attitude towards SDM. We conducted th...

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Autores principales:	Rong-Chong Huang, Xian-Tao Song, Dong-Feng Zhang, Jia-Ying Xu, Kasey R. Boehmer, Aaron A. Leppin, Michael R. Gionfriddo, Henry H. Ting, Victor M. Montori
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2019
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/02eeb751c921458381edba65722af416
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spelling	oai:doaj.org-article:02eeb751c921458381edba65722af4162021-12-02T14:15:21ZPreferences and attitudes of young Chinese clinicians about using a shared decision making tools for communicating cardiovascular risk2095-882X10.1016/j.cdtm.2019.05.001https://doaj.org/article/02eeb751c921458381edba65722af4162019-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095882X18300768https://doaj.org/toc/2095-882XObjective: This study assesses the attitudes and preferences of Chinese clinicians toward their involvement in shared decision making (SDM). Methods: From May 2014 to May 2015, 200 Chinese clinicians from two hospitals were enrolled to complete a survey on their attitude towards SDM. We conducted the survey via face-to-face interviews before and after an educational intervention on SDM among young Chinese clinicians. The clinicians were asked to give the extent of agreement to SDM. They also gave the extent of difficulty in using decision aids (DAs) during the SDM process. The variation in the range of responses to each question before and after the SDM intervention was recorded. The frequency of changed responses was analyzed by using JMP 6.0 software. Data were statistically analyzed using Chi-square and Mann–Whitney U tests, as appropriate to the data type. Multiple logistic regressions were used to test for those factors significantly and independently associated with preference for an approach for each scenario. Results: Of the 200 young Chinese clinicians sampled, 59.0% indicated a preference for SDM and a desire to participate in SDM before receiving education or seeing the DA, and this number increased to 69.0% after seeing the DA with the sample video of the SDM process on Statin Choice. However, 28.5% of the respondents still reported that, in their current practice, they make clinical decisions on behalf of their patients. The clinicians who denied a desire to use the DA stated that the main barriers to implement SDM or DA use in China are lack of time and knowledge of SDM. Conclusions: Most young Chinese clinicians want to participate in SDM. However, they state the main barriers to perform SDM are lack of experience and time. The educational intervention about SDM that exposes clinicians to DAs was found to increase their receptivity. Keywords: Decision aid, Shared-decision making, Cardiovascular risk, ChinaRong-Chong HuangXian-Tao SongDong-Feng ZhangJia-Ying XuKasey R. BoehmerAaron A. LeppinMichael R. GionfriddoHenry H. TingVictor M. MontoriKeAi Communications Co., Ltd.articleMedicine (General)R5-920ENChronic Diseases and Translational Medicine, Vol 5, Iss 2, Pp 105-112 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Rong-Chong Huang Xian-Tao Song Dong-Feng Zhang Jia-Ying Xu Kasey R. Boehmer Aaron A. Leppin Michael R. Gionfriddo Henry H. Ting Victor M. Montori Preferences and attitudes of young Chinese clinicians about using a shared decision making tools for communicating cardiovascular risk
description	Objective: This study assesses the attitudes and preferences of Chinese clinicians toward their involvement in shared decision making (SDM). Methods: From May 2014 to May 2015, 200 Chinese clinicians from two hospitals were enrolled to complete a survey on their attitude towards SDM. We conducted the survey via face-to-face interviews before and after an educational intervention on SDM among young Chinese clinicians. The clinicians were asked to give the extent of agreement to SDM. They also gave the extent of difficulty in using decision aids (DAs) during the SDM process. The variation in the range of responses to each question before and after the SDM intervention was recorded. The frequency of changed responses was analyzed by using JMP 6.0 software. Data were statistically analyzed using Chi-square and Mann–Whitney U tests, as appropriate to the data type. Multiple logistic regressions were used to test for those factors significantly and independently associated with preference for an approach for each scenario. Results: Of the 200 young Chinese clinicians sampled, 59.0% indicated a preference for SDM and a desire to participate in SDM before receiving education or seeing the DA, and this number increased to 69.0% after seeing the DA with the sample video of the SDM process on Statin Choice. However, 28.5% of the respondents still reported that, in their current practice, they make clinical decisions on behalf of their patients. The clinicians who denied a desire to use the DA stated that the main barriers to implement SDM or DA use in China are lack of time and knowledge of SDM. Conclusions: Most young Chinese clinicians want to participate in SDM. However, they state the main barriers to perform SDM are lack of experience and time. The educational intervention about SDM that exposes clinicians to DAs was found to increase their receptivity. Keywords: Decision aid, Shared-decision making, Cardiovascular risk, China
format	article
author	Rong-Chong Huang Xian-Tao Song Dong-Feng Zhang Jia-Ying Xu Kasey R. Boehmer Aaron A. Leppin Michael R. Gionfriddo Henry H. Ting Victor M. Montori
author_facet	Rong-Chong Huang Xian-Tao Song Dong-Feng Zhang Jia-Ying Xu Kasey R. Boehmer Aaron A. Leppin Michael R. Gionfriddo Henry H. Ting Victor M. Montori
author_sort	Rong-Chong Huang
title	Preferences and attitudes of young Chinese clinicians about using a shared decision making tools for communicating cardiovascular risk
title_short	Preferences and attitudes of young Chinese clinicians about using a shared decision making tools for communicating cardiovascular risk
title_full	Preferences and attitudes of young Chinese clinicians about using a shared decision making tools for communicating cardiovascular risk
title_fullStr	Preferences and attitudes of young Chinese clinicians about using a shared decision making tools for communicating cardiovascular risk
title_full_unstemmed	Preferences and attitudes of young Chinese clinicians about using a shared decision making tools for communicating cardiovascular risk
title_sort	preferences and attitudes of young chinese clinicians about using a shared decision making tools for communicating cardiovascular risk
publisher	KeAi Communications Co., Ltd.
publishDate	2019
url	https://doaj.org/article/02eeb751c921458381edba65722af416
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Preferences and attitudes of young Chinese clinicians about using a shared decision making tools for communicating cardiovascular risk

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