دورية أكاديمية
Patient involvement in medical decisions: a survey of shared decision making during physical therapy consultations.
| العنوان: | Patient involvement in medical decisions: a survey of shared decision making during physical therapy consultations. |
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| المؤلفون: | Okezue OC; Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, University of Nigeria Enugu Campus, Enugu, Nigeria., Agbo EC; Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, University of Nigeria Enugu Campus, Enugu, Nigeria., John JN; Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, University of Nigeria Enugu Campus, Enugu, Nigeria., John DO; Department of Physiotherapy, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria. |
| المصدر: | Physiotherapy theory and practice [Physiother Theory Pract] 2023 Apr; Vol. 39 (4), pp. 878-886. Date of Electronic Publication: 2022 Jan 24. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 9015520 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-5040 (Electronic) Linking ISSN: 09593985 NLM ISO Abbreviation: Physiother Theory Pract Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: London, UK ; Hillsdale, N.J. : Lawrence Erlbaum Associates, c1990- |
| مواضيع طبية MeSH: | Decision Making, Shared* , Patient Participation*/methods, Humans ; Cross-Sectional Studies ; Surveys and Questionnaires ; Referral and Consultation |
| مستخلص: | Introduction: Shared decision making (SDM) is widely affirmed as an ethical principle in healthcare; underpinned by both evidence of its positive outcomes among patients and strong inducements for its adoption by health professionals. This study investigated patients' involvement in SDM, determined its association with their personal characteristics and identified factors influencing their participation. Method: A cross-sectional survey was executed among 148 consenting patients, who were recruited using convenience sampling technique and invited to complete self-report questionnaires on SDM. Data were analyzed via descriptive and inferential statistics. Results: Only 14 patients (9.5%) were involved in SDM whilst most patients (88.5%) had passive roles during consultation. SDM involvement had significant associations with age (p = .006) and educational status (p = .021). Most patients (67.6%) identified 'Doubt towards SDM,' as a factor that could hinder this collaborative process. Similarly, majority of the patients acknowledged the relevance of the influential factors: 'Physiotherapist's support' (83.7%) and 'Adequate health Information' (75%), toward promoting involvement in SDM. Conclusion: Patient involvement in SDM was low in this study. Older and less/uneducated patients exhibited an increased tendency of noninvolvement. Key influential factors that either facilitate or hinder patients' involvement in SDM were revealed. There is a need to curtail drawbacks to SDM and promote its execution in physical therapy as well as general clinical practice. |
| فهرسة مساهمة: | Keywords: Nigeria; Patient involvement; physical therapy; shared decision making (SDM) |
| تواريخ الأحداث: | Date Created: 20220124 Date Completed: 20230328 Latest Revision: 20230328 |
| رمز التحديث: | 20230328 |
| DOI: | 10.1080/09593985.2022.2029653 |
| PMID: | 35072594 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1532-5040 |
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| DOI: | 10.1080/09593985.2022.2029653 |