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Shared Decision Making in Health CareAchieving evidence-based patient choice$
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Glyn Elwyn, Adrian Edwards, and Rachel Thompson

Print publication date: 2016

Print ISBN-13: 9780198723448

Published to Oxford Scholarship Online: September 2016

DOI: 10.1093/acprof:oso/9780198723448.001.0001

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Observer measures of shared decision making

Observer measures of shared decision making

(p.176) Chapter 27 Observer measures of shared decision making
Shared Decision Making in Health Care

Glyn Elwyn

Arianna I. Blaine

Oxford University Press

Measuring shared decision making (SDM) from an observer standpoint, in addition to gathering patient- or provider-reported reflections, allows for a fuller understanding of efforts made to engage patients in their health care decisions in a given encounter. Yet, fewer observer-reported measures are available when compared with patient-reported measures. We describe six observer-reported measures of SDM in the clinical setting, all of which are generic with respect to condition, and detail the development, conceptual framework, and psychometric characteristics for each. The goal of this chapter was to describe observer-based measures in sufficient details so as to allow those who wish to evaluate encounters or the results of teaching to select their preferred instrument.

Keywords:   Observer-reported measures, shared decision making, measurement, measure development

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