Die Entwicklung und Evaluation von Interventionen zur Förderung Partizipativer Entscheidungsfindung – Rahmenkonzept und Messinstrumente

Abstract

In recent years shared decision making (SDM) has gained importance as an appropriate approach for patient-physician communication and health related decision-making. The benefits of SDMconcerning patient satisfaction, treatment adherence or reduction of decisional conflict have been shown in several studies using interventional approaches on both the patients’ and physicians’ side.

This article introduces the Ottawa Decision Support Framework (ODSF) as a theory-based guidance for the design and evaluation of SDM interventions such as patient decision aids, training of health professionals or patient education. Its key elements are assessment of decisional needs, provision of decision support and evaluation of decision process and outcome. In addition this article presents an allocation of available psychometric instruments for measuring dimensions of the framework. Most of them stem from Englishspeaking countries and have been translated into German.

The Ottawa Decision Support Framework can be used for the development of SDM interventions and associated evaluation strategies. Evaluation measures can be chosen from a variety of instruments, yet many of them still need to show their psychometric quality in further studies.