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dc.contributor.authorElwyn, Glyn
dc.contributor.authorDurand, Marie Anne
dc.contributor.authorSong, Julia
dc.contributor.authorAarts, Johanna
dc.contributor.authorBarr, Paul J
dc.contributor.authorBerger, Zackary
dc.contributor.authorCochran, Nan
dc.contributor.authorFrosch, Dominick
dc.contributor.authorGalasiński, Dariusz
dc.contributor.authorGulbrandsen, Pål
dc.contributor.authorHan, Paul K J
dc.contributor.authorHärter, Martin
dc.contributor.authorKinnersley, Paul
dc.contributor.authorLloyd, Amy
dc.contributor.authorMishra, Manish
dc.contributor.authorPerestelo-Perez, Lilisbeth
dc.contributor.authorScholl, Isabelle
dc.contributor.authorTomori, Kounosuke
dc.contributor.authorTrevena, Lyndal
dc.contributor.authorWitteman, Holly O
dc.contributor.authorVan der Weijden, Trudy
dc.date.accessioned2018-11-01T11:10:50Z
dc.date.available2018-11-01T11:10:50Z
dc.date.issued2017-11-06
dc.identifier.citationElwyn, 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, 359, pp. 1-7
dc.identifier.issn0959-8138
dc.identifier.doi10.1136/bmj.j4891
dc.identifier.urihttp://hdl.handle.net/2436/621835
dc.description.abstractObjectives 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.
dc.formatapplication/PDF
dc.language.isoen
dc.publisherBMJ Publishing Group
dc.relation.urlhttp://www.bmj.com/lookup/doi/10.1136/bmj.j4891
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/
dc.subjectShared decision making
dc.titleA three-talk model for shared decision making: multistage consultation process
dc.typeJournal article
dc.identifier.journalBMJ
dc.date.accepted2017-10-18
rioxxterms.funderUniversity of Wolverhampton
rioxxterms.identifier.projectUOW01112018DG
rioxxterms.versionAM
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
rioxxterms.licenseref.startdate2017-11-06
dc.source.journaltitleBMJ
dc.source.volume359
dc.source.beginpage1
dc.source.endpage7
refterms.dateFCD2018-11-01T11:10:50Z
refterms.versionFCDAM
refterms.dateFOA2018-11-01T11:10:50Z


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