Barradell, A., Doe, G., Bekker, H. orcid.org/0000-0003-1978-5795 et al. (3 more authors) (Cover date: March 2024) A Shared Decision-Making intervention for individuals living with COPD who are considering the menu of Pulmonary Rehabilitation treatment options: a feasibility study. Chronic Respiratory Disease, 21. ISSN 1479-9723
Abstract
Objectives
Shared Decision Making (SDM) has potential to support Pulmonary Rehabilitation (PR) decision-making when patients are offered a menu of centre- and home-based options. This study sought to evaluate the feasibility and acceptability of a three-component PR SDM intervention for individuals with Chronic Obstructive Pulmonary Disease (COPD) and PR healthcare professionals.
Methods
Participants were recruited from Dec 2021–Sep 2022. Healthcare professionals attended decision coaching training and used the consultation prompt during consultations. Individuals received the Patient Decision Aid (PtDA) at PR referral. Outcomes included recruitment capability, data completeness, intervention fidelity, and acceptability. Questionnaires assessed patient activation and decisional conflict pre and post-PR. Consultations were assessed using Observer OPTION-5. Optional interviews/focus groups were conducted.
Results
13% of individuals [n = 31, 32% female, mean (SD) age 71.19 (7.50), median (IQR) MRC dyspnoea 3.50 (1.75)] and 100 % of healthcare professionals (n = 9, 78% female) were recruited. 28 (90.32%) of individuals completed all questionnaires. SDM was present in all consultations [standardised scores were mean (SD) = 36.97 (21.40)]. Six healthcare professionals and five individuals were interviewed. All felt consultations using the PtDA minimised healthcare professionals’ bias of centre-based PR, increased individuals’ self-awareness of their health, prompted consideration of how to improve it, and increased involvement in decision-making.
Discussion
Results indicate the study processes and SDM intervention is feasible and acceptable and can be delivered with fidelity when integrated into the PR pathway.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2024. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
Keywords: | Chronic obstructive pulmonary disease, pulmonary rehabilitation, shared decision making, patient decision aid, decision coaching |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Psychiatry and Behavioural Sciences (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 31 Jan 2024 10:54 |
Last Modified: | 23 Sep 2024 15:27 |
Published Version: | https://journals.sagepub.com/doi/10.1177/147997312... |
Status: | Published |
Publisher: | SAGE Publishing |
Identification Number: | 10.1177/14799731241238428 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:208468 |