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Effective Health Care Program

Strategies for Engaging Patients in Shared Decision Making (Session II)

White Paper

This conference took place on September 12, 2013, in Rockville, Maryland. The conference format had three topic-oriented sessions followed by group discussions to review research, and identify gaps that might be addressed in future study. The specific objectives of the conference were to: 1) review the state of the science around selected questions of importance to engaging patients in the use of evidence in shared decision making; 2) identify gaps in the research between what is known and what is needed to understand regarding the proposed conference theme; and 3) articulate the practical implications of why closing each of these gaps will advance the science and implementation of informed/shared decision making.

This second session addresses strategies for engaging patients in shared decision making.

Presentations*

Tools for Shared Decision-Making: State of the Science and Research Needs

Dawn Stacey, R.N., Ph.D., Con(C)


University of Ottawa, Ottawa, Ontario, Canada

View Presentation (MP4)

Communicatively Engaging Patients in Evidence Analysis Using Shared Decision Making

Donald J. Cegala, Ph.D.


The Ohio State University, Columbus, Ohio

View Presentation (MP4)

The Use of Narrative for Understanding Evidence and Decision Making

Victoria A. Shaffer, Ph.D.


University of Missouri, Columbia, Missouri

View Presentation (MP4)

Biosketches

Donald J. Cegala, Ph.D., is an emeritus professor in the School of Communication and in the Department of Family and Community Medicine at The Ohio State University (OSU), Columbus, OH. Dr. Cegala was a member of the faculty at Ohio State University (OSU) faculty for more than 35 years. He is the former Chair of the Health Communication Division of the National Communication Association (NCA) and is a member of the OSU Institute for Primary Care Research and the OSU Comprehensive Cancer Center. He has served as a consultant and grant reviewer for the National Cancer Institute and was the recipient of the 2006 Outstanding Health Communication Scholar Award presented jointly by the NCA and the International Communication Association. He has published more than 60 scholarly book chapters and articles in academic journals and is known nationally and internationally for his research on physician-patient communication, particularly with respect to interventions designed to improve patient communication skills. His Patient Assessment, Care, and Education (PACE) framework has been used in many clinical settings, including primary care, oncology, cardiology, respiratory care (adult asthma), diabetes, pediatrics, and women's health (menopause).

Victoria A. Shaffer, Ph.D., received her Ph.D. in quantitative psychology, with an emphasis on decision theory and behavioral economics, from The Ohio State University in 2005. She is currently an assistant professor at the University of Missouri. She holds a joint appointment in the Department of Health Sciences in the School of Health Professions and in the Department of Psychological Sciences in the College of Arts and Science. Her research focuses on identifying and testing methods to improve the quality of health care decisions. Her previous research has focused on the impact of patient narratives in decision aids and attitudes towards the use of clinical decision-support systems in medicine.

Dawn Stacey, R.N., Ph.D., CON(C), holds the University Research Chair in Knowledge Translation to Patients and is an associate professor in the School of Nursing at the University of Ottawa. She is a scientist at the Ottawa Hospital Research Institute where she is the Director of the Patient Decision Aids Research Group. She is the principal investigator for the Cochrane Review of Patient Decision Aids, cochair of the Steering Committee for the International Patient Decision Aid Standards Collaboration, and a coinvestigator for the Cochrane Review of Interventions to Improve the Adoption of Shared Decision Making. Dr. Stacey’s research includes knowledge translation to patients; patient decision aid development, evaluation and appraisal; decision coaching; implementation of decision aids and decision coaching into practice; telephone-based care, and interprofessional approaches to shared decision making. She is collaborating with the Ministry of Health in Saskatchewan to implement shared decisionmaking and patient decision aids across the province. She has over 100 publications and 80 invited national and international presentations. Her research program Web site is available at http://decisionaid.ohri.ca.