A study to observe patient involvement in shared decision making at the European School of Osteopathy (ESQ) teaching clinic, compared to NHS physiotherapists. A quantitative study using the OPTION scale.
Item
- Title
- A study to observe patient involvement in shared decision making at the European School of Osteopathy (ESQ) teaching clinic, compared to NHS physiotherapists. A quantitative study using the OPTION scale.
- Author(s)
- Beazley, J
- Abstract
- Background: Shared decision making (SDM) is said to form the crux of patient centred care, benefitting both patient and practitioner. Despite this, and regardless of expectations from medical governing bodies, studies to date indicate that SDM remains poorly practiced across a variety of healthcare professions. This research aimed to evaluate whether ESQ student osteopaths practice shared decision making with their patients, and to compare their practice against previously reported NHS physiotherapist outcome. Objectives: The objectives of this quantitative study were to observe osteopathic consultations and code them using the OPTION scale to ascertain whether or not SDM is practiced at the ESQ teaching clinic. Furthermore, to compare the incidence of SDM across years of study, consultation type and to physiotherapists working within the NHS Design: A comparative observational study. Methods: Thirty-eight consultations were audio recorded at the ESQ teaching clinic, transcribed verbatim, and coded using the OPTION scale. The results were tabulated and analysed using non-parametric testing. Results: Seventy-two participants consented to take part (students n=32, patients n=40). Two audio files were deemed unusable, leaving a total of thirty-eight transcripts. Seven students recorded two or more consultations. The mean OPTION score was 1.5% (range 0 - 5.6). Initial and continuing consultations scored a mean of 0.6% and 1.7% respectively, and year 3 students scored 0.7%, compared to the fourth year's 1.8%. Discussion: Although SDM is said to benefit both the patient and clinician, it remains poorly practiced across many professions and institutions. The undergraduate osteopaths observed in this study were no exception, adopting a paternalistic approach to their patient's care. However, its validity has been questioned, especially in medical scenarios that are single visit, low risk, or where a patients belief system predetermines their preference for paternalism. Conclusion: The students observed in this study were not found to be practising SDM, despite osteopathic practice standards that call for its use. Although, given the reported benefits, its practice is advantageous to both patient and clinician, its generally low uptake across this and many health care professions could be attributed to its barriers and a lack of training in this area.
- presented at
- European School of Osteopathy
- Date Accepted
- 2015
- Date Submitted
- 2.12.2016 16:54:59
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15879
- Inst-Identifier
- 1229
- Keywords
- OPTION scale, Osteopathy, Shared decision making
- Recommended
- 0
- Item sets
- Thesis
Beazley, J, “A study to observe patient involvement in shared decision making at the European School of Osteopathy (ESQ) teaching clinic, compared to NHS physiotherapists. A quantitative study using the OPTION scale.”, Osteopathic Research Web, accessed May 2, 2024, https://www.osteopathic-research.com/s/orw/item/602