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Résumé et points clés
Objective: To explore the relationship between personal characteristics of older adults with multiple chronic conditions (MCCs) and perceived shared decision making (SDM) resp. decisional conflict.
Methods: In a video-observational study (N = 213) data were collected on personal characteristics. The main outcomes were perceived level of SDM and decisional conflict. The mediating variable was participation in the SDM process. A twostep mixed effect multilinear regression and a mediation analysis were performed to analyze the data.
Results: The mean age of the patients was 77.3 years and 56.3% were female. Health literacy (β.01, p < .001) was significantly associated with participation in the SDM process. Education (β = -2.43, p = .05) and anxiety (β = -.26, p = .058) had a marginally significant direct effect on the patients' perceived level of SDM. Education (β = 12.12, p = .002), health literacy (β = -.70, p = .005) and anxiety (β = 1.19, p = .004) had a significant direct effect on decisional conflict. The effect of health literacy on decisional conflict was mediated by participation in SDM.
Conclusion: Health literacy, anxiety and education are associated with decisional conflict. Participation in SDM during consultations plays a mediating role in the relationship between health literacy and decisional conflict. PRACTICE
Implications: Tailoring SDM communication to health literacy levels is important for high quality SDM.
Références de l'article
- The influence of health literacy, anxiety and education on shared decision making and decisional conflict in older adults, and the mediating role of patient participation: A video observational study.
- The influence of health literacy, anxiety and education on shared decision making and decisional conflict in older adults, and the mediating role of patient participation: A video observational study.
- Pel-Littel RE, Buurman BM, Minkman MM, Scholte Op Reimer WJM, Twisk JWR, van Weert JCM
- Patient education and counseling
- 2024
- Patient Educ Couns. 2024 Jul;124:108274. doi: 10.1016/j.pec.2024.108274. Epub 2024 Mar 22.
- Aged, Aged, 80 and over, Female, Humans, Male, *Anxiety/psychology, Chronic Disease/psychology/therapy, Communication, *Conflict, Psychological, Decision Making, *Decision Making, Shared, Educational Status, *Health Literacy, *Patient Participation/psychology, Physician-Patient Relations, Video Recording
- Soins, Communication, Relationnels, Anxiété, Revue_systématique
- Liens
- Traduction automatique en Français sur Google Translate
- DOI: 10.1016/j.pec.2024.108274
- PMID: 38547640
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