Randomized Controlled Trial

. 2018 Jul 4;18(1):522.

doi: 10.1186/s12913-018-3329-x.

Comparison of audio vs. audio + video for the rating of shared decision making in oncology using the observer OPTION⁵ instrument: an exploratory analysis

Michael R Gionfriddo^{1

2

3}, Megan E Branda^{4

5

6}, Cara Fernandez⁴, Aaron Leppin⁴, Kathleen J Yost^{5

7}, Brittany Kimball⁸, Gabriela Spencer-Bonilla^{4

9

10}, Laura Larrea⁴, Katherine E Nowakowski¹¹, Victor M Montori^{4

12}, Jon Tilburt^{5

6

13

14

15

16}

Affiliations

¹ Knowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. mgionfriddo@geisinger.edu.
² Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. mgionfriddo@geisinger.edu.
³ Present address - Center for Pharmacy Innovation and Outcomes, Geisinger, 190 Welles Street, Suite 128, Forty Fort, PA, USA. mgionfriddo@geisinger.edu.
⁴ Knowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
⁵ Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
⁶ Division of Health Care Policy and Research, Department of Health Sciences Research, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
⁷ Division of Epidemiology, Department of Health Sciences Research, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
⁸ Mayo Clinic School of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
⁹ Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
¹⁰ School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR, 00936, USA.
¹¹ Stritch School of Medicine, Loyola University, 2160 South First Avenue, Maywood, IL, 60153, USA.
¹² Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Department of Internal Medicine, Mayo Clinic, Rochester, MN, 55905, USA.
¹³ Division of General Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
¹⁴ Biomedical Ethics Scholars Training Program, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
¹⁵ Biomedical Ethics Research Program, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
¹⁶ Division of Complementary and Integrative Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

PMID: 29973207
PMCID: PMC6033223
DOI: 10.1186/s12913-018-3329-x

Randomized Controlled Trial

Comparison of audio vs. audio + video for the rating of shared decision making in oncology using the observer OPTION⁵ instrument: an exploratory analysis

Michael R Gionfriddo et al. BMC Health Serv Res. 2018.

. 2018 Jul 4;18(1):522.

doi: 10.1186/s12913-018-3329-x.

Authors

Affiliations

¹ Knowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. mgionfriddo@geisinger.edu.
² Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. mgionfriddo@geisinger.edu.
³ Present address - Center for Pharmacy Innovation and Outcomes, Geisinger, 190 Welles Street, Suite 128, Forty Fort, PA, USA. mgionfriddo@geisinger.edu.
⁴ Knowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
⁵ Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
⁶ Division of Health Care Policy and Research, Department of Health Sciences Research, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
⁷ Division of Epidemiology, Department of Health Sciences Research, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
⁸ Mayo Clinic School of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
⁹ Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
¹⁰ School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR, 00936, USA.
¹¹ Stritch School of Medicine, Loyola University, 2160 South First Avenue, Maywood, IL, 60153, USA.
¹² Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Department of Internal Medicine, Mayo Clinic, Rochester, MN, 55905, USA.
¹³ Division of General Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
¹⁴ Biomedical Ethics Scholars Training Program, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
¹⁵ Biomedical Ethics Research Program, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
¹⁶ Division of Complementary and Integrative Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

PMID: 29973207
PMCID: PMC6033223
DOI: 10.1186/s12913-018-3329-x

Abstract

Background: How non-verbal data may influence observer-administered ratings of shared decision making is unknown. Our objective for this exploratory analysis was to determine the effect of mode of data collection (audio+video vs. audio only) on the scoring of the OPTION⁵ instrument, an observer rated measure of shared decision making.

Methods: We analyzed recordings of 15 encounters between cancer patients and clinicians in which a clinical decision was made. Audio+video or audio only recordings of the encounters were randomly assigned to four trained raters, who reviewed them independently. We compared the adjusted mean scores of audio+video and audio only.

Results: Forty-one unique decisions were identified within the 15 encounters. The mean OPTION⁵ score for audio+video was 17.5 (95% CI 13.5, 21.6) and for audio only was 21.8 (95% CI 17.2, 26.4) with a mean difference of 4.28 (95% CI = 0.36, 8.21; p = 0.032).

Conclusion: A rigorous and well established measure of shared decision making performs differently when the data source is audio only. Data source may influence rating of observer administered measures of shared decision making. This potential bias needs to be confirmed as video recording to examine communication behaviors becomes more common.

Keywords: Assessment; Cancer; Communication; OPTION; Recording; Shared decision making.

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Conflict of interest statement

Ethics approval and consent to participate

This study was reviewed and approved by the University of Southern California School of Medicine and Mayo Clinic IRBs.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

**Fig. 2**
OPTION⁵ score agreement between audio+video and audio only

See this image and copyright information in PMC

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Comparison of audio vs. audio + video for the rating of shared decision making in oncology using the observer OPTION⁵ instrument: an exploratory analysis

Affiliations

Comparison of audio vs. audio + video for the rating of shared decision making in oncology using the observer OPTION⁵ instrument: an exploratory analysis

Authors

Affiliations

Abstract

Conflict of interest statement

Ethics approval and consent to participate

Consent for publication

Competing interests

Publisher’s Note

Figures

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Cited by

References

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Abstract

Conflict of interest statement

Ethics approval and consent to participate

Consent for publication

Competing interests

Publisher’s Note

Figures

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