How participatory action research changed our view of the challenges of shared decision-making training

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Abstract

Objective
This paper aims to demonstrate how the use of participatory action research (PAR) helped us identify ways to respond to communication challenges associated with shared decision-making (SDM) training.

Methods
Patients, relatives, researchers, and health professionals were involved in a PAR process that included: (1) two theatre workshops, (2) a pilot study of an SDM training module involving questionnaires and evaluation meetings, and (3) three reflection workshops.

Results
The PAR process revealed that health professionals often struggled with addressing existential issues such as concerns about life, relationships, meaning, and ability to lead responsive dialogue. Following the PAR process, a communication programme that included communication on existential issues and coaching was drafted.

Conclusion
By involving multiple stakeholders in a comprehensive PAR process, valuable communication skills addressing a broader understanding of SDM were identified. A communication programme aimed to enhance skills in a mindful and responsive clinical dialogue on the expectations, values, and hopes of patients and their relatives was drafted.

Practical implications
Before integrating new communication concepts such as SDM in communication training, research methods such as PAR can be used to improve understanding and identify the needs and priorities of both patients and health professionals.
Original languageEnglish
JournalPatient Education and Counseling
Volume101
Issue number4
Pages (from-to)639-646
ISSN0738-3991
DOIs
Publication statusPublished - 2018

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Keywords

  • Communication skills training
  • Existential communication
  • Participatory action research
  • Patient involvement
  • Shared decision-making
  • Theatre workshop

Cite this

@article{0e2771aec6d241d98739dde0e705e95c,
title = "How participatory action research changed our view of the challenges of shared decision-making training",
abstract = "ObjectiveThis paper aims to demonstrate how the use of participatory action research (PAR) helped us identify ways to respond to communication challenges associated with shared decision-making (SDM) training.MethodsPatients, relatives, researchers, and health professionals were involved in a PAR process that included: (1) two theatre workshops, (2) a pilot study of an SDM training module involving questionnaires and evaluation meetings, and (3) three reflection workshops.ResultsThe PAR process revealed that health professionals often struggled with addressing existential issues such as concerns about life, relationships, meaning, and ability to lead responsive dialogue. Following the PAR process, a communication programme that included communication on existential issues and coaching was drafted.ConclusionBy involving multiple stakeholders in a comprehensive PAR process, valuable communication skills addressing a broader understanding of SDM were identified. A communication programme aimed to enhance skills in a mindful and responsive clinical dialogue on the expectations, values, and hopes of patients and their relatives was drafted.Practical implicationsBefore integrating new communication concepts such as SDM in communication training, research methods such as PAR can be used to improve understanding and identify the needs and priorities of both patients and health professionals.",
keywords = "Communication skills training, Existential communication, Participatory action research, Patient involvement, Shared decision-making, Theatre workshop",
author = "Jette Ammentorp and Maiken Wolderslund and Connie Timmermann and Henry Larsen and {Dahl Steffensen}, Karina and Annegrethe Nielsen and Marianne Lau and Bodil Winther and Jensen, {Lars Henrik} and {Assing Hvidt}, Elisabeth and Hvidt, {Niels Christian} and P{\aa}l Gulbrandsen",
year = "2018",
doi = "10.1016/j.pec.2017.11.002",
language = "English",
volume = "101",
pages = "639--646",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier",
number = "4",

}

TY - JOUR

T1 - How participatory action research changed our view of the challenges of shared decision-making training

AU - Ammentorp, Jette

AU - Wolderslund, Maiken

AU - Timmermann, Connie

AU - Larsen, Henry

AU - Dahl Steffensen, Karina

AU - Nielsen, Annegrethe

AU - Lau, Marianne

AU - Winther, Bodil

AU - Jensen, Lars Henrik

AU - Assing Hvidt, Elisabeth

AU - Hvidt, Niels Christian

AU - Gulbrandsen, Pål

PY - 2018

Y1 - 2018

N2 - ObjectiveThis paper aims to demonstrate how the use of participatory action research (PAR) helped us identify ways to respond to communication challenges associated with shared decision-making (SDM) training.MethodsPatients, relatives, researchers, and health professionals were involved in a PAR process that included: (1) two theatre workshops, (2) a pilot study of an SDM training module involving questionnaires and evaluation meetings, and (3) three reflection workshops.ResultsThe PAR process revealed that health professionals often struggled with addressing existential issues such as concerns about life, relationships, meaning, and ability to lead responsive dialogue. Following the PAR process, a communication programme that included communication on existential issues and coaching was drafted.ConclusionBy involving multiple stakeholders in a comprehensive PAR process, valuable communication skills addressing a broader understanding of SDM were identified. A communication programme aimed to enhance skills in a mindful and responsive clinical dialogue on the expectations, values, and hopes of patients and their relatives was drafted.Practical implicationsBefore integrating new communication concepts such as SDM in communication training, research methods such as PAR can be used to improve understanding and identify the needs and priorities of both patients and health professionals.

AB - ObjectiveThis paper aims to demonstrate how the use of participatory action research (PAR) helped us identify ways to respond to communication challenges associated with shared decision-making (SDM) training.MethodsPatients, relatives, researchers, and health professionals were involved in a PAR process that included: (1) two theatre workshops, (2) a pilot study of an SDM training module involving questionnaires and evaluation meetings, and (3) three reflection workshops.ResultsThe PAR process revealed that health professionals often struggled with addressing existential issues such as concerns about life, relationships, meaning, and ability to lead responsive dialogue. Following the PAR process, a communication programme that included communication on existential issues and coaching was drafted.ConclusionBy involving multiple stakeholders in a comprehensive PAR process, valuable communication skills addressing a broader understanding of SDM were identified. A communication programme aimed to enhance skills in a mindful and responsive clinical dialogue on the expectations, values, and hopes of patients and their relatives was drafted.Practical implicationsBefore integrating new communication concepts such as SDM in communication training, research methods such as PAR can be used to improve understanding and identify the needs and priorities of both patients and health professionals.

KW - Communication skills training

KW - Existential communication

KW - Participatory action research

KW - Patient involvement

KW - Shared decision-making

KW - Theatre workshop

U2 - 10.1016/j.pec.2017.11.002

DO - 10.1016/j.pec.2017.11.002

M3 - Journal article

VL - 101

SP - 639

EP - 646

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

IS - 4

ER -