Shared decision making within goal setting in intermediate care
Research type
Research Study
Full title
What is the extent of shared decision making within goal setting in an intermediate care set up and what are the patient-reported barriers to participating in making decisions about their care and rehabilitation?
IRAS ID
177406
Contact name
Alice Rose
Contact email
Sponsor organisation
University of Birmingham
Duration of Study in the UK
0 years, 11 months, 26 days
Research summary
Shared decision-making (SDM) is a practice in health care where clinicians and patients work together to decide on the best course of action. It involves the sharing of information and clarity of treatment and goals (The King’s Fund, 2011). Clinicians can use SDM as part of goal setting to facilitate this involvement and help give patients a greater sense of control knowing that they have helped make this decision (Hibbard et al 2005 and Heisler 2008). Goal setting is a process where the patient and multidisciplinary team work together to make a collective decision of how and when to carry our rehabilitation activities (Rosewilliam et al, 2011). At present, national surveys have stated that patients are not being involved as much as they wish to be in decisions about their care and treatment (Care Quality Commission, 2013). This might affect the patients’ quality and experience of care.
Numerous studies have recognised the clinician-perceived barriers to SDM however few have considered the patient perspective in detail (Joseph-Williams et al, 2014). Therefore this research aims to reveal why some patients find it hard to be involved in decisions about their care and how staff can improve their skills of SDM and patient involvement. If patients can become more involved in their own health and learn to self-manage their conditions, it will mean fewer hospital visits and lower costs to the NHS overall (NHS England 2013).
Two stages of research are proposed: The initial stage of this research will use a questionnaire to assess the extent of SDM being used in goal-setting meetings with frail patients in a Rehabilitation Centre. The questionnaire will ask for feedback from clinicians, patients and an independent observer.The second stage of this research will involve semi-structured interviews to explore patient-reported barriers to SDM.
REC name
North West - Preston Research Ethics Committee
REC reference
15/NW/0688
Date of REC Opinion
17 Aug 2015
REC opinion
Favourable Opinion