Center faculty members present at SMDM 2013 in Baltimore

holmes-rovnerKelly-blakeThe Society for Medical Decision Making’s annual meeting took place October 20-23, 2013, in Baltimore, Maryland. Dr. Margaret Holmes-Rovner, Professor Emerita in the Center for Ethics, and Dr. Karen Kelly-Blake, Research Associate in the Center for Ethics, each presented posters relating to the topic of shared decision-making.

“Does it take longer to do better informed decision making in early stage prostate cancer?”
Poster by Margaret Holmes-Rovner and collaborators

This poster measured time and quality of informing in tape-recorded clinical encounters. Results show that, in real time, the length of discussions and the quality of the informing are virtually uncorrelated. This suggests an urgent need for better physician education about presenting treatment alternatives in the interest of shared decision-making.

“Implementing Shared Decision Making in a Community Health Center: Impact on Patient Satisfaction with Physician Communication, Confidence in Decision and Adherence”
Poster by Margaret Holmes-Rovner and collaborators

This poster presented early findings from the MSU model of shared decision making. The Office-GAP (Guidelines Applied to Practice) approach provides patient training, clinician training and written information to support collaborative treatment decision-making. Implementing the model appears to produce increased patient satisfaction with physician’s communication and patients’ own confidence in their decisions. This in turn, results in improved medication adherence in this setting.

“Can an Interactive Decision Aid Improve Shared Decision Making? Preliminary Results from DATES (Decision Aid to Technologically Enhance Shared Decision Making)”
Poster by Karen Kelly-Blake and collaborators

The purpose of this poster was to present preliminary results of the impact of a web-based decision aid (DA) on colorectal cancer screening (CRCS). In a setting of 11 community and 3 primary care practices in Metro Detroit, adult participants aged 50 to 75, not currently on CRCS, were scheduled for a check-up or chronic care visit. This study will be among the first to provide detailed understanding of how an interactive decision aid affects patient-physician communication and shared decision-making, and ultimately colorectal cancer screening adherence.