Episode 2: Shared decision-making in medicine

No Easy Answers in Bioethics logoEpisode 2 of No Easy Answers in Bioethics is now available! Guests Dr. Henry Barry, Professor in the Department of Family Medicine and Senior Associate Dean for Faculty Affairs and Development in the College of Human Medicine, and Dr. Margaret Holmes-Rovner, Professor Emerita in the Center for Ethics and Humanities in the Life Sciences and the Department of Medicine, discuss their often-overlapping and collaborative work in the areas of shared decision-making and evidence-based medicine. They reflect back on how they got started working in these areas at Michigan State University in the 1980s, and provide insight on where things currently stand.

Ways to Listen

This episode was produced and edited by Liz McDaniel in the Center for Ethics. Music: “While We Walk (2004)” by Antony Raijekov via Free Music Archive, licensed under a Attribution-NonCommercial-ShareAlike License. Full transcript forthcoming.

About: No Easy Answers in Bioethics is a podcast series from the Center for Ethics and Humanities in the Life Sciences in the Michigan State University College of Human Medicine. Each month Center for Ethics faculty and their collaborators discuss their ongoing work and research across many areas of bioethics—clinical ethics, evidence-based medicine, health policy, medical education, neuroethics, shared decision-making, and more. Episodes are hosted by H-Net: Humanities and Social Sciences Online.

Drs. Kelly-Blake and Holmes-Rovner co-authors of shared decision making article

Kelly-BlakeHolmes-RovnerCenter Assistant Professor Dr. Karen Kelly-Blake and Professor Emerita Dr. Margaret Holmes-Rovner are among the co-authors of the article “Implementing shared decision making in federally qualified health centers, a quasi-experimental design study: the Office-Guidelines Applied to Practice (Office-GAP) program,” published on August 2, 2016 in the open-access journal BMC Health Services Research. The study was authored by MSU researchers Adesuwa Olomu, William Hart-Davidson, Zhehui Luo, Karen Kelly-Blake and Margaret Holmes-Rovner.

Background: Use of Shared Decision-Making (SDM) and Decision Aids (DAs) has been encouraged but is not regularly implemented in primary care. The Office-Guidelines Applied to Practice (Office-GAP) intervention is an application of a previous model revised to address guidelines based care for low-income populations with diabetes and coronary heart disease (CHD). Objective: To evaluate Office-GAP Program feasibility and preliminary efficacy on medication use, patient satisfaction with physician communication and confidence in decision in low-income population with diabetes and coronary heart disease (CHD) in a Federally Qualified Healthcare Center (FQHC).

The full article is available on the BMC Health Services Research website.

Patients’ Survival Expectations With and Without Their Chosen Treatment for Prostate Cancer

margaret holmes-rovnerCenter Professor Emerita Dr. Margaret Holmes-Rovner is a contributing author on a new article published in Annals of Family Medicine, “Patients’ Survival Expectations With and Without Their Chosen Treatment for Prostate Cancer.”

Published in the May/June 2016 issue, the study is authored by Jinping Xu, MD, James Janisse, PhD, Julie J. Ruterbusch, MPH, Joel Ager, PhD, Joe Liu, MD, Margaret Holmes-Rovner, PhD, and Kendra L. Schwartz, MD, MSPH.

The full text is available on the Annals of Family Medicine website.

Recent publications from Center faculty

Below is a list of recent publication from Center for Ethics faculty, including peer-reviewed journal articles, book reviews, and book chapters. Most articles can be accessed online through MSU Libraries. Open access publications are labeled as such.

  • Stahl D. Moral Evaluations of Genetic Technologies: The Need for Catholic Social Doctrine. National Catholic Bioethics Quarterly. Autumn 2015;15(3):477-489.

Margaret Holmes-Rovner recognized as one of 25 Shared Decision Making Champions

holmes-rovnerCenter Professor Emerita Margaret Holmes-Rovner has been recognized by the Informed Medical Decisions Foundation as one of 25 Shared Decision Making Champions. Click the link to view the slideshow that describes the contributions to shared decision making made by each individual.

Read “Refining a brief decision aid in stable CAD: cognitive interviews” published in BMC Medical Informatics and Decision Making

kelly-blake-crop-facholmes-rovnerA new article by Center faculty Karen Kelly-Blake and Margaret Holmes-Rovner, along with other contributing authors, was published in BMC Medical Informatics and Decision Making.

The article describes the results of cognitive interviews to refine the “Making Choices(C)” Decision Aid (DA) for shared decision-making (SDM) about stress testing in patients with stable coronary artery disease (CAD). Cognitive interviews appear to contribute critical information from the patient perspective to the overall systematic development process for designing decision aids.

Read “Refining a brief decision aid in stable CAD: cognitive interviews.”

About the Center for Ethics’ current Professorial Assistants

Honors_College_logoEach year, approximately 200 freshmen are appointed as Professorial Assistants (PAs). PAs work with regular members of the teaching faculty on tasks directly related either to scholarly research or to innovative teaching. — MSU Honors College

The Center currently has five PAs working on projects with respective faculty members Len Fleck, PhD; Margaret Holmes-Rovner, PhD; Karen Kelly-Blake, PhD; and Ann Mongoven, PhD, MPH. Continue reading to meet the Center’s PAs and the projects they are working on…

CHM student presents at the 2013 Meeting of the Michigan State Medical Society

MSU-Seal-Green_RGB-1-inchAkshay Srikanth presented  the following poster at the Annual Meeting of the Michigan State Medical Society, which was held October 23-25, 2013 in Troy, MI.

“Evaluation of the use of a decision aid during diagnosis visits in early stage prostate cancer.”
Poster by Srikanth A, Kahn VC, Rovner DR, Greenwell A, Ellsworth E, Harder M, Holmes-Rovner M.

This poster evaluated the relevance of an informational decision aid during diagnosis visits in early state prostate cancer by using tape-recorded clinical encounters. Results show that a decision aid is significant during diagnosis visits through the number of times it was referenced by both the patient and physician. Additionally results show the decision aid was referenced most often in the context of treatment options and was used most often to learn more or validate something during the discussion. A decision aid can be used in cases of early stage prostate cancer to help patients make a more informed decision and may facilitate during the shared decision making process.

Akshay Srikanth is a second year College of Human Medicine student. He is working with Center faculty member Margaret Holmes-Rovner on an ongoing AHRQ (Agency for Healthcare Research and Quality) funded research project titled “Clinical Communication Following a Decision Aid.”

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.
Read more about each presentation

CMIO Leadership Forum: Transforming Health Care through Evidence-Based Medicine; Margaret Holmes Rovner to speak

The CMIO Leadership Forum is an interactive meeting for physicians and other clinical leaders, executives, researchers and opinion leaders to freely share ideas, discover best practices, and identify strategies to position an organization to survive and thrive in an era of evidence-powered medicine.

Margaret Holmes-Rovner will give a plenary lecture on the second day of the forum: Engaging Patients Through Evidence-Based Medicine, based on her research and national leadership in the field of medical decision-making and technology assessment.

The event will take place October 3-5 in Chicago. For more information, please see the CMIO Leadership Forum website.