Using Patient Interviews to Support Patient Decisions

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2013 Winter Medical Editor's Meeting: Floyd J. Fowler Jr., PhD

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Using Patient Interviews to Support Patient Decisions

  1. 1. Using Patient Interviews toSupport Patient DecisionsJack FowlerJanuary 2013
  2. 2. We started out with patient interviews• Because—• We thought patients should hear otherpatients’ voices• We particularly thought they needed to beexposed to thoughtful patients who madedifferent choices to understand that therereally was a reasonable choice to be made2
  3. 3. We always used real patients• Because—• We thought patients should hear otherpatients’ voices• We thought that creating patient scripts andusing actors was a slippery slope andsomething we did not want to defend3
  4. 4. We now are taking another look at patientinterviews• Because• They are relatively expensive• As pressure mounts to use more web andmobile devices, and less DVD, questions areraised about whether , or how much,interviews are needed4
  5. 5. Another look (cont’d)• Because• Perhaps some decisions may benefit less thanothers from patient interview material• There are those in the medical decisionsworld who have argued that patientinterviews are inherently biasing5
  6. 6. And yet ….• We have found patient interviews are themost engaging elements of our programs• When they are used the way we use them, weare convinced (because we have evidence)that patient interviews are not intrinsicallybiasing6
  7. 7. And yet ….(cont’d)• There is serious evidence from cognitivesciences that patients may not fullyunderstand an option until that have heardsomeone articulate why they made thatchoice—particularly the “less popular”choices.7
  8. 8. Of course• We are well aware that patient (and doctor)interviews can be powerful, and we need tolearn a lot more about how different ways ofusing interviews detract from or support gooddecision making.8
  9. 9. And that is what we are talking about today9

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