Using Patient Interviews to Support Patient Decisions


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Jack Fowler, PhD, senior scientific advisor at the Informed Medical Decisions Foundation provides an overview of the Foundation's path to developing decision aids that included patient narratives.

This presentation was part of a Shared Decision Making Month webinar -- The Power of Narratives: How They Shape the Way Patients Make Medical Decisions.

Published in: Health & Medicine
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Using Patient Interviews to Support Patient Decisions

  1. 1. Using Patient Interviews toSupport Patient Decisions Jack Fowler Senior Scientific Advisor March 28, 2013
  2. 2. We started out with patient interviews• Because —• We thought patients should hear other patients’ voices• We particularly thought they needed to be exposed to thoughtful patients who made different choices to understand that there really was a reasonable choice to be made 2
  3. 3. We always use real patients• Because —• We thought patients should hear other patients’ voices• We thought that creating patient scripts and using actors was a slippery slope and something we did not want to defend 3
  4. 4. We now are taking another look at patient interviews• Because --• They are relatively expensive• As pressure mounts to use more web and mobile devices, and less DVD, questions are raised about whether , or how much, interviews are needed 4
  5. 5. Another look (cont’d)• Because --• Perhaps some decisions may benefit less than others from patient interview material• There are those in the medical decisions world who have argued that patient interviews are inherently biasing 5
  6. 6. And yet ….• We have found patient interviews are the most engaging elements of our programs• When they are used the way we use them, we are convinced (because we have evidence) that patient interviews are not intrinsically biasing 6
  7. 7. And yet ….(cont’d)• There is serious evidence from cognitive sciences that patients may not fully understand an option until that have heard someone articulate why they made that choice—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 to learn a lot more about how different ways of using interviews detract from or support good decision making. 8
  9. 9. And that is what weare talking about today. 9
  10. 10. Today’s ExpertsFloyd J. Fowler Jr., Diana L. Stilwell, MPH Victoria Shaffer, PhDPhD Informed Medical University of MissouriInformed Medical Decisions FoundationDecisions Foundation
  11. 11. Thank You!w w w. s d m m o n t h . o r g