Missed opportunity? Caregiver participation in the clinical encounter. A videographic analysis

Kasey R. Boehmer, Jason S. Egginton, Megan E. Branda, Jennifer Kryworuchko, Amy Bodde, Victor Manuel Montori, Annie LeBlanc

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective: Although the assistance of caregivers is critical to patients undertaking self-care, little is known about their participation in visits and involvement in decision making. We sought to examine this caregiver participation in shared decision making through videographic analysis. Methods: We identified video recordings from outpatient visits in which a healthcare professional, patient, and caregiver participated, drawn from five practice-based randomized trials testing the efficacy of decision aids vs. usual care. Two reviewers, working independently, coded videos to explore caregiver engagement in the clinical encounter, clinician facilitation of that engagement, and the influence of decision aids in the engagement process. Results: In most of the 37 videos coded, caregivers' participation was self-triggered. We saw no impact of the use of decision aids on caregiver participation. Clinicians did not address the caregivers' preferred level of involvement in decision making in any of the video recorded encounters analyzed. Conclusion: In this analysis, most clinicians did not engage caregivers in outpatient visits for chronic care. While the use of decision aids improves communication between patient and clinician, they do not appear to affect caregiver involvement during consultations. Practice implications: Research on the comparative effectiveness of ways to engage caregivers to optimize patient-important outcomes, including enhancing the shared decision making process is necessary.

Original languageEnglish (US)
Pages (from-to)302-307
Number of pages6
JournalPatient Education and Counseling
Volume96
Issue number3
DOIs
StatePublished - 2014

Fingerprint

Caregivers
Decision Support Techniques
Decision Making
Outpatients
Comparative Effectiveness Research
Video Recording
Self Care
Referral and Consultation
Communication
Delivery of Health Care

Keywords

  • Caregivers
  • Chronic care
  • Comorbidity
  • Decision support
  • Shared decision making

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Missed opportunity? Caregiver participation in the clinical encounter. A videographic analysis. / Boehmer, Kasey R.; Egginton, Jason S.; Branda, Megan E.; Kryworuchko, Jennifer; Bodde, Amy; Montori, Victor Manuel; LeBlanc, Annie.

In: Patient Education and Counseling, Vol. 96, No. 3, 2014, p. 302-307.

Research output: Contribution to journalArticle

Boehmer, Kasey R. ; Egginton, Jason S. ; Branda, Megan E. ; Kryworuchko, Jennifer ; Bodde, Amy ; Montori, Victor Manuel ; LeBlanc, Annie. / Missed opportunity? Caregiver participation in the clinical encounter. A videographic analysis. In: Patient Education and Counseling. 2014 ; Vol. 96, No. 3. pp. 302-307.
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