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Background <p>Shared decision making (SDM) is a process to actively involve both patients and clinicians to weigh the benefits and risks of a healthcare decision, based on clinical guidelines and the patients’ preferences, needs and values. Despite the ethical foundation of SDM, its implementation remains limited. Possible physician-reported barriers for this limited uptake include insufficient level of SDM training. Training physicians in SDM could be a part of the puzzle. A recent systematic review showed that there is a shift towards blended training more than live or online learning. We therefore developed and pilot-tested a blended training program for general practitioners (GPs) in SDM in Belgium. Acquired skills were evaluated by three viewpoint – observer, patient and physician.</p> Methods <p>In a pre-post study, GPs participated in the blended training program consisting of an e-learning and a face-to-face session with simulation patients (SPs) GPs and SPs completed surveys before (T0) and after (T1) the blended training. Consultations were recorded for analysis by observer reported scales (OPTION12 and 4SDM scale). Secondary outcomes were SDM-Q9-patient, satisfaction with consultation, knowledge and intentions towards SDM.</p> Findings <p>Ten GPs were included. There was a significant increase in both OPTION12 (mean (SD) from 19·37 before to 37·70 after training, <i>p</i> = 0·0010, 95% CI [9·65 – 27·02]) and 4SDM scale (mean (SD) from 9·2 (4·66) before to 17·00 (5·08) after training, <i>p</i> = 0·0001, 95% CI [5·47 – 10·13]) with a moderate-large effect after training (Cohen’s D = 2·39, 95% CI [1·13 – 3·63].</p> Interpretation <p>The SDM blended training for GPs improved their skills, knowledge and intentions in SDM in simulated consultations on the short term.</p>

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From knowledge to action: a blended training to enhance shared decision making skills in primary care physicians – a pilot study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月8日

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  • Jasmien Jaeken,
  • Pieter Van Bostraeten,
  • Lien Mertens,
  • Geertruida Bekkering,
  • Bert Aertgeerts,
  • Jacobus Jeroen Klaas Bossen,
  • Hilde Vandenneucker,
  • Birgitte Schoenmakers,
  • David Spitaels,
  • Gabriël Simon Beerten,
  • Tiemen Peys,
  • Cathoo Billiouw,
  • Nicolas Delvaux

摘要

Background

Shared decision making (SDM) is a process to actively involve both patients and clinicians to weigh the benefits and risks of a healthcare decision, based on clinical guidelines and the patients’ preferences, needs and values. Despite the ethical foundation of SDM, its implementation remains limited. Possible physician-reported barriers for this limited uptake include insufficient level of SDM training. Training physicians in SDM could be a part of the puzzle. A recent systematic review showed that there is a shift towards blended training more than live or online learning. We therefore developed and pilot-tested a blended training program for general practitioners (GPs) in SDM in Belgium. Acquired skills were evaluated by three viewpoint – observer, patient and physician.

Methods

In a pre-post study, GPs participated in the blended training program consisting of an e-learning and a face-to-face session with simulation patients (SPs) GPs and SPs completed surveys before (T0) and after (T1) the blended training. Consultations were recorded for analysis by observer reported scales (OPTION12 and 4SDM scale). Secondary outcomes were SDM-Q9-patient, satisfaction with consultation, knowledge and intentions towards SDM.

Findings

Ten GPs were included. There was a significant increase in both OPTION12 (mean (SD) from 19·37 before to 37·70 after training, p = 0·0010, 95% CI [9·65 – 27·02]) and 4SDM scale (mean (SD) from 9·2 (4·66) before to 17·00 (5·08) after training, p = 0·0001, 95% CI [5·47 – 10·13]) with a moderate-large effect after training (Cohen’s D = 2·39, 95% CI [1·13 – 3·63].

Interpretation

The SDM blended training for GPs improved their skills, knowledge and intentions in SDM in simulated consultations on the short term.