Emma Cording

Publications (2)5.13 Total impact

• Source

  Available from: Glyn Elwyn

  Article: Option Grids: Shared decision making made easier.

  Glyn Elwyn, Amy Lloyd, Natalie Joseph-Williams, Emma Cording, Richard Thomson, Marie-Anne Durand, Adrian Edwards
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  ABSTRACT: OBJECTIVE: To describe the exploratory use of short decision support tools for patients, called Option Grids. Option Grids are summary tables, using one side of paper to enable rapid comparisons of options, using questions that patients frequently ask (FAQs) and designed for face-to-face clinical encounters. To date, most evidence about 'patient decision aids' has been based on tools with high content levels, designed for patients to use independently, either before or after visits. METHODS: We studied the use of Option Grids in a quality improvement project, collecting field notes and conducting interviews with clinical teams. RESULTS: In the 'Making Good Decisions in Collaboration' (MAGIC) program, clinicians found that using Option Grids made it easier to explain the existence of options and reported a 'handover' effect, where patient involvement in decision making was enhanced. CONCLUSION: Option Grids made options more visible and clinicians found it easier to undertake shared decision making when these tools were available. Used in a collaborative way, they enhance patients' confidence and voice, increasing their involvement in collaborative dialogs. PRACTICE IMPLICATIONS: Further work to confirm these preliminary findings is required, to measure processes and to assess whether these tools have similar impact in other clinical settings.
  Patient Education and Counseling 07/2012; · 2.31 Impact Factor
• Article: Shared decision making: a model for clinical practice.

  Glyn Elwyn, Dominick Frosch, Richard Thomson, Natalie Joseph-Williams, Amy Lloyd, Paul Kinnersley, Emma Cording, Dave Tomson, Carole Dodd, Stephen Rollnick, Adrian Edwards, Michael Barry
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  ABSTRACT: The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process. To accomplish these tasks, we propose a model of how to do shared decision making that is based on choice, option and decision talk. The model has three steps: a) introducing choice, b) describing options, often by integrating the use of patient decision support, and c) helping patients explore preferences and make decisions. This model rests on supporting a process of deliberation, and on understanding that decisions should be influenced by exploring and respecting "what matters most" to patients as individuals, and that this exploration in turn depends on them developing informed preferences.
  Journal of General Internal Medicine 05/2012; 27(10):1361-7. · 2.83 Impact Factor