Original Publication
Open Access

Critical Synthesis Package: Brief Decision Support Analysis Tool (DSAT-10)

Published: July 21, 2015 | 10.15766/mep_2374-8265.10148

Included in this publication:

  • Critical Analysis of the Brief Decision Support Analysis Tool (DSAT-10).pdf
  • Brief Decision Support Analysis Tool (DSAT-10) English version.pdf
  • Brief Decision Support Analysis Tool (DSAT-10) French version.pdf

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.


Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications. It is also part of a discontinued collection that focused on the presentation of health sciences education assessment tools and their reported validity data. 

Abstract

This Critical Synthesis Package contains: (1) a Critical Analysis of the psychometric properties and application to health sciences education for the Brief Decision Support Analysis Tool (DSAT-10); and (2) copies of the DSAT-10 instrument in both English and French developed by Dawn Stacey, RN, MScN, PhD.

The DSAT-10 instrument is an observational feedback tool for evaluating decisional support interactions between health care workers and patients. The DSAT-10 includes 16 items divided into five domains of: Decision-Making Status; Knowledge of Options, Risks, and Benefits; Values Associated with Outcomes of Options; Support from Others; and Commitment to Act. Raters use the measure by listening to a provider-patient encounter and then complete the DSAT-10 point grid, which has clearly delineated items/points. Definitions of the items are included for clarification and easy reference. Scores range from zero to ten, with higher scores indicating more decisional support being verbalized during the patient-provider interaction. The DSAT-10 was originally utilized to assess nursing student phone conversations with patients, which were taped and reviewed by educators. There is support, however, for use with a variety of learners in a variety of clinical scenarios. Although tools such as the DSAT-10 offer a somewhat schematic and very calculated approach, and physicians in clinical practice have reported that this adds an artificial barrier to genuine patient-centered communication and therefore creates a negative impact on the doctor-patient relationship, the DSAT-10 provides an excellent framework for feedback, and individual learners can be tracked for improvement.


Educational Objectives

  1. To describe the purpose and basic properties of the Brief Decision Support Analysis Tool (DSAT-10), including number of items and scales and psychometric properties;
  2. To describe the application of the DSAT-10 to the field of health sciences education;
  3. To evaluate the relative strengths and weaknesses of the DSAT-10; and
  4. To provide the DSAT-10 and supplemental materials to aid in its administration.

Author Information

  • Lori Wagner, MD, MA: University of Louisville School of Medicine

Disclosures
None to report.

Funding/Support
None to report.


References

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Citation

Wagner L. Critical synthesis package: brief decision support analysis tool (dsat-10). MedEdPORTAL. 2015;11:10148. https://doi.org/10.15766/mep_2374-8265.10148