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.
- 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;
- To describe the application of the DSAT-10 to the field of health sciences education;
- To evaluate the relative strengths and weaknesses of the DSAT-10; and
- To provide the DSAT-10 and supplemental materials to aid in its administration.
- Guimond P, Bunn H, O’Conner AM, Jacobsen MJ, Tait VK, Drake ER, Graham ID, Stacey D, Elmslie T. Validation of a tool to assess health practitioners’ decision support and communication skills. Patient Education and Counseling. 2003; 50: 235-245. https://DOI.org/10.1016/S0738-3991(03)00043-0
- Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977; 33: 159-174. https://DOI.org/10.2307/2529310
- Butow P, Juraskova I, Chang S, Lopez A, Brown R, Bernhard J. Shared decision making coding systems: How do they compare in the oncology context? Patient Education and Counseling. 2010; 78: 261-268. https://DOI.org/10.1016/j.pec.2009.06.009
- Brown RF, Butow PN, Juraskova I, Ribi K, Gerber D, Bernhard J, Tattersall MHN. Sharing decisions in breast cancer care: Development of the Decision Analysis System for Oncology (DAS-O). Health Expectations. 2010; 14: 29-37. https://DOI.org/10.1111/j.1369-7625.2010.00613.x
- Elwyn G, Edwards A, Winsing M, Hood K, Atwell C, Grol R. Shared decision making: development of the OPTION scare for measuring patient involvement. Quality and Safety in Health Care. 2003;12:13-99. https://DOI.org/10.1136/qhc.12.2.93
- Castorr AH, Thompson KO, Ryan JW, Phillips CY, Prescott PA, Soeken KL. The process of rater training for observational instruments: implications for interrater reliability. Research in Nursing and Health. 1990;13:311-318. https://DOI.org/10.1002/nur.4770130507
- Ivers N, Jamtvedt G, Flottorp S, Young JM, Odgaard-Jensen J, French SD, O’Brien MA, Johansen M, Grimshaw J, Oxman AD. Audit and feedback on professional practice and healthcare outcomes (Review). The Cochrane Library. 2012; 6. https://DOI.org/10.1002/14651858.CD000259
- Stacey D, Legare F, col NF, Bennett CL, barry MJ, Eden KB, Holmes-Rovner M, Llewellyn- Thomas H, Lyddiatt A, Thomson R, Trevena L, Wu JHC. Decision aids for people facing health treatment or screening decisions (Review). The Cochrane Library. 2014; 1. https://DOI.org/10.1002/14651858.CD001431
- Harrision JD, Masya L, Butow P, Solomon M, Young, J, salkeld G, Whelan T. Implementing patient decision support tools: Moving beyond academia? Patient Education and Counseling. 2009; 76: 120-125. https://DOI.org/10.1016/j.pec.2008.12.013
- deVries M, Fagerlin A, Witterman HO, Scherer LD. Combining deliberation and intuition in patient decision support. Patient Education and Counseling. 2013; 91: 154-160. https://DOI.org/10.1016/j.pec.2012.11.016
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