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While a key challenge is the need to strengthen practitioners' decision support skills [ 29] training interventions have been shown to markedly improve the quality of practitioners' decision support skills for other clinical problems [ 33].
The quality of decision support skills will be assessed using audio-taped interactions between participants and simulated patients.
Quality of Decision Support Skills will be measured with DSAT modelled on the ODSF and Ivey's Problem Solving Model [ 68].
Few studies have investigated the efficacy of an evidence-based, theory guided intervention aimed at assisting clinicians to strengthen their patient decision support skills.
Specific workshop objectives are that participants will: understand concepts of decisional needs, decision support, and decision quality, learn to use decision support tools, evaluate decision support skills, and analyze barriers and facilitators to implementing decision support in practice.
The tool demonstrated adequate inter-rater reliability for scoring on both decision support skills (75%, kappa = 0.58) and communication skills (76%, Kappa = 0.68) when it was tested in physician/patient dyads (n = 34 dyads).
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In this study, the ODSF will guide decision support skill acquisition interventions and measures of change.
Clinicians can identify patients' decisional needs and provide decision support, yet generally lack skills and confidence in doing so.
Specialist care managers have varying responsibilities, which generally include many components–symptom assessment, medication support for the patient, monitoring to improve follow-up, communication with the primary care physician, patient education with self-management skills, decision support for the clinician, and the use of an information system.
A wide-ranging programme of engagement with primary care has developed, from improving consultation skills and decision support to practice cancer profiles (http://ncat.nhs.uk/our-work/diagnosing-cancer-earlier/gps-and-primary-care#).
The intervention, informed by the needs assessment, comprises: an online tutorial; an interactive skills building workshop, a decision support protocol; performance feedback, and educational outreach.
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