Shared Decision Making in a General Hospital

Study Overview
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Brief Summary
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A pilot cross-sectional study will investigate the differential effect of the type of disorder (surgical versus non-surgical) on the scores of the 9-item shared decision making questionnaire.

Detailed Description
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During a pilot cross-sectional study, the 9- Item Shared Decision Making Questionnaire (9SDMQ) will be administered in two groups of participants, one (N=60) suffering from surgical diseases and one (N=60) from non-surgical medical diseases. Patients hospitalized in four acute wards (2 surgical and 2 non-surgical wards) or visiting the relevant outpatient departments of the Triassion General Hospital of Elefsina, Greece will be recruited. The primary outcome will be the difference on the 9SDMQ scores (transformed in a 1-100% scale) in patients suffering from surgical versus non-surgical disorders. Secondary outcome measures will include the effect of patients' demographic and clinical variables, of physicians' demographic variables and of the score on the Montreal Cognitive Assessment on the 9SDMQ scores. Additionally the relationship of patients' satisfaction on the 9SDMQ scores will also be investigated.

Official Title
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Shared Decision Making in Patients With Surgical or Non-Surgical Diseases in a General Hospital: A Pilot Study

Conditions
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Surgical Procedure, Unspecified, General Medical Condition

Intervention / Treatment
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* Procedure: Any appropriate surgical treatment
* Drug: Any appropriate drug or non-drug treatment excluding surgery


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Hospitalization in the Thriassion General Hospital of Elefsina Ability to give informed consent Exclusion Criteria: Inability to complete the neuropsychological assessment Mental retardation
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Surgical Disorders<br>A. Surgical Disorders: Current Hospitalization at the Surgical Inpatient Department or at the Inpatient Department of Otorhinolaryngology or at the Inpatient Department of Cardiology OR Current Follow-up at the Surgical Outpatient Department or at the Outpatient Department of Otorhinolaryngology or at the Outpatient Department of Cardiology due to a disorder for which any appropriate surgical treatment (surgery) is a treatment option. | Procedure: Any appropriate surgical treatment<br>* Any appropriate surgical treatment for the management of patient's current disorder<br>|
| Non-Surgical General Medical Disorders<br>Current Hospitalization at the Internal Medicine Inpatient Department or at the Inpatient Department of Cardiology OR Current Follow-up at the Internal Medicine Outpatient Department or at the Outpatient Department of Cardiology due to a disorder for which surgery is not a treatment option and any appropriate drug or non-drug treatment excluding surgery is a treatment option. | Drug: Any appropriate drug or non-drug treatment excluding surgery<br>* Any appropriate drug or non-drug treatment excluding surgery for the management of patient's current disorder<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Difference in scores of the 9-Item Shared Decision Making Questionnaire between surgical and non-surgical disorders | Difference in scores of the 9-Item Shared Decision Making Questionnaire between surgical and non-surgical disorders | one year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Effect of patients' age, education, gender, maternal education, nationality on 9-item SDM Questionnaire scores | Effect of patients' age, education, gender, maternal education, nationality on 9-item SDM Questionnaire scores | one year | 
| Effect of treating physicians' age, specialty, years of experience on 9-item SDM Questionnaire scores | Effect of treating physicians' age, specialty, years of experience on 9-item SDM Questionnaire scores | one year | 
| Effect of patients' Montreal Cognitive Assessment scores on 9-item SDM Questionnaire scores | Effect of patients' Montreal Cognitive Assessment scores on 9-item SDM Questionnaire scores | one year | 
| Correlation of the 9-item SDM Questionnaire scores with the Client Satisfaction Questionnaire scores | Correlation of the 9-item SDM Questionnaire scores with the Client Satisfaction Questionnaire scores | one year |