Corey A Siegel1, Jennifer H Lofland2, Ahmad Naim3, Jan Gollins4, Danielle M Walls5, Laura E Rudder6, Chuck Reynolds6. 1. Inflammatory Bowel Disease Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA. 2. Health Economics and Outcomes Research, Janssen Scientific Affairs, LLC, 850 Ridgeview Drive, Horsham, PA, 19044, USA. jlofland@its.jnj.com. 3. Incyte Corporation, Wilmington, DE, USA. 4. Delta Modelling, Mt Prospect, IL, USA. 5. BDJ Solutions, Melrose, MA, USA. 6. The Benfield Group, St Louis, MO, USA.
Abstract
BACKGROUND: Limited information is available on patients' perspectives of shared decision-making practices used in inflammatory bowel disease (IBD). OBJECTIVE: The aim of this study was to examine patient insights regarding shared decision making among patients with IBD using novel statistical technology to analyze qualitative data. METHODS: Two 10-patient focus groups (10 ulcerative colitis patients and 10 Crohn's disease patients) were conducted in Chicago in January 2012 to explore patients' experiences, concerns, and preferences related to shared decision making. Key audio excerpts of focus group insights were embedded within a 25-min online patient survey and used for moment-to-moment affect trace analysis. RESULTS: A total of 355 IBD patients completed the survey (ulcerative colitis 51 %; Crohn's disease 49 %; female 54 %; 18-50 years of age 50 %). The majority of patients (66 %) reported increased satisfaction when they participated in shared decision making. Three unique patient clusters were identified based on their involvement in shared decision making: satisfied, content, and dissatisfied. Satisfied patients (18 %) had a positive physician relationship and a high level of trust with their physician. Content patients (48 %) had a moderate level of trust with their physician. Dissatisfied patients (34 %) had a life greatly affected by IBD, a low level of trust of their physician, a negative relationship with their physician, were skeptical of decisions, and did not rely on their physician for assistance. CONCLUSION: This study provides valuable insights regarding patients' perceptions of the shared decision-making process in IBD treatment using a novel moment-to-moment hybrid technology approach. Patient perspectives in this study indicate an increased desire for shared decision making in determining an optimal IBD treatment plan.
BACKGROUND: Limited information is available on patients' perspectives of shared decision-making practices used in inflammatory bowel disease (IBD). OBJECTIVE: The aim of this study was to examine patient insights regarding shared decision making among patients with IBD using novel statistical technology to analyze qualitative data. METHODS: Two 10-patient focus groups (10 ulcerative colitispatients and 10 Crohn's diseasepatients) were conducted in Chicago in January 2012 to explore patients' experiences, concerns, and preferences related to shared decision making. Key audio excerpts of focus group insights were embedded within a 25-min online patient survey and used for moment-to-moment affect trace analysis. RESULTS: A total of 355 IBD patients completed the survey (ulcerative colitis 51 %; Crohn's disease 49 %; female 54 %; 18-50 years of age 50 %). The majority of patients (66 %) reported increased satisfaction when they participated in shared decision making. Three unique patient clusters were identified based on their involvement in shared decision making: satisfied, content, and dissatisfied. Satisfied patients (18 %) had a positive physician relationship and a high level of trust with their physician. Content patients (48 %) had a moderate level of trust with their physician. Dissatisfied patients (34 %) had a life greatly affected by IBD, a low level of trust of their physician, a negative relationship with their physician, were skeptical of decisions, and did not rely on their physician for assistance. CONCLUSION: This study provides valuable insights regarding patients' perceptions of the shared decision-making process in IBD treatment using a novel moment-to-moment hybrid technology approach. Patient perspectives in this study indicate an increased desire for shared decision making in determining an optimal IBD treatment plan.
Authors: Ellen A Lipstein; Daniel J Lovell; Lee A Denson; David W Moser; Shehzad A Saeed; Cassandra M Dodds; Maria T Britto Journal: J Pediatr Gastroenterol Nutr Date: 2013-03 Impact factor: 2.839
Authors: Corey A Siegel; Lori S Siegel; Jeffrey S Hyams; Subra Kugathasan; James Markowitz; Joel R Rosh; Neal Leleiko; David R Mack; Wallace Crandall; Jonathan Evans; David J Keljo; Anthony R Otley; Maria Oliva-Hemker; Sharmayne Farrior; Christine R Langton; Iwona T Wrobel; Ghassan Wahbeh; J Antonio Quiros; Gary Silber; Ron J Bahar; Bruce E Sands; Marla C Dubinsky Journal: Inflamm Bowel Dis Date: 2010-09-01 Impact factor: 5.325
Authors: Jean Frédéric Colombel; William J Sandborn; Walter Reinisch; Gerassimos J Mantzaris; Asher Kornbluth; Daniel Rachmilewitz; Simon Lichtiger; Geert D'Haens; Robert H Diamond; Delma L Broussard; Kezhen L Tang; C Janneke van der Woude; Paul Rutgeerts Journal: N Engl J Med Date: 2010-04-15 Impact factor: 91.245
Authors: Annette M O'Connor; Carol L Bennett; Dawn Stacey; Michael Barry; Nananda F Col; Karen B Eden; Vikki A Entwistle; Valerie Fiset; Margaret Holmes-Rovner; Sara Khangura; Hilary Llewellyn-Thomas; David Rovner Journal: Cochrane Database Syst Rev Date: 2009-07-08
Authors: Christopher V Almario; Welmoed K van Deen; Michelle Chen; Rebecca Gale; Stéphanie Sidorkiewicz; So Yung Choi; Nirupama Bonthala; Christina Ha; Gaurav Syal; Taylor Dupuy; Xiaoyu Liu; Gil Y Melmed; Brennan M R Spiegel Journal: Am J Gastroenterol Date: 2022-06-10 Impact factor: 12.045
Authors: Michelle A Hladunewich; Heather Beanlands; Emily Herreshoff; Jonathan P Troost; Maria Maione; Howard Trachtman; Caroline Poulton; Patrick Nachman; Mary Margaret Modes; Marilyn Hailperin; Renee Pitter; Debbie S Gipson Journal: Nephrol Dial Transplant Date: 2017-01-01 Impact factor: 5.992
Authors: Corey A Siegel; Jennifer H Lofland; Ahmad Naim; Jan Gollins; Danielle M Walls; Laura E Rudder; Chuck Reynolds Journal: Dig Dis Sci Date: 2015-05-05 Impact factor: 3.199
Authors: Jae Myung Cha; Dong Il Park; Sang Hyoung Park; Jeong Eun Shin; Wan Soo Kim; Suk Kyun Yang Journal: J Korean Med Sci Date: 2017-01 Impact factor: 2.153
Authors: Jennifer H Lofland; Phaedra T Johnson; Mike P Ingham; Sarah C Rosemas; John C White; Lorie Ellis Journal: Patient Prefer Adherence Date: 2017-05-18 Impact factor: 2.711