• Publications
  • Influence
Shared Decision Making: A Model for Clinical Practice
A model of how to do shared decision making that is based on choice, option and decision talk is proposed that is practical, easy to remember, and can act as a guide to skill development. Expand
Developing a quality criteria framework for patient decision aids: online international Delphi consensus process
Criteria were given the highest ratings where evidence existed, and these were retained, and developers, users, and purchasers of patient decision aids now have a checklist for appraising quality. Expand
Development of a theory of implementation and integration: Normalization Process Theory
Normalization Process Theory explains how new technologies, ways of acting, and ways of working become routinely embedded in everyday practice, and has applications in the study of implementation processes. Expand
Knowledge is not power for patients: a systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision making.
The results support the view that many patients currently can't participate in SDM, rather than they won't participate because they do not want to, and future implementation efforts should address patient-reported factors together with known clinician-reported barriers and the wider organizational context. Expand
Shared decision making and the concept of equipoise: the competences of involving patients in healthcare choices.
Experienced GPs with educational roles have positive attitudes to the involvement of patients in decisions, provided the process matches the role individuals wish to play, and a set of competences and steps that would enable clinical practitioners (generalists) to undertake 'shared decision making' in their clinical environment are proposed. Expand
Organisational change theory and the use of indicators in general practice
It is argued that systems theory exerts the most influence over the use of indicators and that a strategic framework for quality improvement should take account of all four theories, recognising the multiple realities that any one approach will fail to reflect. Expand
Conceptualising patient empowerment: a mixed methods study
A novel conceptual map of patient empowered grounded in published definitions of patient empowerment and qualitative interviews with UK stakeholders is described, that may be useful to healthcare providers and researchers designing, implementing and evaluating interventions to promote patient empowerment. Expand
Assessing the Quality of Decision Support Technologies Using the International Patient Decision Aid Standards instrument (IPDASi)
The existing IPDASi provides an assessment of the quality of a DST's components and will be used as a tool to provide formative advice to DSTs developers and summative assessments for those who want to compare their tools against an existing benchmark. Expand
BMC Family Practice
BMC Family Practice is an open access, peer-reviewed journal that considers articles on all aspects of primary health care, including clinical management of patients, professional training, sharedExpand
Personalised risk communication for informed decision making about taking screening tests.
There is strong evidence from three trials that personalised risk estimates incorporated within communication interventions for screening programmes enhance informed choices, although with heterogeneous results. Expand